ICU Vivas · Delirium & sleep
Data viva — the CAM-ICU and the RASS trend
A data viva on the delirium and the sedation trend — the CAM-ICU positivity, the RASS drift, the benzodiazepine escalation, and the management.
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Target exams
CICMFFICMEDIC
Prompt
A 3-day trend of the CAM-ICU, the RASS and the sedation, to be interpreted.
Stimulus
You are shown the 3-day trend:
| Day | CAM-ICU | RASS | Sedation |
|---|---|---|---|
| 1 | Negative | -1 | Midazolam 4 mg/h, fentanyl 50 mcg/h |
| 2 | Positive | -3 | Midazolam 6 mg/h, fentanyl 50 mcg/h |
| 3 | Positive | -4 | Midazolam 8 mg/h, fentanyl 50 mcg/h |
Interpret and manage.[1]
References1ShowHide
- [1]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.