PRM in the ICU

Question 1

What is the **PRM Programme* for ICU?

Answer 1

-** Passive Range of Motion (RoM)** = Maintains Muscle Length / Prevent contractures

• Active + Resisted Exercises = Improves strength / endurance
• Sit on Edge of the Bed = To facilitate trunk control / balance
• Sitting out on chair = Improve lung function
• Mobilising = Improve lung function / Cardiovascular Function / Muscle Strength

Question 2

What are the SYMPTOMS of POLYNEUROPATHY?

Answer 2

• Muscle Weakness
• Absent Facial Weakness
• Muscle Wasting
• Muscle Reflexes
• Sensory Loss
• Impaired Consciousness

Question 3

What are the SYMPTOMS of MYOPATHY?

Answer 3

• Similar to Polyneuropathy
• MORE Proximal Weakness
• MORE Sensory Preservation

Question 4

What is TREATMENT of Polyneuropathy / Myopathy?

Answer 4

• Nutritional Therapy
• Anti-oxidant Therapy
• Hormonal Therapy
• Intravenous IgGs
• Insulin Therapy
• Physiotherapy