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Sedative, Narcotic And Delirium Drug Dosing By Nursing Shift In A Medical ICU

Rationale: There is growing literature describing the effects of certain psychotropic medications on the development of delirium in the ICU. Few studies, however, report the prescribing patterns of these medications, especially in the intensive care literature. We will graphically and numerically describe the patterns and total doses of lorazepam, fentanyl, and haloperidol, by nursing shift, in a cohort of older medical intensive care patients. Our hypothesis is that patients in the ICU receive greater doses of psychoactive medications in the evening and night shift than they do during the day shift.