Acute care treatment of flaccid, unresponsive pt in ICU (Rancho Level 1) Flashcards
1
Q
Manage ____ injuries and _____ secondary complications.
A
- Primary
- Reduce
2
Q
Maintain ____ and decrease chance of _____
A
- ROM
- Contractures
- ROM Ex’s
- Good Positioning
3
Q
Skin___
A
- Care
4
Q
Pulmonary Hygine
A
- Chest PT
- Percussion
- Suction
5
Q
Increase awareness to stimuli (Coma Stim)
A
- Evidenced by eye opening, reflex sucking, change in facial expressions
6
Q
Techniques
A
- Normal conversation with familiar patterns and subjects (hearing usually returns 1st)
- Moving Touch
- Positioning (rolling, sitting)
- Brushing (tactile stimulation)
- Sweet Stimuli
- Odorants
- Noxious stimuli (usually last resort)
- Movement of head and neck
- Side lyingor semi prone best
7
Q
Side Lying or Prone
A
- Position with pillows if supine
- Activate / facilitate postural extensors if able
- Attempt to decrease HR, RR, and BP
- Important to calm pt
8
Q
The idea is to provide sensory input
A
- Tactile
- Proprioceptive
- Auditory
- Gustatory
9
Q
Also must allow periods of ____, regulate _____ and _____
A
- Rest
- Frequency
- Intensity
10
Q
Family ____ and _____ are important in all ____
A
- Education
- Support
- Levels
