Orientation Provide visual and hearing aidsEncourage communication and reorient patient Have familiar objects from patient146s home in the roomAllow television during day with daily newsNonverbal m ID: 837559
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1 TICU Delirium Medication Protocol**Nonph
TICU Delirium Medication Protocol**Nonpharmacological protocol Orientation Provide visual and hearing aidsEncourage communication and reorient patient Have familiar objects from patient’s home in the roomAllow television during day with daily newsNonverbal music Sleep Hygiene: Lights off at night, on during dayControl excess noise at nightAmbulate or mobilize patients early and oftenDeliriogenicmedications:Benzodiazepines, Anticholinergicmedications metoclopramide, H2 blockers, diphenhydramine, glycopyrrolate), Steroids, etc. - John Morris, MD, Mickey Ott, MD Sedation Scale / Delirium AssessmentDelirious (CAMICU positive)Consider Differential Diagnosis (Sepsis, CHF, etc)Remove DeliriogenicMedications* RASS +3 to +4Is the patient in pain?RASS +1 to +2 RASS 1 to Assure adequate pain controlHaloperidol 10 mg IV/IM q15min prnagitation, then 110 mg Q6hrs RASS +1 to +2 after 1 hr unresponsive to haloperidol YesAnalgesic No If intubatedpropofolmg q10min prnsevere agitation Dexmedetomidine0.21.5 mcg/kg/hr x 24 hrs^ PLUSOlanzapineZyprexa5 mg PO/PT q6hr Continue haloperidolConsider PO/PT after 24 hrsReassess target sedation goal