Polypharmacy in the Elderly

FromICU Rounds

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Polypharmacy in the Elderly

FromICU Rounds

ratings:

Length:

29 minutes

Released:

Mar 23, 2008

Format:

Podcast episode

Description

Patients are often admitted to the ICU with an entire list of home medications. In this episode I talk about the implications and dangers of polypharmacy.

Released:

Mar 23, 2008

Format:

Podcast episode

Titles in the series (97)

also available for free download on iTunes. (http://itunes.apple.com/us/podcast/icu-rounds/id254707344)

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Complications of PEEP and Auto-PEEP: Virtually all patients on ventilators are on PEEP. PEEP has several interactions with various organ systems and some can result in profound complications. An understanding of PEEP and auto-PEEP are required before we can understand modes of... by ICU Rounds
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Control of hyperglycemia improves outcomes: A great deal is being presented and published on control of blood sugar in the ICU as well as the postoperative period. How much control is enough and what is the data? by ICU Rounds
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Burns: Fluid Creep: Excessive fluid resuscitations lead to horrible complications such as abdominal compartment syndrome. This article takes a critical look and challanges many of our practices in fluid resuscitation of burn patients. by ICU Rounds
22 min listen
Airway Pressure Release Ventilation (APRV) or BiVent: What the heck is this?: Airway pressure release ventilation (APRV) is not a new mode of mechanical ventilation, but it seems to be gaining a great deal of popularity lately. Many people find this mode very complicated and thick that it is reserved only for the very... by ICU Rounds
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What is the role of decadron in preventing post extubation stridor?: What is the role of giving an adult steroids to prevent stridor or reintubation following extubation. This epidose looks at the data. by ICU Rounds
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Lightning Injuries: Lightning injuries are rare, but when you do treat a patient they can have facinating presentations. This lecture follows a patient we treated at Vanderbilt. The patient present to a local ED with stroke like symptoms... by ICU Rounds
11 min listen
Blood Conservation in the ICU: When should a patient receive a transfuse of blood? What is an acceptable hemoglobin concentration in an ICU patient and should we use EPO? Summer is a time when the blood banks often have a single day's worth of blood. Perhaps with... by ICU Rounds
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Acute RenalFailure: Acute renal failure is a dreaded complication in the ICU. This podcast will review the various types of acute renal failure, the etiology, as well as acute management. by ICU Rounds
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Pharmacology of Shock: This is a basic introduction of some of the drugs used in various forms of shock. by ICU Rounds
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Modes of Mechanical Ventilation: A discussion of the various types of ventilators with a focus on the various ventilator modes and types of ventilator cycles. Also presented is the topic of pressure support ventilation (PSV) by ICU Rounds
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Weaning (Liberating) from the mechanical ventilator: Don't wean people from their ventilators-- liberate them!! When are people ready to come off the ventilator? What are weaning parameters? How does one do a spontaneous weaning trial? What is the role of noninvasive... by ICU Rounds
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Glutamine In Critical Illness: what's all the fuss about?: All surgical residents know that glutamine is the amino acid known as the fuel for the gut. But what is all the fuss about? The episode will look at the data on glutamine. Does glutamine improve outcomes, and if so and in... by ICU Rounds
11 min listen
Renal Replacement Therapy: SCUF, SLED, CVVH, CVVHD, IHD--what does it all mean: Renal replacement therapy (RRT) is rather a confusing topic. What do all those initials mean and why use one therapy over another? This podcast will explain the difference between intermittent and continous. What are the... by ICU Rounds
32 min listen
Blood Products: Blood products: pRBCs, fresh frozen plasma, platelets, cryoprecipitate when and how should we use it? What are the risks? You may order them like IV fluids but do you really know how these potentially deadly products are to be... by ICU Rounds
38 min listen
Do Steroid Improve Survivial in Sepsis? CORTICUS Trial: The results of the CORTICUS trial are discussed. by ICU Rounds
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Patient-Ventilator Interactions and ventilator discontinuation: Getting patients comfortable on the ventilator is not an easy task. This podcasts focuses on methods to make patients synchronize with the ventilator as well as a discussion of spontaneous breathing and awake trials by ICU Rounds
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Thermal Injuries: An introduction of the biology of thermal injuries and the initial care of the patient with thermal injuries in critical condition. by ICU Rounds
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Intraosseous Vascular Access: not just for the kids anymore: Intraosseous vascular access was was developed for use in adult trauma patients over 80 years ago. Only recently has this technique regained popularity for rapid and safe access to the vascular space in patients in extremis. by ICU Rounds
18 min listen
Early Surgery Improves Outcomes Following Critical Burns: Early surgical excision is likely to be the most significant individual variable to imporve the outcome of a patient (adult or child) with a critical burn. Nevertheless, many nonburn physicians still want to apply to 1970 treatment paradigms to... by ICU Rounds
24 min listen
Oxygenation & PEEP: A discussion of ventilation, oxygenation, and the role of PEEP. by ICU Rounds
26 min listen
Atrial Fibrillation: Atrial fibrillation is a common problem in ICU patients, but it is a problem with many potential causes, and not always a well defined treatment. by ICU Rounds
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Radiation Injury / Nuclear MCI: The US government last week released a report that the threat of a nuclear device used in an act of terrorism is high in the next couple of years. In this episode we discuss the some concepts of the medical care required to those exposed to... by ICU Rounds
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Surviving Sepsis Campaign (part 2): We continue our discussion of the Surviving Sepsis Campaign (SSC). This includes fluids types, steroids, rhAPC (Xigris), and blood sugar control. by ICU Rounds
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Polypharmacy in the Elderly: Patients are often admitted to the ICU with an entire list of home medications. In this episode I talk about the implications and dangers of polypharmacy. by ICU Rounds
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Crush Syndrome: Earthquakes are horrible natural events causing loss of lives in the thousands. Following earthquakes, building collapses, and cave-ins, large number of victims will suffer from renal failure and death following crush syndrome. by ICU Rounds
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Extremity Compartment Syndrome: A limb-threatening complication that might be overlooked by the inexperienced provider. by ICU Rounds
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Abdominal Compartment Syndrome: A discussion of the physiology and presentation of abdominal compartment syndrome. by ICU Rounds
33 min listen

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Polypharmacy in the Elderly

Polypharmacy in the Elderly

Description

Titles in the series (97)

More Episodes from ICU Rounds