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I'm not a big #tweetorial person, more a #bitesized learning guy.
But important topic + healthy peer pressure =
Let's talk about #Delirium in the ICU (#DICU)!
For the most part, this is applicable to most patients.
Q: Do you regularly assess for #DICU?
But important topic + healthy peer pressure =
Let's talk about #Delirium in the ICU (#DICU)!
For the most part, this is applicable to most patients.
Q: Do you regularly assess for #DICU?
What does delirium look like?
<5% "hyperactive": EASY TO JUDGE these pts
95%: "hypoactive" or mixed: somnolent, not accepting feeds, withdrawn:
EASY TO MISS these pts
What's the big deal?
Vent time 🔼 8d
Hosp LOS 🔼 by 8d
Cognitive impairment at D/C: 50%, long term: 33%
<5% "hyperactive": EASY TO JUDGE these pts
95%: "hypoactive" or mixed: somnolent, not accepting feeds, withdrawn:
EASY TO MISS these pts
What's the big deal?
Vent time 🔼 8d
Hosp LOS 🔼 by 8d
Cognitive impairment at D/C: 50%, long term: 33%
WHAT is delirium:
😣 Altered level of consciousness (hyper/hypoactive) +
🙄 Inattention
With either:
😇 Change in cognition (who, you?, what is life?) OR
🤓 Change in perception
Easy to miss in a patient that isn't "belligerent" or "climbing out of the bed". It can be SUBTLE!
😣 Altered level of consciousness (hyper/hypoactive) +
🙄 Inattention
With either:
😇 Change in cognition (who, you?, what is life?) OR
🤓 Change in perception
Easy to miss in a patient that isn't "belligerent" or "climbing out of the bed". It can be SUBTLE!
