10 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... Delirium in the ICU ... Anxiety #Delirium #CriticalCare ... #Comparison #Management ... #Diagnosis #ICU
Vasopressors and Inotropes - Pharmacology Summary
Vasopressors
Phenylephrine (alpha-1)
 • Increases BP, SVR
 • Risk of reflex bradycardia
- Pharmacology Summary ... Preferred first agent ... alpha-effect • 1st agent ... #Pharmacology #Summary ... #management #medications
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and Inotropes ... common in OR; in MICU ... #management #criticalcare ... #summary #comparison ... #pharmacology #indications
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Delirium (PAD) in the ICU ... Addressing the ICU ... non-OTC prolonging agent ... #CriticalCare # ... diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... if uncontrolled pain ... Delirium #Checklist #Management ... #Treatment #MICU ... #CriticalCare
ICU Pre-Rounding Bundle Checklist
VITALS: trends!
 • Important to know if the pt is getting better or
ICU Pre-Rounding ... goal (+/- CAM-ICU ... @EmmGeezee #ICU ... Bundle #Checklist #CriticalCare ... #Management
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
Diagnosis and Management ... Summary Who gets ... a precipitant: Medications ... Typically requires ICU ... HRS #Diagnosis #Management
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Therapy (RRT) - ICU ... One Pager Summary ... Indications (AIEOU ... of RRT in the ICU ... #Therapy #RRT #managment
Antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis
Fluconazole
 - Benefits: Low cost/tolerable
Weaknesses: High MIC ... hypokalemia, negative inotrope ... dyspnea, chest/back pain ... #medications #Coccidioidomycosis ... #pharmacology #management
Overview of antifungal agents benefits, weaknesses, and adverse effects in the treatment of Coccidioidomycosis.
Fluconazole - Low
of antifungal agents ... tolerable • High MIC ... hypokalemia, negative inotrope ... dyspnea, chest/back pain ... #valleyfever #management