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THREAD PART 3: COMPLICATIONS! Patient interpretations of ICU jargon @Saramerwin1 & I are writing for @CritCareGame- feedback welcome!
Must be concise to fit on the cards
Pt-centered clarity more important than accuracy
ICU focused
Please share & comment!
Must be concise to fit on the cardsPt-centered clarity more important than accuracy ICU focused Please share & comment!
C. Diff Diarrhea
Diarrhea caused by bacteria called c. difficile, often related to antibiotic use.
Diarrhea caused by bacteria called c. difficile, often related to antibiotic use.
Diabetic Ketoacidosis/DKA
Without insulin, sugar builds up in the blood, ultimately leading to severe blood acidity, nausea , confusion, and dehydration with electrolyte problems.
Without insulin, sugar builds up in the blood, ultimately leading to severe blood acidity, nausea , confusion, and dehydration with electrolyte problems.
Hyperactive Delirium
Agitated state of confusion. May alternate with hypoactive delirium. May result from medications or severe illness.
Agitated state of confusion. May alternate with hypoactive delirium. May result from medications or severe illness.
Hypoactive Delirium
Sleepy, unresponsive state of confusion that may alternate with hyperactive delirium.
Sleepy, unresponsive state of confusion that may alternate with hyperactive delirium.
Acute Respiratory Distress Syndrome
Breathing crisis requiring intervention such as oxygen or even mechanical ventilation.
Breathing crisis requiring intervention such as oxygen or even mechanical ventilation.
Double Pneumonia
Infection in both lungs leading to shortness of breath. Often requires antibiotics and oxygen therapy.
Infection in both lungs leading to shortness of breath. Often requires antibiotics and oxygen therapy.
Flash Pulmonary Edema
The lungs suddenly filled up with fluid, making it hard to breathe. Usually related to heart problems.
The lungs suddenly filled up with fluid, making it hard to breathe. Usually related to heart problems.
Acute Kidney Injury (AKI)
The kidneys filter toxins out of the blood and produce urine. Kidney failure causes problems across many systems in the body and total failure requires dialysis, a form of life support.
#askrenal @kidney_boy - would love to bring homeostasis in, how?
The kidneys filter toxins out of the blood and produce urine. Kidney failure causes problems across many systems in the body and total failure requires dialysis, a form of life support.
#askrenal @kidney_boy - would love to bring homeostasis in, how?
Urinary Tract Infection (UTI)
Catheter Associated UTI (CAUTI): a tube or “Foley” catheter inserted into the bladder to empty urine allows for bacterial infections to develop.
@sanjaysaint is that pt centered?
Catheter Associated UTI (CAUTI): a tube or “Foley” catheter inserted into the bladder to empty urine allows for bacterial infections to develop.
@sanjaysaint is that pt centered?
PRES
Hypertensive Confusion
Seizures, change in mental status in presence of kidney disease or immune suppression; the “R” means it reversible when treated promptly
@drdangayach reasonably clear?
Hypertensive Confusion
Seizures, change in mental status in presence of kidney disease or immune suppression; the “R” means it reversible when treated promptly
@drdangayach reasonably clear?
Bloodstream Infection
Bacteremia: when you have bacteria moving freely in the blood, where they do not belong.
Bacteremia: when you have bacteria moving freely in the blood, where they do not belong.
Shock!
A variety of problems can end up in organs not getting enough blood. The blood pressure is often low. Shock requires immediate therapy, called “resuscitation,” with fluids and/or critical care medications like “vasopressors.”
A variety of problems can end up in organs not getting enough blood. The blood pressure is often low. Shock requires immediate therapy, called “resuscitation,” with fluids and/or critical care medications like “vasopressors.”
Aspiration
Swallowing problems (“dysphagia”) lead to food or saliva going down the wrong pipe into the lungs, sometimes leading to a pneumonia.
Swallowing problems (“dysphagia”) lead to food or saliva going down the wrong pipe into the lungs, sometimes leading to a pneumonia.
Fall from Bed
Falls are frequent hospital mishap despite protocols to prevent due to confused, dizzy or weak patients; potentially results in serious trauma.
Falls are frequent hospital mishap despite protocols to prevent due to confused, dizzy or weak patients; potentially results in serious trauma.
Deep Vein Thrombosis
Blood clot in the leg
Age, cancer, infections like Sepsis and immobility add to risk. Blood clots can travel to the lungs causing breathing problems and death.
