ICU Quick Drug Guide

Description:

Offering essential, evidence-based practice guidelines specifically for the critical care setting, ICU Quick Drug Guide contains up-to-date information in a quick-access format. This portable handbook provides fast, accurate drug therapy information needed at the point of care, including expert advice throughout to help clinicians determine optimal pharmacological therapy.

• Offers a quick summary of current clinical guidelines to experienced clinicians while providing a simplified, focused guide to all entry level clinicians.
• Covers the wide variety of issues seen in the ICU, including sepsis and septic shock, venous thromboembolism, acute heart failure, anaphylaxis, arrhythmias, asthma and COPD, pain, infections, pancreatitis and liver failure, stroke, and many more.
• Begins each topic with a brief discussion of the disease state followed by drug tables that compare and contrast different treatment regimens, including pharmacokinetics, pharmacodynamics, drug interactions, contraindications, and hepatic/renal dosing.
• Contains clinical pearls organized by the top disease states seen in the critical/acute care setting.
• Provides practical and essential drug information from Dr. Jennifer Pai Lee, a clinical pharmacist with expertise in critical care and pharmacokinetics/pharmacodynamics.

Table of Contents:

SECTION

1. CARDIOVASCULAR CRITICAL CARE

1. Acute coronary syndromes

Clinical signs and symptoms of ACS (fig.

1. 1)

Causes of troponin elevations (box

1. 1)

Acute management of ACS

References

2. Acutely decompensated heart failure (ADHF)

Definitions

Precipitating factors

Pharmacologic management

References

3. Adult advanced cardiovascular life support

Asystole/pulseless electrical activity

Ventricular fibrillation/pulseless ventricular tachycardia

Bradycardia with pulse

Tachycardia with pulse

Post-cardiac arrest care

Targeted temperature management (TTM) or therapeutic hypothermia (TH)

References

4. Anticoagulation for atrial fibrillation or atrial flutter

Anticoagulation to prevent thromboembolism in atrial fibrillation (AF) or atrial flutter

References

5. Hypertensive crisis

Definitions

Management

References

SECTION

2. ENDOCRINE, GASTROINTESTINAL, AND HEPATIC DISORDERS

6. Diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS)

Introduction

Diagnosis criteria (table

6. 1)

Management (table

6. 2)

Insulin preparations (table

6. 3)

References

7. Other endocrine emergencies

Thyroid storm

Myxedema coma

Adrenal crisis

References

8. Gastroenterology

GI fistulas

Postoperative ileus (POI)

Postoperative nausea and vomiting (PONV)

Upper GI bleeding (UGIB)

References

9. Severe acute pancreatitis and liver failure

Severe acute pancreatitis

Liver failure

Hepatic encephalopathy

References

SECTION

3. INFECTIOUS DISEASES

10. Abdominal infections

Complicated intra-abdominal infection

Clostridium difficile infection (CDI)

References

11. Other infections

Hospital-acquired and ventilator-associated pneumonia

Community-associated pneumonia

Influenza

Intravascular catheter-related infections

Catheter-associated urinary tract infections (cautis)

Skin and soft tissue infections (SSTIs)

Antimicrobial prophylaxis in surgery

Bacterial meningitis

References

12. Sepsis and septic shock

Definitions

Management of sepsis and septic shock

References

SECTION

4. NEUROCRITICAL CARE

13. Acute ischemic stroke (AIS)

Definitions

Classification of stroke types (fig.

13. 1)

National institutes of health stroke scale (table

13. 1)

Management

References

14. Other neurocritical care

Myasthenia crisis

Guillain-barre syndrome

Antithrombotic-induced intracranial hemorrhage

References

15. Status epilepticus

References

SECTION

5. PULMONARY DISORDERS

16. Asthma and chronic obstructive pulmonary disease (COPD) exacerbation

Asthma exacerbation

Chronic obstructive pulmonary disease (COPD) exacerbation

References

17. Pulmonary arterial hypertension (group 1 pulmonary hypertension)

References

SECTION

6. MISCELLANEOUS

18. Acute alcohol and drug poisoning

Introduction

Management after patient stabilization

References

19. Anaphylaxis

Introduction

Signs and symptoms (table

19. 1)

Triggers (table

19. 2)

Acute management (table

19. 3)

Prevention

References

20. Drug-induced hyperthermia

Malignant hyperthermia (MH)

Neuroleptic malignant syndrome (NMS)

Serotonin syndrome

References

21. Fluids and electrolyte disorders

General overview (tables

21. 1,

21. 2, and

21. 3)

Hypernatremia

Hyponatremia

Other electrolyte abnormalities and management (table

21. 6)

References

22. Pain, agitation, delirium, and neuromuscular blockade in the intensive care unit (ICU)

Pain

Agitation

Delirium

Neuromuscular blockade

References

23. Rapid sequence induction

Introduction

Pharmacotherapy

Vasopressors for blood pressure support

References

24. Venous thromboembolism (VTE)

Introduction

Risk factors for VTE

Prevalence of VTE

Thromboprophylaxis

Treatment of VTE with anticoagulants

References

Appendix

References

Index