(2) ICU Flashcards
in a healthy adult ___% is muscle mass
how much does it decrease weekly?
rate of recovery?
45
15 per week up to 50%
6% weekly
what are some cardiovascular effects of immobility
loss of gravity stimulation
fluid shifts centrally
increase risk for VTE
risk inffection
OH
VO2 max decreases greatest in 1st week
types of ICU weakness
3 types of ICY weakness
1. ICU aquired weakness
2. polyneuropathy (weakness, impaired pain/temp/vibration sensation, DTRs
3. Myopathy (weakness proximal muscles)
mixed results
neuro effects of immobility
icu psychosis/delirium
post ICU syndrome
What is ABCDE
awakening, breathing and coordination
delirium non pharm interventions
early exercise and mobility
role of PT in ICU
restore function to decrease disability
mobility/giat
positioning, ROM, splinting, sensory stimulation, pain mngment, wound care, breathing exercises, conditioning, education
which lines shoudl you avoid repetitive hip flexion
PA catheter, CVP, A line
the big 3 cardiovascular line
Arterial line
pulmonary artery/swan ganz catheter
central venous catheter
precautions for chest tube
no tension or kinking tube
do not tip pleurvac and keep below level of tube insertino site to prevent backflow
when removing from wall suction check with nursing for approval
risk of frozen shoulder
a very thin line that is placed in lumbar or thoracic region of spine for anesthesia
epidural line
allows the pt to self-administer pain meds as needed through PIV set to prevent overdose, studies show they use less pain meds
PCA pump
provides temporary cardiac pacing s/p surgery MI or pacemaker
temp pacemaker
rigid no flexible rubing in artery, constant BP reading, easy blood draw for arterial blood gas
arterial line
flexible tubing resting in pulmonary artery, multitude of pressyres, accurate hemodynamic profile, infused meds blood ect, monitors temp
pulmonary artery/swan.ganz catheter
administers large volume fluid (blood products, TPN, meds)
measures central venous pressure
ventral venous catheter
