Sedative Drug Use
First Things First (assess & treat for the following)
- Does pt have any life-threatening causes of agitation that require immediate attention?
- Hypoxemia
- Hypercarbia
- Severe metabolic acidosis/alkalosis
- Severe electrolyte abnormalities
- Hypotension
- CNS infection
- Hypoglycemia
- Drug toxicity, alcohol/drug withdrawal
- CVA, intracranial hemorrhage
- MI
- Pneumothorax
- Pulmonary edema
- Seizure
- Abdominal pain secondary to perforation, abscess, pancreatitis
- Endotracheal tube malposition
- Does pt have any correctable causes of agitation?
- Delirium/dementia
- Hepatic encephalopathy
- Renal failure, uremia
- Meds/toxins
- Ventilator dyssynchrony
- Inadequate ventilation (hypercarbia)
- Inadequate oxygenation
- Inadequate tidal volume/flow
- Obstruction of ETT
- Endocrinopathies
- Hypo/hyperadrenocortisolism
- Hypo/hyperglycemia
- Distended bladder
- Sleep deprivation
- Disorientation/fear
- Inability to communicate
- Noise
- Pain
- From procedures
- Decubitus
- Oral/nasal gastric tubes
- Oral ulcerations
- Invasive monitors
- Delirium/dementia
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Last updated: May 5, 2010
Citation
"Sedative Drug Use." Pocket ICU Management, PocketMedicine.com, Inc, 2010. Anesthesia Central, anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534032/all/Sedative_Drug_Use.
Sedative Drug Use. Pocket ICU Management. PocketMedicine.com, Inc; 2010. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534032/all/Sedative_Drug_Use. Accessed October 10, 2024.
Sedative Drug Use. (2010). In Pocket ICU Management. PocketMedicine.com, Inc. https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534032/all/Sedative_Drug_Use
Sedative Drug Use [Internet]. In: Pocket ICU Management. PocketMedicine.com, Inc; 2010. [cited 2024 October 10]. Available from: https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534032/all/Sedative_Drug_Use.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC
T1 - Sedative Drug Use
ID - 534032
Y1 - 2010/05/05/
BT - Pocket ICU Management
UR - https://anesth.unboundmedicine.com/anesthesia/view/Pocket-ICU-Management/534032/all/Sedative_Drug_Use
PB - PocketMedicine.com, Inc
DB - Anesthesia Central
DP - Unbound Medicine
ER -