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Med Surg III exam 3 > ICU > Flashcards

Flashcards in ICU Deck (14):
1

____ % of strength is lost per day while on bed rest

4-5

2

In healthy subjects, ______ resistance, and ______ dysfunction occur after 5 days of bed rest

Insulin

Microvascular

3

Issues with mechanical ventilation (4-7 days post)

Critical illness polyneuropathy
Critical illness myopathy

4

Critical illness polyneuropathy (CIP)

Weakness
Reduced DTR's
Impaired sensation (cranial nerves spared)
Facial weakness

5

Critical Illness Myopathy

Profound weakness-especially proximal
DTR's preserved or diminished
Sensation intact

6

Post Intensive Care Syndrome

Long term
Reduced ability to perform ADL's
Reduced ambulatory capacity (up to 5 years post)
Depression
PTSD
Anxiety

7

Treatment for PICS

Minimize sedation
Early mobility

8

Continuous lateral rotation therapy

pt turned every 2

9

ICU exercise guidelines: intensity

60-80% of max HR (may not be most reliable)

Borg of 3-5 (on 1-10 scale)

10

ICU pulmonary red flags

02 sats: 35

PEEP >10 cm h20

11

ICU Cardiovascular red flags

MAP: 120
resting HR 140
SBP 200


New arrhythmia
New angina

12

Glucose ICU red flag

200

13

Which side should the IV pole be on when transferring?

The side that you are getting up on (towards the ventilator)

14

When to stop or modify ICU treatment?

02 drop below 88%
Significant increased work of breathing (accessory muscle use)
Hemodynamic instability (decreased BP/MAP, EKG changes, chest pain)
HR greater than predicted max.
Increased RR >20 over resting
pt request