Just wondering exactly what ICU psychosis is and other's experiences with it.
Yesterday I had a patient that who was extubated after 1 week on a vent & of course, sedated for that week. A few hours after the extubation weird things started going on (would love to, but sorry can't get into the particulars right now because they are so specific...pt still in hospital...other nurses where I work may see it...well... you know...) By the way, is that a full moon I saw driving home yesterday night
More seasoned nurses on the floor just blew it off as ICU psychosis. But, when I asked exactly how they can be sure it's that and what causes it, they really couldn't explain it.
The patient had IVP Reglan and po hydrocodone about an hour before the 'psychotic episodes' started -any possibility of these inducing the hallucinations and strange thought process the patient exhibited?
I would love to hear your thoughts on this, along with some of the personal experiences with it.