First Things First
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?
The default sedation goal when no goal is ordered.
What is a RASS of 0?
You titrate down and hold an IV sedative once daily in order to do this.
What is a Spontanneous Awakening Trial?
An arrythmia that is a common complication following thoracic surgery.
What is Atrial Fibrillation?
The last drug that you give in a Rapid Sequence Intubation.
What is a paralytic or neuromuscular blocking agent?
If you suspect a stroke, this is the first thing you should do to rule out a differential.
What is a blood sugar check?
Research shows that sedating with this medication group prolonges ICU stay and increases risk of PICS.
What are Benzodiazapines?
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"
A complication following a Whipple surgery, it can be be identified early by assessing the percutaneous drain fluid for amylase.
What is a pancreatic fistula?
When providing personal care to a patient with an EVD in place, this is the last thing you do before reopening 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?
A key nonpharmacological intervention to help prevent or manage delerium and also manage pain.
What is family involvement or presence?
You hold PO intake if your patient fails this.
What is a swallowing screen?
After plastic surgery, this is a condition that causes a flap to appear pale, with decreased turgur, and slow cap refill.
What is Arterial Occlusion?
Before beginning comfort measures and withdrawing care, this is perhaps the last thing we can offer.
What is Organ Donation?
Remember the GIVE criteria.
Something that you should consider first when a patient is hypotensive.
What is Volume Status?
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 it.
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
What is VTE prophylaxis?
After damage control surgery for abdominal trauma or Abdominal Compartment Syndrome, this intentional abdominal wall defect is sometimes left in place.
What is an Open Abdomen?
Abbreviated as LSN, this is a key time detail to know when you suspect a stroke.
What is Last Seen Normal?
An action that should be performed before administering a High Alert Medication.
What is an Independent Double Check?
The elements the PADIS guidlines aim to prevent and manage in order to improve ICU patient outcomes; they are included in the ICU Liberation Bundle.
What are Pain, Agitation/Sedation, Delerium, Immobility, and Sleep Disruption?
A drain that is inserted during a TEVAR and draining CSF through a drainage system like an EVD; however, pressures are not transduced from it.
What is a Lumbar Drain?
An area of skin connected to a single spinal nerve root which are assessed to determine effectiveness of an epidural medication.
What are Dermatones?
This therapy option may help in a cardiac electrical storm causing refractory VF.
What is Double Sequential External Defibrillation?