9B: Covid Flashcards

1
Q

What are acute symptoms of covid?

A

Fever, chills, cough, SOB, fatigue, myalgia, headache, loss of taste or smell, sore throat, congestion, nausea, diarrhea

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2
Q

What three cardiovascular impairments are the result of covid?

A
  1. V/Q mismatch
  2. Cardiac myocarditis
  3. Thromboembolus
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3
Q

Describe V/Q mismatch with covid

A
  • ARDS like presentation
  • Lower surfactant levels
  • Hypoxemia
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4
Q

Why can you develop hypoxemia due to covid?

A

Fluid is blocking V/Q matching

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5
Q

What is cardiac myocarditis?

A

Inflammation of muscle fibers

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6
Q

What are the effects of cardiac myocarditis?

A
  • Arrhythmias
  • Increased myocardial O2 demand
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7
Q

What are interventions for acute covid?

A
  • Proning
  • Maintain O2 transport system
  • Maintain functional endurance
  • IMT as needed
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8
Q

How do you work to maintain the O2 transport system?

A
  • Optimal supplemental O2
  • Maximize O2 stats with movement, hygiene, coughing
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9
Q

What is proning?

A

Prone positioning that is recommended in acute care, especially for severe cases and pulmonary decompensation

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10
Q

What is the recommended time for proning?

A

12-16 hours straight

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11
Q

Why does PT need to assist with proning?

A

Prevent pressure injuries at head, clavicles, sternum, ASIS, patellas, feet

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12
Q

What are the three effects of proning?

A
  1. Gravity allows airways to open back up
  2. Post lung segments function
  3. Re-establish V/Q matching to increase PaO2 levels
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13
Q

What is the intensity of acute PT for covid?

A

12 on the Borg or 2 on the Modified Borg

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14
Q

What is the frequency of acute PT for covid?

A

5-7 days/week

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15
Q

Describe early rehab in the home or outpatient following covid?

A
  • IMT and HEP
  • Teach controlled or deep or pursed lip breathing for ambulation
  • Breath timing with conditioning
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16
Q

How is covid effecting patients long-term in comparison to other ICU stays?

A

Greater muscle mass loss

17
Q

Why might there be greater muscle mass loss with covid?

A
  • Viral load
  • Impact of prolonged lack of oxygenation on muscle tissue
  • Long periods of increased RR, HR, decreased PaO2
18
Q

What are home health interventions for covid?

A
  • Monitor O2 and supplement
  • Maintain functional mobility
  • Endurance and strength
  • Balance
  • ICUAW
  • QOL
19
Q

What is the duration of strength training following covid?

A

Start with 15-20 reps of each exercise, can break into multiple sets

20
Q

What is the intensity of strength training following covid?

A

Start with low weight and high reps and then progress

21
Q

What is the frequency of strength training following covid?

A

Subacute: 2-3 days/week
Home health: 2-4 days/week

22
Q

What is the definition of long covid?

A

Signs, symptoms, and conditions that continue to develop after an acute covid infection

23
Q

What is the timeframe of developing long covid?

A

Disagreement - 2 weeks to 2 months after initial infection

24
Q

What are symptoms of long covid?

A

SOB, fatigue, chest pain, weakness, brain fog, headache, dizziness, anxiety

25
What are the recommended interventions for long covid?
Aerobic and strength can improve symptoms at a low duration and low intensity
26
What activities can exacerbate symptoms with long covid?
Load bearing and upright such as walking or running
27
How do you teach energy conservation with long covid?
Home set up, spacing out activities, O2, equipment, minimize stairs and bending, breaks