ICU-Pain, agitation, delirium

PAD = Pain, agitation, delirium Pain Multimodal analgesia likely to reduce opiod use Acetaminophen: oral and rectal Low dose Ketamine: 0.5 mg/kg iv then 1-2 mcg mcg/kg/min infusion may cause hallucination & delirium Neuropathic pain: Gabapentin 15/mg/kg/d in divided dose Pregabalin 150 mg/d NSAID, iv lidocaine not recommended Agitation/Sedation...

Meralgia paresthetica

Painful mononeuropathy of anterior lateral thigh Entrapment of lateral femoral cutaneous nerve symptomatic treatment: consider Gabapentin Avoid tight belt E medicine review...

Seasonal Influenza

Antiviral therapy Oseltamivir (Tamiflu) 75 mg bid x 5 days (about $30) available in 30, 45, 75 mg generic may cause headache, vomiting reduce symptom duration by about 3 days Greatest benefit if given in first 48 hr of illness. May still effective after 48 hr Baloxavir (Xofluza) Dose...

CIDP

Chronic inflammatory demyelinating polyneuropathy Classic form: symmetric, motor predominant polyneuropathy both proximal and distal weakness Atypical variant asymmetric sensory predominant distal and sensory predominant Proximal polyradiculopathy pure motor Neurofascin Ab mediated: younger, have sensory ataxia Contactin 1 Ab mediated Differentiate from AIDP (Guillain Barre) AIDP: reaches nadir within 3-4...

Acute stroke for RN

This page contains a series of videos for nurses to learn about acute stroke. Click on the expand icon on the right lower corner to view full screen. Part 1: Is it a stroke? BE-FAST review Part 2: TPA Mechanical Thrmobectomy Part 3: General Stroke care Final Exam: Click...

Cervical myelopathy, radiculopathy

Cervical spondylosis = degenerative changes osteophyte, foraminal stenosis: may cause radiculopathy changes at margin of vertebral bodies and post longitudinal ligament : may cause cervical stenosis and myelopathy Herniated disc lateral herniation: may cause radiculopathy large midline disc: may cause myelopathy Nondegenerative causes: infection, nerve root infarct, infiltrate by...

MRI – reading review

MRI – the commonly used sequence MRI – review of the basic anatomy Stroke – imaging study MRI – cervical spine Neurology Residents Very well written notes on CT and MRI with plenty of images...