Figure 3

A bedside flowchart for delirium management in ICU patients. ¹Sepsis, hypo-perfusion, hypo/hyperglycemia, hypoxia, fever, electrolyte imbalance, alkalosis/acidosis. ²None pharmacological protocol. Orientation: Use patient’s visual and auditory aids, Encourage communication calling the patient by name, Availability of patient’s personal belongings, Coherence between physicians and staff intervention, Use music or TV during the daytime. Environment: Lights off during the night, on during the daytime, Orient patients’ beds to allow vision of sunlight, Discourage sleep during the daytime, Patient mobilization and physiotherapy during the daytime, Control excessive noise during the daytime, Avoid medical and nursing procedures during the night. ³Consider to stop or decrease deliriogenic therapy: anticholinergic drug, metoclopramide, inhibitor of protonic pump, promethazine, etc.