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PHTH 564 - ICU > Exercise in the ICU > Flashcards

Flashcards in Exercise in the ICU Deck (14)
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1

What is the critical care bundle?

- Assess, prevent and manage pain
- Both spontaneous awakening and spontaneous breathing trials
- Choice of analgesia and sedation
- Delirium: assess, prevent and manage
- Early mobilization
- Family engagement

2

Muscle mass diminishes within ___ hours in the ICU and pts may lose __% of more in first week of illness

24;10

3

ICU acquired weakness can be measured in more than __% of pt's ventilated for longer than 48 hours

50

4

____ and ____ should be considered if pt is difficult to wean and/or is not responding to strengthening exercises

CIP;CIM

5

4 pt populations in ICU especially susceptible to CIM/CIP?

1. ARDS
2. sepsis
3. systemic inflammatory response syndrome
4. multiple organ failure

6

CIP and CIM involve _________ axons and ______ muscle weakness

sensorimotor; skeletal

7

Only way presently to reduce incidence of CIP and CIM?

reduce risk factors

8

Avoid / limit use of ________ blocking agents and _______ to reduce risk of CIP/CIM (also early rehab!)

neuromuscular; corticosteroids

9

4 categories for safety considerations for active mobilization of mechanically ventilated criticially ill adults?

1. resp
2. CV
3. neurological
4. other

10

4 things to always monitor when mobilizing in ICU?

1. HR
2. RR
3. SpO2
4. BP

11

3 principles of positioning?

1. neutral
2. upright
3. open

12

Functional mobilization should be carried out by all staff (T/F)

TRUE

13

5 examples of outcomes measures PT could use in the ICU?

1. goal attainment scale (pt centered)
2. stages of mobility
3. CPAx
4. ICU mobility scale
5. DEMMI

14

Ultimate goal of exercise in the ICU?

optimize strength and function