Articles Flashcards
Prior to mobilization
check that any artificial airway present is
correctly positioned
any supplemental oxygen that may be required by the patient should
be available with an adequate oxygen reserve that exceeds
the expected duration of the mobility activity
endotracheal tube intubation was not in itself a
contraindication to early mobilization and that a fraction of
inspired oxygen (FiO2) less than 0.6 was a safe criterion for
in- and out-of-bed mobilization if there were no other con-
traindications.
Fraction of inspired oxygen FiO2 greater than 60% DONT GET THE PATIENT UP
Percutaneous oxygen saturation under 90%?
In bed exercises?
Out of bed exercises?
In bed exercises: Maybe
Out of bed exercises: no
Prone positioning for respiratory patients?
Never
What is a major problem w/ patients after thoracic surgery
High levels of pain that prevents deep breaths
Post- Thoracic Surgery guidelines
-Gravity Assisted Positions to clear secretions
-Gravity assisted positions to increase ventilation
-early mobilization and ambulation
Safety guidelines for early mobilization and/or
ambulation:
Mobilization should only be initiated for patients with clinically stable cardiopulmonary and cardiovascular conditions.
A patient’s clinical status is considered unstable if the vital signs exceed any of the following thresholds:
heart rate less than 40/min or greater than 140/min,
respiratory rate less than 8/min or greater than
36/min,
oxygen saturation less than 85%, and blood
pressure less than 80 or more than 200 mm Hg systolic or greater than 110 mm Hg diastolic [26], mean
blood pressure ˂65 mm Hg,
extremes of temperature that are also highly suggestive of clinical
instability. In addition to core temperature, skin and
extremity temperatures have been correlated with
patient outcomes. It has been shown that patients
with cool extremities have a lower cardiac output
than patients with warm extremities
When is MAP too low?
Under 65 according to dr. brewer’s article
