ICU PATIENT CARE: SERIES OF BASICS - 1
11 July 2020
As clinical pharmacists when we enter the ICU, it's a factor of fear and confusion in the initial days. We also undergo emotional trauma as the patient's life is always in a critical state. Due to lack of experience
working in an ICU set up, there are chances to get screwed up by senior Doctors. So let's get started with the basics of ICU patient care.
DOs and DON'Ts
• Don't be late for the ICU rounds.
• Don't act lazy during ICU rounds.
• Don't lie about the physical examination of the patient that
You didn't do.
• Always be organized
• Schedule a pre- ICU round for yourself so that you can answer questions in actual rounds.
• Involve yourself in the ICU activities
• Show your efficiency
• Be thorough with the Case you are
In charge of.
• Take initiative for activities.
• Take ownership of your own patients.
• Be polite with the Co-staffs.
• Code status
• Sedation ( given in day time, when stopping, etc.)
• GI prophylaxis ( most important when intubated)
• DVT prophylaxis
• Fluid, Electrolytes, Nutrition
OTHER DAILY CHECKLIST:
• Monitor I/O on every patient with 24h totals.
• Know their IV access including dates
central lines have been placed.
• Duration of Antibiotics use.
• Duration of steroid use for shock patients.
For mechanically ventilated patients, always know the following:
• Date intubated
• Size of the tube
• Ventilator settings (mode, rate, volume, pressure, PEEP,FiO2)
• Peak/ Plateau pressure
Check the progress notes written by the Doctor incharge. Organ based is generally the most thorough. For CCU, check cardiac studies :
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