5 articles ICU

Anaphylaxis

Anaphylaxis: Order Epinephrine IM stat May require multiple epinephrine injections. Patient may require intubation if unable to protect his airway. Remember: Patient may have a second anaphylactic episode (delayed/secondary reaction) 24 hours later! Keep for observation. Some people get intubated -> extubated -> re-intubated (24 hours later). Also order: IV fluid – Order NS @ 100cc/hr…

ICU – helpful tips

Sedatives: ***Propofol (usually start here; can increase TG and can decrease BP and decrease HR – monitor) Versed (Midazolam – benzodiazepine) – helpful when sedating patient with substance abuse/withdrawal Fentanyl (helps with pain) – add Colace to mitigate constipation Precedex (when trying to extubate; very expensive, limit use) – often used with difficult extubations/patients with…