Test 1: Lab Values and Early Mobilization Flashcards
Benefits of acute care
prevent decline w/ early mobility
prescribe exercise programs to improve outcomes/decrease length of stay
safe DC planning
why is early mobiliztion important with neuro pts
delayed treatment can lead to barriers in recovery (use it or lose it, time matters, interference)
early mobility prevents secondary illness, pneumonia, blood clots, skin ulcers, deconditioning, and muscle atrophy
when is the “therapeutic window” for spontaneous recovery
greatest at 3-6 months
what are things you should do/check prior to starting early mobility activities
check for red flags - neuro screen
assess vital signs and lab values - monitor throughout
Confirm with interdisciplinary team - meds/24 hr stability
start with light intensity early on- FITT
what do you look at for a cardiovascular system review
Vitals:
-core vitals: (HR, RR, BP)
-temp
Non-vitals:
-pulse oximetry O2
-pain
looking at important data about current status of body and CV system and response to PA
normal values for HR/pulse
60-100 BPM for adults
can treat outside of range but check with MD
values that indicate HTN
systolic = 140 or higher
diastolic = 90 or higher
levels that indicate prehypertension
systolic = 120-139
diastolic = 80-89
hypotension value
systolic less than 100
what values define an acute HTN crisis
systolic > 180
diastolic > 110
clinical signs of orthostatic hypotension
w/i 3 min of position change
systolic drop of 20 mmHg
diastolic drop of 10 mmHg
what is mean arterial pressure
average blood pressure during a single cardiac cycle
(systolic + [diastolic x2])/3
*pressor medications increase BP to reach minimum MAP
what are normal/abnormal MAP values
MAP of 60 or greater is needed to perfuse organs
normal = 70-105 mmHg
HOLD THERAPY FOR MAP < 60
what is one respiration
one inspiration and one exhalation
normal values for RR
12-18 respirations a minute
what should you look at when observing respiration
Rate = # breaths/min
depth = volume/amount of air exchanged
rhythm = regularity of pattern
character = any deviations from normal; normal should hear no sounds
normal body temp range
96.8 to 99.3
average = 98.6
fever not super concerning in hospital since it is the body’s natural response
normal blood oxygen saturation
95-100%
hypoxemia if SpO2<90%
what is RPE
rating of perceived exertion
subjective
6-20 is traditional scale
used to determine pt’s response to exercise, determine goals, judge progress, and establish parameters of activities
what is ICP
intracranial pressure
pressure exerted by fluids such as CSF inside skull/brain
brain can herniate if too high
sign = HA, vomiting, and secondary cell death
HOLD THERAPY if high
values for normal resting ICP, mild intracranial HTN, and severe
normal = 4-15 mmHg
mild = 20-30 mmHg
severe = over 40 mmHg
what does hemoglobin measure
amount of hemoglobin in blood is an indirect measure of RBC count
(RBCs carry hemoglobin)
“under eight don’t ambulate”
what does hematocrit measure
percent of RBCs in your blood
Hb values needed for resistive exercise
> 10 g/dL
