BH ICU Manual
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Care bundles

  • Junior doctors schooled in FASTHUGS
  • Supported by checklist on ICU observation chart
  • VTE – heparin BD preferred (consider TDS in morbidly obese)
  • SUP in intubated patients – ranitidine (either IV or NGT) with low threshold to cease if enteral feeding in place.  PPIs used if previously on them or have GIT bleeding.
  • Beware prescription by junior doctors of SUP in non-ventilated patient
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