Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

KIN 335 > Exercise in the ICU > Flashcards

Exercise in the ICU Flashcards

1
Q

What does the ICU stand for?

A
  • Intensive Care Unit
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the ICU?

A
  • Special department of hospital that provides intensive care medicine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What kind of patients are in the ICU?

A
  • Seriously/Critically Ill
  • Risk of or recovering from life-threatening conditions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are some common conditions treated in the ICU?

A
  • Acute respiratory distress syndrome
  • Septic Shock
  • Other life-threatening conditions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is common with patients in the ICU?

A
  • Muscle Dysfunction
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Why is muscle dysfunction common in patients in the intensive care unit?

A
  • Inactivity
  • Inflammation
  • Pharmacologic Agents
  • Neuromuscular syndromes with critical illness
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What might respiratory muscle weakness be at its onset?

A
  • Important factor, leading to prolonged ICU stay
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why might respiratory muscle weakness onset be a factor leading to prolonged ICU stay?

A
  • Weaning failure from mechanical ventilation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How prevalent is peripheral muscle weakness in patients with mechanical ventilation for 4-7 days?

A

25-33%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How prevalent is peripheral muscle weakness in patients with acute respiratory distress syndrome?

A

60%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How prevalent is peripheral muscle weakness in patients with septic shock?

A

35-76%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is peripheral muscle weakness linked within the ICU?

A
  • Increased Mortality
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does a prolonged ICU stay contribute to?

A
  • Impaired functional status
  • Impaired quality of life
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How long can a prolonged ICU stay contribute to impaired functional status and quality of life?

A
  • Possibly 1 year after discharge
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is associated with impaired functional status? What is not?

A

Is
- Muscle Weakness
Is NOT
- Pulmonary Function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

When is muscle wasting the highest during an ICU stay?

A
  • During first 2-3 weeks
17
Q

What is important for patients with expected prolonged bed rest regarding muscle wasting?

A
  • Important to prevent or attenuate muscle deconditioning as early as possible
18
Q

What does the European Respiratory Society and Society of Intensive Care Medicine advice regarding critically ill patients?

A
  • Start early with active and passive exercise
19
Q

What was the rational for the study on early exercise in critically ill patients?

A
  • Prolonged stay in ICU associated with muscle dysfunction
  • Muscle dysfunction contributes to impaired functional status up to 1 year after discharge.
20
Q

What was the objective of the study on early exercise in critically ill patients?

A
  • Investigate whether daily exercise is safe and effective for preventing decrease in functional exercise capacity, functional status, and quadriceps force associated with prolonged ICU stay
21
Q

What was the design of the study on early exercise in critically ill patients?

A
  • Randomized Controlled Trial
22
Q

What was the setting of the study on early exercise in critically ill patients?

A
  • Medical/surgical ICU at University Hospital Gasthuisberg
23
Q

Who were the patients in the study on early exercise in critically ill patients?

A
  • 90 critically ill patients
  • Starting day 5 of recovery
  • expected prolonged ICU stay
24
Q

What was the intervention of the study on early exercise in critically ill patients?

A

Both Groups
- Respiratory physiotherapy
- Standardized passive/active motion session of upper and lower limbs
Treatment Group
- Passive or active exercise training session 20min/day using bedside ergometer bike

25
Q

Describe the exercise intervention used in the treatment group of the study on early exercise in critically ill patients?

A
  • 5 days a week, 20min/day
  • Bedside cycle ergometer
  • Divided into two bouts of 10min
  • Individually adjusted intensity level
26
Q

Why did they use a cycle ergometer for the study on early exercise in critically ill patients?

A
  • Offers passive or active cycling at 6 levels increasing resistance
27
Q

What were the results of the study on early exercise in critically ill patients?

A
  • Daily cycle exercise is feasible and safe during early ICU stay
  • Intervention improved functional exercise capacity, muscle force, and perceived functional status at discharge
28
Q

What was the aim of the study on early bedside cycle exercise on GI function in ICU patients on MV?

A
  • Investigate effects of daily exercise on GI function in patients with severe pneumonia who received MV
29
Q

What are patients in the ICU often treated for regarding GI?

A
  • Dysfunction or disease
  • Vomiting
  • Gastric residual volumes
  • Diarrhea
  • Bowel Dilation
30
Q

What occurs in approximately 50% of critically ill patients?

A
  • Feeding Intolerance due to delayed gastric emptying
31
Q

What is a common and well-known complication that influences adverse outcomes in critically ill patients?

A
  • Gastrointestinal failure
32
Q

What was the experimental design of the study on early exercise to counter GI distress in ICU patients?

A
  • Randomized Controlled Trial
  • Tertiary Hospital
33
Q

What were the two patient groups in the study on early exercise for ICU patients who were on MV?

A
  • Control
  • Treatment: Passive/Active ergometer 20min/day
34
Q

When was gastrointestinal function and nutritional status evaluated during the study on early exercise for ICU patients with MV?

A
  • first, fourth, and seventh day
35
Q

What were the results of the study on early exercise for ICU patients who were on MV?

A
  • Treatment group had significantly lower rates of diarrhea than control
  • Treatment group had higher albumin/lymphocyte levels
  • Treatment group had less invasive ventilation days
36
Q

What is the conclusion of the study on early exercise in ICU patients who had MV?

A
  • Early exercise in critical ICU survivors who received MV enhanced the recovery of GI function and improved patient’s nutrition status at discharge

KIN 335 (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions