First Things First
If you suspect a stroke, this is the first thing you should do to rule out a differential.
What is a blood sugar check?
If the distal tip of an enteral feeding tube is here, you don't need to hold feeds pre-op.
What is Post-pyloric or "in the duodenum"
What is a RASS of 0?
Abbreviated as LSN, this is a key time detail to know when you suspect a stroke.
What is Last Seen Normal?
If a person is unresponsive and pulseless, this is the first thing you should do.
What is call for help or activate the Code Blue Response?
You titrate down and hold an IV sedative once daily in order to do this.
What is a Spontanneous Awakening Trial?
Research shows that sedating with this medication group prolonges ICU stay and increases risk of PICS.
What are Benzodiazapines?
When providing personal care to a patient with an EVD in place, this is the last thing you do before opening the EVD to drainage.
What is Lock the bed?
To help guide vancomycin dosing, you typically check this before giving one of the scheduled doses.
What is a trough?
You hold PO intake if your patient fails this.
What is a swallowing screen?
This therapy option may help in a cardiac electrical storm causing refractory VF.
What is Double Sequential External Defibrillation?
What is VTE prophylaxis?
Following an ICU stay from a critical illness or major surgery, this is a cronic illness with: Cognitive Impairment, negative Mental Health Outcomes, and/or Physical Impairment.
The goal of the ICU Liberation Bundle is to reduce the occurance of this.
What is PICS or Post-intensive Care Syndrome?
These impairments include day-to-day struggles with memory and attention, depression, anxiety, PTSD, muscle weakness and nerve problems.
Learn more at icudelerium.org
These are the elements the PADIS guidlines aim to prevent and manage in order to improve ICU patient outcomes; and they are also included in the ICU Liberation Bundle.
What are Pain, Agitation/Sedation, Delerium, Immobility, and Sleep Disruption?