25 results
Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Managing Pain, Anxiety ... @nickmmark #Pain ... Anxiety #Delirium #CriticalCare ... #Comparison #Management ... #Diagnosis #ICU
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... Failure, Toxins/Medications ... #criticalcare # ... algorithm #treatment ... #management
Vasopressors and Inotropes
 • Norepinephrine - Levophed - "Levo" - Generally thought of as the first
Vasopressors and ... #Inotropes #management ... #criticalcare # ... summary #comparison ... #pharmacology #indications
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Review of medication ... amount fluid, vasopressors ... Pain control - ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... recognition and treatment ... resuscitation 3 Vasopressor ... Sepsis #Criteria #Diagnosis ... #SIRS #criticalcare
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... Neurogenic >> Vasopressors ... #criticalcare # ... treatment #workup
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
Fever vs Hyperthermia
Fever:
 • Regulated in the hypothalamic thermoregulatory center
 • "Set point" raised by prostaglandin
production • Treatment ... Serotonin syndrome • Treatment ... #Hyperthermia #comparison ... #diagnosis #management ... #treatment
Inpatient Management of Opioid Use Disorder: Methadone vs Buprenorphine - Comparison Table

Some patients may decline buprenorphine
Inpatient Management ... Buprenorphine - Comparison ... interested in medication ... assisted treatment ... #Pain #Management
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... regurgitation • Chest pain ... manifestations • Chest pain ... Desire to stop medication ... #management #Gastroenterology