Blood clot in the leg
Age, cancer, infections like Sepsis and immobility add to risk. Blood clots can travel to the lungs causing breathing problems and death.
Adrenal Crisis
The Adrenal glands make steroids that regulate many bodily functions, including cortisol. If cortisol levels drop, immediate steroid therapy is needed.
The Adrenal glands make steroids that regulate many bodily functions, including cortisol. If cortisol levels drop, immediate steroid therapy is needed.
PTSD
Patients in ICU are often traumatized by severe illness or injury, invasive treatments, delirium and nightmares. They may suffer Post-Traumatic Stress Disorder after discharge.
@drjessigold and #askspsych is this a good pt centered description?
Patients in ICU are often traumatized by severe illness or injury, invasive treatments, delirium and nightmares. They may suffer Post-Traumatic Stress Disorder after discharge.
@drjessigold and #askspsych is this a good pt centered description?
Pancreatitis
An inflamed Pancreas, often due to gallstones or alcohol, can lead to severe pain and sometimes much worse.
<I gotta say more here. Help me out?>
An inflamed Pancreas, often due to gallstones or alcohol, can lead to severe pain and sometimes much worse.
<I gotta say more here. Help me out?>
Hepatic Encephalopathy
Toxic brain damage from liver (hepatic) failure leads to worsening confusion (encephalopathy) and ultimately coma. Reduced with frequent bowel movements.
Toxic brain damage from liver (hepatic) failure leads to worsening confusion (encephalopathy) and ultimately coma. Reduced with frequent bowel movements.
Pleural Effusion
Fluid in the chest can collapse the lung. Can be watery, or blood, or pus.
@virenkaul @EmmGeezee
Fluid in the chest can collapse the lung. Can be watery, or blood, or pus.
@virenkaul @EmmGeezee
Hyperkalemia
Excess potassium in blood is dangerous for the heart and can cause disturbances in the heart rhythm or even death.
Excess potassium in blood is dangerous for the heart and can cause disturbances in the heart rhythm or even death.
Abdominal Compartment Syndrome
Pressure build up in the abdomen can become so severe that blood flow is impaired, causing organ failure.
How is that, @SESanchezMD @callie_mt
Pressure build up in the abdomen can become so severe that blood flow is impaired, causing organ failure.
How is that, @SESanchezMD @callie_mt
Decubitus ulcer
Pressure Ulcer or Bedsore
Patients who don’t change position are at risk of skin breakdown.
Pressure Ulcer or Bedsore
Patients who don’t change position are at risk of skin breakdown.
Fever
In the ICU, new fevers are always concerning, but fever itself is common and often treated with Tylenol.
In the ICU, new fevers are always concerning, but fever itself is common and often treated with Tylenol.
Cellulitis
Serious bacterial skin infection. Can spread across the skin and is often circled with a marker to monitor spread.
Serious bacterial skin infection. Can spread across the skin and is often circled with a marker to monitor spread.
Chest Pain
Chest pain is a symptom that can be caused by heart problems, a blood clot in lungs, heartburn (acid reflux),and other problems. Requires immediate attention to diagnose.
Chest pain is a symptom that can be caused by heart problems, a blood clot in lungs, heartburn (acid reflux),and other problems. Requires immediate attention to diagnose.
Pitting Edema
Swelling in the ankles and shins may indicate too much water in the body, usually due to heart or kidney problems.
Swelling in the ankles and shins may indicate too much water in the body, usually due to heart or kidney problems.
BRBPR
Bright Red Blood Per (from) Rectum
Bleeding from the lower gastrointestinal system.
Bright Red Blood Per (from) Rectum
Bleeding from the lower gastrointestinal system.
Confusion
Can be caused by fever, delirium, dementia, toxicity, anesthesia or other medications.
Can be caused by fever, delirium, dementia, toxicity, anesthesia or other medications.
Encephalitis
Inflammation of the Brain
Inflammation of the Brain
Ileus
The digestive tract stops, leaving food and fluid stuck in the gut; a patient may not eat or drink (NPO), and a naso-gastric tube is used to drain fluid and gas from the stomach
The digestive tract stops, leaving food and fluid stuck in the gut; a patient may not eat or drink (NPO), and a naso-gastric tube is used to drain fluid and gas from the stomach
Rhabdomyolysis
Extensive muscle breakdown (myolysis) leads to myoglobin, a protein from the muscles, leaking into the blood and causing kidney damage. Severe cases may require dialysis.
