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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Delirium Overview

 β€’ What is Delirium?
 β€’ Types of Delirium
 β€’ Common Causes
 β€’ Reversible Causes
Delirium Overview ... Reversible Causes β€’ Drug-Induced ... β€’ Non-Pharm Management ... #diagnosis #management ... #differential
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Evaluation of New-Onset Delirium ... glucose - Review ... medication list - Review ... - CBC with differential ... - Relevant drug
Immunosuppression in Transplantation
Induction (I):
 - Basiliximab (Simulect)
 - Alemtuzumab (Campath)
 - Rituximab
 - Anti-Thymocyte Globulin (ATG)
Induction
#Medications #Pharmacology ... #Table #Drugs # ... #Maintenance #Management ... #Nephrology #Renal
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Kidney Injury - Differential ... urinalysis, labs - Management ... Avoiding nephrotoxic drugs ... : Relief of obstruction ... #Injury #AKI #Differential
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
for Treatment of Delirium ... possible - Review ... sleeping, administer pharmacologic ... #Delirium #Checklist ... #Management #Treatment
Migraine - Preventative Treatments

 β€’ Anticonvulsants: *Topiramate, *Sodium valproate, Gabapentin, Pregabalin
 β€’ Antidepressants: Amitriptyline, Venlafaxine, Duloxetine,
Anti-Hypertensive Drugs ... Preventative #Treatment #management ... prophylaxis #prevention #pharmacology ... #neurology
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Agitation, and Delirium ... A dissociative drug ... No pharmacologic ... (Haldol) - No pharmacologic ... CriticalCare #diagnosis #management
Vancomycin Associated Acute Kidney Injury

 β€’ Drug induced acute kidney injury is generally defined as a
Kidney Injury β€’ Drug ... 24-72 hours of drug ... Vancomycin #AKI #pharmacology ... toxicology #diagnosis #management ... #nephrology
Flutycosine - Antibiotics Class Overview
 - 
Mechanism: 5-FC interferes with DNA and protein synthesis.  Only
B for initial management ... - Drug levels ... #Pharmacology #Antibiotics ... #Review #Overview
Asthma Maintenance Therapy - Stepwise Approach 

Low dose ICS 
-> Low dose ICS/LABA or Med/High dose
primary maintenance drug ... Here is a review ... nonpharmacologic management ... Stepwise #Therapy #Management ... #Pharmacology #