What are the drugs used in ICU?
Pharmacological management
| Class of drug | Examples |
|---|---|
| Neuroleptic agents | Haloperidol; chlorpromazine |
| Benzodiazepines | Midazolam; lorazepam; diazepam |
| Opioids | Morphine; fentanyl; alfentanil; remifentanil |
| Alpha agonists | Clonidine |
Why do we sedate ICU patients?
A minority of ICU patients have an indication for continuous deep sedation, for reasons such as the treatment of intracranial hypertension, severe respiratory failure, refractory status epilepticus, and prevention of awareness in patients treated with neuromuscular blocking agents.
What procedures are performed in ICU?
Tests and procedures
- Airway management.
- Bone marrow transplant.
- Cardiovascular monitoring.
- Central venous catheterization.
- Chest drainage tube insertion.
- Colonoscopy.
- Continuous renal replacement therapy.
- CPR.
Why is propofol used in ICU?
Propofol is a short-acting intravenous anesthetic commonly utilised in the intensive care unit (ICU) for sedation of mechanically ventilated patients. The rapid onset and termination of action make it an attractive drug for use in the ICU. The safety profile of propofol is well established.
What is the difference between delirium and agitation?
Agitation and delirium Agitation is a common symptom of delirium. However, patients can become agitated without having delirium. Agitation can be caused by other problems. If the patient is agitated, try to find out whether they have untreated symptoms, such as pain, constipation, breathlessness or urinary retention.
What is ICU agitation?
Agitation is a psychomotor disturbance characterized by a marked increase in motor and psychological activity in a patient. It occurs very frequently in the intensive care setting. It may be isolated, or accompanied by other mental disorders, such as severe anxiety and delirium.
What are bedside procedures?
A: A bedside procedure is a procedure that is performed at the patient’s bedside. It really is that simple. Some of the most common examples of bedside procedures are: Thoracentesis. Paracentesis.
Why is midazolam used in ICU?
Synthesis: Sedation is required in the ICU in order for patients to tolerate noxious stimuli, particularly mechanical ventilation. Under- and oversedation can lead to complications. To sedate patients in the ICU, midazolam is commonly administered via titrated, continuous infusions.
What do you need to know about drugs in ICU?
DRUGS USED IN ICU DRUGS USED IN ICU DR.PARUL MRIGPURI DEPTT OF CHEST & TB POLICY OF DRUG USE IN ICU • Patients admitted to the ICU must have a complete drug history documented: a) Premorbid and current medications. b) Previous adverse drug reactions and allergies. c) Note potential drug interactions.
What are the drug history requirements for admission to the ICU?
• Patients admitted to the ICU must have a complete drug history documented: a) Premorbid and current medications. b) Previous adverse drug reactions and allergies.
What drugs should be avoided in the ICU?
b) Avoid drugs with narrow therapeutic indices (e.g. digoxin, theophylline), particularly in patients with associated hepatic or renal dysfunction. c) Cease a drug if there is no apparent benefit. d) If two drugs are of equal efficacy, choose the cheaper drug as the cost of drugs in ICU is significant DRUGS USED 1. Cardiovascular drugs 2.
How can we improve outcomes of critically ill patients in ICU?
Understand the use of an ICU best practices bundle in the daily progress note to improve outcomes of critically ill patients Understand indications for, selection of, and management of pharmacologic sedation in critically ill patients