Week 6 - ICU

Question 1

examples of aspects to consider in ICU

Answer 1

level of consciousness
Imaging
pain level
vital signs variability
Lines

Question 2

Imaging - lab results

Answer 2

constant checking and updates
blood work multiple times a day

Question 3

Lines

Answer 3

IV lines
catheter
chest tube
ventilator line and machine
feeding tube
oxygen line
holder monitor

Question 4

Prescribed levels of activity

Answer 4

Activity as tolerated
positioning

Question 5

Activity As Tolerated

Answer 5

AAT
bedrest
begin their early ICU mobility

Question 6

decreased cognition and/or delirium

Answer 6

acute change in cognition

Question 7

OTA PTA in ICU`

Answer 7

functional mobility
basic ADLs
endurance
splinting
positioning
pressure injuries
comfort care
cognitive stimulation

Question 8

Positioning to prevent

Answer 8

contractures
joint deformity
pain:
bed
w/c
special equipment

Question 9

Comfort care

Answer 9

keeping pt. comfortable with positioning when nearing the end of their life

Question 10

Delirium

Answer 10

start is usually rapid - w/in hours or few days
disturbance in mental abilities
confused thinking
reduced awareness of environment
recovery can take months, may linger for years after

Question 11

contributing factors in ICU

Answer 11

immobility
pain
metabolic imbalances
medications/drug toxicity
sleep deprivation/disturbances
infection/sepsis

Question 12

Metabolic imbalance examples

Answer 12

DKA
Hyponatremia
Thyroid dysfunction

Question 13

Medications/drug toxicity

Answer 13

benzodiazepines
narcotics

Question 14

DKA

Answer 14

Diabetic ketoacidosis
most common in type 1 diabetes

Question 15

Hyponatremia

Answer 15

sodium level in blood is below normal

Question 16

Thyroid dysfunction

Answer 16

too much or too little important hormones

Question 17

benzodiazepines

Answer 17

slows brain activity
produces drowsy or calming effect

Question 18

Narcotics

Answer 18

severe pain relievers

Question 19

CAM

Answer 19

outcome measure for identifying delirium at bedside
often done by nurses
results are documented in chart

Question 20

screening of delirium

Answer 20

CAM positive
CAM negative

Question 21

Consequences of immobility

Answer 21

Integumentary
Neuromuscular
cardiovascular/respiratory
musculoskeletal

Question 22

Integumentary

Answer 22

skin
pressure injuries

Question 23

Neuromuscular

Answer 23

Muscle atrophy

Question 24

musculoskeletal

Answer 24

bones weaken

Question 25

pressure injuries - most common spots

Answer 25

heels
ankles
hips
tailbone

Question 26

warning signs of pressure ulcers

Answer 26

unusual changes in skin colour or texture
swelling
pus-like draining
area of skin feeling cooler or warmer to the touch than other areas
tender areas

Question 27

Pressure injury - Stage 1

Answer 27

non-blanchable erythema of intact skin

Question 28

Pressure injury - Stage 2

Answer 28

partial thickness skin loss with exposed dermis
first layer is off/open

Question 29

Pressure injury - Stage 3

Answer 29

full thickness skin loss

Question 30

Pressure injury - Stage 4

Answer 30

a bite out of skin without showing tendons or bones

Question 31

unstageable pressure injury

Answer 31

tendons and bones exposed

Question 32

Pressure injury - deep tissue

Answer 32

persistent non-blanchable deep red, maroon, or purple discoloration

Question 33

OTA PTA role with pressure injuries

Answer 33

positioning schedule
education
follow ups on safe use of equipment
delivery and set up of specialized equipment preventing further skin breakdowns.

Question 34

Education to…

Answer 34

client
staff
family

Question 35

how often should a patient reposition in bed?

Answer 35

every 2 hours at least

Question 36

how often should a patient reposition in a wheelchair/chair

Answer 36

every 15 mins
sitting push ups
leaning to side or forward

Question 37

ICU beds

Answer 37

auto lateral shifts
easier transfers in/out of bed
chair position