Medical Equipment ICU/ acute care Flashcards
(17 cards)
Noninvasive monitoring
Urinals and hats, telemetry, BP, pulse oximetry, temperature, respiration, electrocardiograms, ultrasound
Invasive monitoring
Intra- cranial pressure, external ventricular drains, and arterial lines
Intracranial pressure (ICP)
Compression in the skull can inhibit blood to the brain, cause herniation of the brain and impair function
ICP level 5-15
Good to go in therapy
ICP Level 16-19
Light activity in therapy
ICP Level >20
Defer therapy
ICP Level >30
Poor prognosis for therapy
Ventriculoperitoneal (VP) Shunt
Relieve intracranial pressure caused by hydrocephalus; drains CSF into abdominal cavity- internal do not require clamping for movement
Premature ventricular contraction
Often seen with treatment, alarm will sound on monitor, discuss treatment with nurse if multiple PVC occur
Supraventricular Tachycardia
Rapid rhythm with multiple origins, can convert to ventricular tachycardia easily and hold therapy
Ventricular fibrillation
Hold therapy
Arteriography common testing precautions
Bedrest for 8 hours
Cardiac catherization common testing precautions
Bedrest 4-8 hours
Angioplasty common testing precautions
Bedrest 4-8 hours
When to terminate OT session
Only able to speak 2-3 word sentences, drop in heart rate with an increase in or continous workload, drop in systolic BP with ex >20 mmHg, light- headedness, pallor, cyanosis, confusion , loss of mm control or fatigue, chest pain/ angina, nausea or vomiting, exessive rise in BP >220 systolic >110 diastolic, excessive rise in HR >50 BPM, leg claudication, PVCs, failure of monitoring equipment, fever
S/S of inadequate oxygenation
Dyspnea, central cyanosis, restlessness, confusion, agitation, tachycardia, bradycardia, dysrhythmias, rising and falling of arterial blood pressure, falling urine output, nasal flaring
