Week 7 - Contraindications For Activity Flashcards
(12 cards)
Early mobilization benefits in ICU
Decrease risk of complications
Decreases time for return to participation and activities
Maximizes outcomes
Saves hospital and patient money
Contraindications - myocarditis, endocarditis, pericarditis
Inflammation in/around the heart
Can lead to cardiac tamponade - pressure on heart
Limited venous return - emergency
Acute PE or DVT
Use VTE guidelines to start/restart PT
If they’re not treated for it yet, but have a diagnosed PE or DVT, we need to hold therapy
Decompensated heart failure
Check for medical management - compensation
Closely monitor signs and symptoms when starting exercise with them
Signs and symptoms of dysrhythmias
Flutter or pounding in chest
Lightheaded or dizzy, ataxia, confusion
Dyspnea
Diaphoresis
Pale/gray and clammy
Other indications to stop activity
Claudication symptoms
Extreme fatigue, SOB or wheezing
SpO2 <80%, rest when below 88%
Abnormal BP response
Atrial fibrilation
Multiple ectopic foci firing
No significant atrial contraction - quivering
Mural thrombus risk
If diagnosed and anticoagulated, check lab and proceed —> want clotting time in therapeutic levels
If new diagnosis, use VTE guidelines
Severe aortic stenosis
Situational
No exercise stress testing
Relative contraindication - Heart block
Depends on degree and type
First and second degree type I are okay
Secondary type II and third degree more concerning
Look for s/s of cardiac compromise
Low levels of activity is good
Relative Contraindications - Anemia
Depends on severity - HR will guide you
HR will compensate by increasing
Look for symptoms of low O3
Relative Contraindications - Electrolyte Imbalance
Situationally dependent
Probably can be mobilized but don’t want to do an exercise test
Resting hypertension
Systolic > 200 mmHg
Diastolic > 110 mmHg
