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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Pain, Anxiety and Delirium ... in the ICU Nick ... #CriticalCare # ... Comparison #Management ... #Diagnosis #ICU
Post-Intensive Care Syndrome (PICS)
Symptoms of PICS:
 - Physical Domain: Generalized weakness, Fatigue, Difficulty walking
 - Cognitive
analgesics - Delirium ... guide targeted treatments ... - Delirium ... Syndrome #PICS #diagnosis ... #management #criticalcare
Delirium in the ICU

Defining delirium
Types of delirium
Consequences of delirium
Reversible causes of delirium
Drug-induced delirium
Non-pharmacologic management of delirium
Pharmacologic
ICU Defining ... management of delirium ... theABofPharmaC #ICU ... #management #criticalcare ... #diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... Triad (PAD) can ... below) D - Delirium ... #PAD #ICU #CriticalCare ... #diagnosis #management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
of Delirium in ... the ICU Remove ... #Delirium #Checklist ... #Management #Treatment ... #MICU #CriticalCare
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
) Diagnosis: ... Blood Sample • Sterile-site ... Line Targeted Treatment ... #management #candida ... #auris #treatment
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... likelihood of prolonged ICU ... recognition and treatment ... #SIRS #criticalcare ... #icu
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
COVID19 in the ICU ... emergency 2020-3-12 Diagnosis ... #Management #Summary ... #Coronavirus #CriticalCare ... : Marino's The ICU
In ARDS, we know that the lungs are so diffusely injured that the remaining total area
Lung Strain is Tidal ... pathophysiology #diagnosis ... #management #ards ... #foamed #criticalcare ... #treatment #respiratory
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
& Dry) is the treatment ... #algorithm #management ... #table #foamed ... heartfailure #chf #criticalcare ... #icu #clinical