15 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 ... @nickmmark #Pain ... Anxiety #Delirium #CriticalCare ... #Comparison #Management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... common in OR; in MICU ... #Inotropes #management ... #criticalcare # ... summary #comparison
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
likelihood of prolonged ICU ... recognition and treatment ... resuscitation 3 Vasopressor ... #QSOFA #SIRS #criticalcare ... #icu
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Failure, Toxins/Medications ... Dehydration Shock Treatment ... Differential #Diagnosis #criticalcare ... #algorithm #treatment ... #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... - Review the medication ... if uncontrolled pain ... #Treatment #MICU ... #CriticalCare
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
guide targeted treatments ... ) - Pain assessment ... PICS #diagnosis #management ... #criticalcare # ... icu
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Awakening Trial (SAT ... Breathing Trial (SBT ... #CriticalCare # ... diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... amount fluid, vasopressors ... Pain control - ... gram Q6hr) and pain-dose ... #CriticalCare
Pulmonary Embolism Treatment
Systemic Thrombolysis
 - Exclude contraindications.
 - Indications:
   - Massive PE (definite indication)
Pulmonary Embolism Treatment ... - Indications ... - 2% risk of ICH ... #AcutePE #Management ... #CriticalCare
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
Management of SIADH ... Causes can include pain ... post-operative phenomenon, medications ... bolus of 0.9% NS Vasopressor ... hyponatremia #nephrology #treatment