ICU

Question 1

decreased mm mass and protein synthesis. Insulin resistance w/in 5 days.

Answer 1

ICU Aquired Weakness ICUAW

Question 2

early intervention and increased activity in ICU leads to…(2)

Answer 2

1. decreased stay

2. better outcomes

Question 3

with disuse, bone density changes occur after…

Answer 3

3-6 weeks

Question 4

mm atrophy occurs in which mm first?

Answer 4

biggest and strongest

Question 5

TF bone density and mm changes are likely to occur in the ICU

Answer 5

False. Usually short stay

Question 6

primary cause for ICU care

Answer 6

hypoxia

Question 7

inflated particle bed, reduces pressure on skin to reduce ulcer formation

Answer 7

clinitron

Question 8

tachycardia =

bradycardia =

Answer 8

> 140 bpm

<60 bpm

Question 9

Normal ejection fraction EF

Answer 9

60-65%

Question 10

Hypotension BP

Hypertension BP

Answer 10

<60 mmHg

>200 mmHg

Question 11

ventilator that does all the work

Answer 11

CMV constant mechanical ventilation

Question 12

pt can take some breaths on their own, ventilator fills in to reach set rate/depth of breath

Answer 12

SiMV

Question 13

ventilator suspended but not removed to see how pt does on their own

Answer 13

SBT spontaneous breathing trial

Question 14

breathe out against a force. Balloon inflates before fully deflating

Answer 14

PEEP positive end expiratory pressure

Question 15

constant amount of pressure throughout respiratory cycle. makes alveoli stay open longer. sleep apnea

Answer 15

CPAP constant positive airway pressure

Question 16

normal room FiO2

can be increased up to

Answer 16

21%

60%

Question 17

FiO2 increases _____ for every 1L of O2

Answer 17

4%

Question 18

trache tubes, endotrache tubes. Not own breaths

Answer 18

invasive ventilator supported

Question 19

CPAP (1 pressure), BiPAP (2 pressure)

Answer 19

Non invasive ventilator supported

Question 20

Nasal cannula, venturi mask, non-rebreather mask. Pt’s own breaths

Answer 20

non invasive non ventilator supported

Question 21

% of hemoglobin with O2 / total hemoglobin

Answer 21

sO2

Question 22

% of O2 in space being measured

Answer 22

FiO2

Question 23

sedation meds

Propofol vs Ativan/Fentinyl

Answer 23

fast acting vs slow acting

Question 24

decreased drugs to see if pt can respond and breathe on their own

Answer 24

sedation holiday

Question 25

4 types of ICU lines

Answer 25

1. peripheral 2. indwelling 3. monitoring 4. drains

Question 26

example of peripheral lines

Answer 26

IV

Question 27

example of indwelling lines

Answer 27

central line

Question 28

example of monitoring lines

Answer 28

vitals

Question 29

example of drains

Answer 29

chest tube, catheter

Question 30

drain line placed at bottom of wounds

Answer 30

J-P (Jackson-Pratt)

Question 31

In/Out line. Skinny tube for feeding

Answer 31

Dobhoff

Question 32

In/Out line. Drains the gut

Answer 32

G-tube

Question 33

In/Out line. Directly into stomach for feeding

Answer 33

PEG

Question 34

In/Out line. Directly into jejunum for feeding

Answer 34

J-tube

Question 35

gives you a head start on how tx session will go. Observe status, lines, cultural background

Answer 35

doorway assessment

Question 36

TF you should talk to pt and introduce yourself even if they are unresponsive

Answer 36

true

Question 37

number 1 goal for pts in the ICU

Answer 37

Get out of ICU. Functional activity is best

Question 38

TF you may do ROM exercises w/ neurologically involved pts, if that is all that can be done

Answer 38

true

Question 39

FiO2 over 60% increases....

Answer 39

CO2

Question 40

when performing a ventilator walks, coordinate w/...

Answer 40

respiratory therapist, other team members

Question 41

must be turned off/clamped before changing positions

Answer 41

lumbar and v-drains

Question 42

if FiO2 is greater than _____, you should think before getting pt up

Answer 42

50%

Question 43

if sO2 is below 88%... | below 85%

Answer 43

give supplemental O2 | don't tx (hypoxic)

Question 44

do not tx is hemoglobin levels are... Light ex... Resistive ex...

Answer 44

< 8g/dL 8-10 g/dL >10 g/dL