Extensive muscle breakdown (myolysis) leads to myoglobin, a protein from the muscles, leaking into the blood and causing kidney damage. Severe cases may require dialysis.
Myopathy
Too much time in an ICU bed can lead to severe muscle weakness (myopathy). Treated best with movement & physical therapy.
Too much time in an ICU bed can lead to severe muscle weakness (myopathy). Treated best with movement & physical therapy.
And a few more...!
ICU Pharmacist
Getting meds quickly in ICU is vital; pharmacists prepare medications and provide invaluable clinical advice and safety.
@JasonMordino @KAckerB_PharmD @WilliamVincent3 @m_feen how is that for pts?
ICU Pharmacist
Getting meds quickly in ICU is vital; pharmacists prepare medications and provide invaluable clinical advice and safety.
@JasonMordino @KAckerB_PharmD @WilliamVincent3 @m_feen how is that for pts?
Nursing Staffing Ratio
The ratio of nurses to patients has a major impact on safety and quality of care.
How is that #NurseTwitter
The ratio of nurses to patients has a major impact on safety and quality of care.
How is that #NurseTwitter
Influenza Outbreak
The flu is caused by a highly contagious respiratory virus spread through air, requires careful precautions to keep it from spreading to staff, patients, or visitors.
The flu is caused by a highly contagious respiratory virus spread through air, requires careful precautions to keep it from spreading to staff, patients, or visitors.
LTAC Bed
ICU patients on a slow recovery may not need to be in the ICU, but they still need a high level of nursing care- especially if they’re still on the ventilator. They can be discharged to a high- level nursing home that can continue their recovery.
ICU patients on a slow recovery may not need to be in the ICU, but they still need a high level of nursing care- especially if they’re still on the ventilator. They can be discharged to a high- level nursing home that can continue their recovery.
Breaking Bad News
Talking to families about serious changes in the patient’s condition - especially when recovery is unlikely- requires advanced communications skills.
Talking to families about serious changes in the patient’s condition - especially when recovery is unlikely- requires advanced communications skills.
CAT Scanner
A powerful imaging tool to view problems with internal organs including masses, fluids, and bleeding; sometimes requires “contrast,” IV or oral chemical that clarifies the anatomy.
A powerful imaging tool to view problems with internal organs including masses, fluids, and bleeding; sometimes requires “contrast,” IV or oral chemical that clarifies the anatomy.
ICU Nurse Practitioner
Nurse practitioners are nurses with advanced training who provide care to patients in the ICU. They examine patients, order tests and therapies, and perform procedures.
@bryanboling
Nurse practitioners are nurses with advanced training who provide care to patients in the ICU. They examine patients, order tests and therapies, and perform procedures.
@bryanboling
Retroperitoneal Hematoma
Bleeding/collection of blood (hematoma) in the back of the abdominal cavity (retroperitoneum), where it is difficult to observe. May be related to blood thinners.
@ogi_gajic how is that?
Bleeding/collection of blood (hematoma) in the back of the abdominal cavity (retroperitoneum), where it is difficult to observe. May be related to blood thinners.
@ogi_gajic how is that?
Hypernatremia
High blood sodium level may be related to not drinking enough water, severe sweating or diarrhea, kidney diseases, or as a side effect of some medications. May lead to confusion, seizures, and coma.
@kidney_boy #askrenal
High blood sodium level may be related to not drinking enough water, severe sweating or diarrhea, kidney diseases, or as a side effect of some medications. May lead to confusion, seizures, and coma.
@kidney_boy #askrenal
Hyponatremia
Low blood sodium level actually suggests the body is holding on to too much water. May be mild or serious, leading to confusion, seizures and coma.
#askrenal clear for patients?
Low blood sodium level actually suggests the body is holding on to too much water. May be mild or serious, leading to confusion, seizures and coma.
#askrenal clear for patients?
Liver Failure
The liver's many roles include removing toxins, making blood clotting factors, and helping with energy storage & production. Unlike some other organs, there is no liver replacement therapy - when the liver fails, transplant may be the only option.
@ebtapper ?
The liver's many roles include removing toxins, making blood clotting factors, and helping with energy storage & production. Unlike some other organs, there is no liver replacement therapy - when the liver fails, transplant may be the only option.
@ebtapper ?
