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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Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Checklist for Evaluation ... glucose - Review medication ... - Relevant drug ... tox/infectious workup ... #MICU #CriticalCare
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... - Review the medication ... c deliriogenic meds ... #Management #Treatment ... #MICU #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
- Checklist VITALS ... failure, esp in work-up ... /management of shock ... #Pearls #Checklist ... #diagnosis #workup
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
checklist Evaluation ... - Review of medication ... potentially causative drugs ... limit them as able ... #Pancreatitis #Checklist
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Monitors, ECG, Pads ... sedative & pain medication ... Patients DIE: Drugs ... #differential #management ... #cardiology
Mains Electricity Failure - Guidelines for Crises in Anaesthesia
Unexpected total power failure is rare and unpredictable.
until patient is stable ... theatres, recovery, ICU ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup
Can’t Intubate, Can’t Oxygenate (CICO) - Guidelines for Crises in Anaesthesia
This is the last resort when
optimal airway management ... ENT, ICU). ❹ Call ... neuromuscular blocking drug ... Intraoperative #Checklist ... #Workup
Rybelsus (oral semaglutide) - First Oral GLP-1 Agonist
Dosing:
3 mg daily x 30 days, then 7 mg
semaglutide, the same medication ... Otherwise, it works ... to remain stable ... take any other medications ... patients to take meds
Intraoperative  Bradycardia - Guidelines for Crises in Anaesthesia
Bradycardia in theatre should not be treated as
could have made a drug ... Consider known drug ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup #Cardiology
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia
β€’ Unexplained hypotension
β€’ Unexplained bronchospasm (wheeze may be absent
immediately. ❼ Give drugs ... annotate notes/drug ... Intraoperative #Checklist ... #Diagnosis #Management ... #Workup