ICU intro.pdf

The ICU Patient The ICU Patient ICU Checklists F – Feeding, fluids A – Analgesia S – Sedation T – Thromboprophylaxis H – Head of bed elevation U – Ulcer prophylaxis G – Glycemic control (< 180) S – Spontaneous breathing trials B – Bowel regimens I – Indwelling catheters D – De-escalation (antibiotic...

The ICU Patient The ICU Patient ICU Checklists F – Feeding, fluids A – Analgesia S – Sedation T – Thromboprophylaxis H – Head of bed elevation U – Ulcer prophylaxis G – Glycemic control (< 180) S – Spontaneous breathing trials B – Bowel regimens I – Indwelling catheters D – De-escalation (antibiotics) – Delirium FASTHUGS-MAIDENS M – Medication reconciliation A – Antimicrobials I – Indications for medications D – Dosing E – Electrolytes (and labs) N – No drug interactions, allergies, duplications or adverse effects S – Stop dates Venous Thromboembolism Geerts W, et al. Chest 2003;124;357S-363S Prophylactic Therapy Pharmacological Low dose unfractionated heparin Heparin 5000 units subcutaneous tid Low molecular weight heparin Use in high risk for VTE Trauma, orthopedic surgery Non-Pharmacological Sequential pneumatic compression device If high risk for bleeding or low risk of VTE Sequential Compression Devices (SCDs) Stress Ulcers Ye et al. Gastrointestinal bleeding prophylaxis for critically ill patients: a clinical practice guideline. 2020. BMJ Not All Bleeding is Equal Occult bleeding Overt bleeding (~5-15%) Clinically significant bleeding (