9 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
and Delirium in ... the ICU Nick ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
) in the ICU Addressing ... the ICU Triad ( ... : assess (CAM-ICU ... #PAD #ICU #CriticalCare ... #diagnosis #management
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
RISK FACTORS - ICU ... screening (CAM-ICU ... ) - Pain assessment ... #criticalcare # ... icu
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
in the ICU Remove ... - Review the medication ... if uncontrolled pain ... #Management #Treatment ... #MICU #CriticalCare
Nasal Oxygen Delivery Devices
Nasal cannula can be used to deliver supplemental O2. Conventional nasal cannula are
rate of requiring intubation ... & lower ICU mortality ... lower rates of re-intubation ... Delivery #Devices #management ... #pulmonary #criticalcare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
generate larger VT ... CHF, decreases intubation ... exacerbation (cardiogenic pulmonary ... #criticalcare # ... management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... #criticalcare # ... summary #comparison ... #pharmacology #indications
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
Renal Replacement Therapy (RRT) - ICU One Pager Summary
Indications (AIEOU):
 • A: Acidosis (usually severe metabolic)
Therapy (RRT) - ICU ... Pager Summary Indications ... Fluid Overload (pulmonary ... of RRT in the ICU ... #Therapy #RRT #managment