What does Fasthug stand for?

Objective: To introduce the Fast Hug mnemonic (Feeding, Analgesia, Sedation, Thromboembolic prophylaxis, Head-of-bed elevation, stress Ulcer prevention, and Glucose control) as a means of identifying and checking some of the key aspects in the general care of all critically ill patients.

What is FASTHUG MAIDENS?

DISCUSSION. The FASTHUG-MAIDENS mnemonic is the first published standardized, structured approach to identifying drug-related problems in the ICU. This mnemonic may help pharmacists in a number of ways.

How is agitation treated in ICU?

Pharmacologic agents such as benzodiazepines or propofol are frequently administered in the ICU to treat agitation; however, most bedside caregivers also employ nonpharmacologic interventions.

What causes agitation in ICU patients?

Agitation is common in the intensive care unit (ICU). There are numerous contributing factors, including pain, underlying disease, withdrawal syndrome, delirium and some medication.

What is stress ulcer prophylaxis?

Stress ulcer prophylaxis is commonly administered to critically ill patients for the prevention of clinically important stress-related mucosal bleeding from the upper gastrointestinal tract.

When is stress ulcer prophylaxis indicated?

INDICATIONS FOR STRESS ULCER PROPHYLAXIS Past history of gastric ulcer or GI bleeding in past 12 months. Trauma: TBI, spinal cord injury, or burns. 2 0r more of: >1 week in ICU, occult GI bleeding, steroids (>250mg hydrocortisone per week)

How long does delirium last after ICU?

It may take weeks or months to fully recover from both the physical and mental problems related to ICU delirium. For some, these problems can last the rest of their lives. This can lead to needing full-time care from a family member, having to live in a care facility, or even dying sooner.

What is the difference between agitation and delirium?

Agitation and delirium Agitation is often a symptom of delirium, but some patients can become agitated without having delirium. Agitation might be due to symptoms such as pain or breathlessness.

How long should stress ulcer prophylaxis continue?

Although it has been recommended that prophylaxis be continued for at least 7 days, this has failed to show a difference in outcomes of mortality or GI bleeding. Most studies recommend the continuation of stress ulcer prophylaxis throughout the duration of critical illness or intensive care unit stay.

Who needs PUD prophylaxis?

Consider prophylactic or preventive therapy for the following patients: Patients with NSAID-induced ulcers who require chronic, daily NSAID therapy. Patients older than 60 years. Patients with a history of peptic ulcer disease or a complication such as gastrointestinal bleeding.