Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Managing Pain, Anxiety and Delirium in the ICU

Nick Mark MD @nickmmark

#Pain #Anxiety #Delirium #CriticalCare #Comparison #Management
Delirium in the ICU ... #CriticalCare #Comparison ... #Management #Diagnosis ... #ICU
Enteral Nutrition - ICU One Pager
 β€’ When to start enteral feeds
 β€’ When NOT to
Enteral Nutrition - ICU ... #criticalcare #icu ... #pharmacology # ... diagnosis #management
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
-> Low dose ICS ... Here is a review ... nonpharmacologic management ... Stepwise #Therapy #Management ... #Pharmacology #
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Delirium in the ICU ... possible - Review ... sleeping, administer pharmacologic ... Delirium #Checklist #Management ... #Treatment #MICU
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU ... you can always review ... esp in work-up/management ... ) MEDS: Quick review ... Pearls #Checklist #diagnosis
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Addressing the ICU ... No pharmacologic ... (Haldol) - No pharmacologic ... #CriticalCare #diagnosis ... #management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 β€’ Distributive: Sepsis, Anaphylaxis, Neurogenic
vasoactive drug pharmacology ... Vasoactive #Drugs #pharmacology ... #inopressors #diagnosis ... #management #comparison
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 β€’ Gold standard, but Slow (~2-3 days), 50% sensitivity
 β€’ Blood Sample
 β€’
) Diagnosis: ... Additional management ... Diseases Consults β€’ Echocardiogram ... #antifungal #diagnosis ... #management #candida
Vasopressors and Inotropes
 β€’ Norepinephrine - Levophed - "Levo" - Generally thought of as the first
common in OR; in MICU ... Vasopressors #Inotropes #management ... criticalcare #summary #comparison ... #table #pharmacology
Peripartum Cardiomyopathy - Summary
1. Definition
 β€’ Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... auto-transfusion and relief ... Avoid ARBs β€’ ICD ... should be done on diagnosis ... Cardiomyopathy #diagnosis