Consults & Liason

Question 1

TBI PRN Agitation

Answer 1

1st line = Propanolol / Mood stabilizers
2nd line = Antipsychotics / Antidepressants / Benzos / Buspirone.

Trazodone >
Amantadine

Question 2

Agitation + QT prolongation

Answer 2

Depakote

Zyprexa

Question 3

Generic name for Precedex

Answer 3

Dexmedetomidine

Question 4

Indications for Precedex

Answer 4

Procedural sedation

ICU sedation

Question 5

Dosing for Precedex

Answer 5

0.2-2.0 mcg/kg/h

Question 6

DDX TBI vs Head Trauma

Answer 6

TBI is an alteration in brain function, or other evidence of brain pathology, caused by an external force [5].

In this definition, the presence of confounding factors such as intoxication or medical illness does not preclude a diagnosis of TBI, although clinical judgment is used to decide whether the patient’s symptoms are a consequence of the TBI. Additionally, this definition recognizes that clinical symptoms of brain injury may be delayed or absent, and that “other evidence of brain pathology” can include imaging or laboratory investigations.

The focus of this definition is “brain” rather than “head” injury.