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
