[AC] (Steller & Phillips) Mobilisation

Question 1

The main aims of mobilisation include:

Answer 1

optimising oxygen by enhancing alveolar ventilation and ventilation/perfusion matching, increasing lung volumes, and improving mucociliary clearance

Question 2

What are some non-respiratory benefits of mobilisation?

Answer 2

Can increase the level of consciousness, enhance psychological well-being, reduce the adverse effects of immobility and bed rest, and optimise functional independence

Question 3

Mobilisation incorporates a hierarchy of patient activities, ranging from:

Answer 3

moving around in bed to standing and walking

Question 4

Prior to mobilisation we need to ensure there is sufficient cardiovascular reserve?

Answer 4

• Resting HR <50% of the age predicted max
• Normal ECG
• No major cardiac condition present

Question 5

Prior to mobilisation we need to ensure there is sufficient respiratory reserve?

Answer 5

• PaO2/FIO2 ratio > 300 [can’t calculate if kpa]
• SPO2 >90% and less than 4% recent decrease
• Respiratory pattern is ok
• Mechanical ventilation able to be maintained during treatment

Question 6

What are other factors we should consider prior to mobilisation?

Answer 6

• Blood results (WCC, RBC, Platelets, C Reactive Proteins, Blood Glucose)
• Temp <38
• Patient: fatigue, pain, nausea
• No neuro contraindications
• No ortho contraindications
• Medically stable (no dvt/pe)
• Obesity
• Consent

Question 7

The patients prior and current medical history should be obtained when?

Answer 7

Prior to mobilisation