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Delirium Clinical Pathway, CICU, PICU, and PCU – Indications for Psychiatry Consult

Delirium Clinical Pathway — CICU, PICU, and PCU

Indications for Psychiatry Consult

  • Treatment of delirium is a clinical judgment at the attending’s discretion. Psychiatry can be consulted per CICU/PICU/PCU attending request.
  • The following children may benefit from a psychiatry consult
    • Age < 2 yrs
    • Underlying psychiatric diagnosis
    • Impaired communication due to a neurologic disorder
  • Consult before transfer out of the ICU on new antipsychotic medication for weaning plan. Goal to discontinue antipsychotics started for the diagnosis of delirium in the ICU prior to discharge.
  • Longer-term plan guided by psychiatry
    • Follow-up
    • Medication management
    • Timeline for medication discontinuation

 

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