Chapter 13- ICU

Question 1

Patient risk factors in ICU

Answer 1

acquired weakness; results in disuse atrophy of muscles with decreased muscle mass and reduce protein synthesis and insulin resistance
strength deficits
decreased activity tolerance
risk for orthostatic hypotension

Question 2

goals for therapeutic intervention

Answer 2

positioning - prevent pressure ulcers
ROM-Stretching
wound care-PTA helps
progress mobility
improve activity tolerance
strengthening

Question 3

Population treated in ICU

Answer 3

Burns; CVA; end stage renal failure; MI; near drowning; surgery (cardiac, orthopedic, major internal); trauma (treat essential first); traumatic brain injury

Question 4

general precautions for treating patients in ICU part 1

Answer 4

team work; speak to nurse; read chart carefully; observe equipment; introduce yourself; treat patient as any other; check vital signs; wash hands before and after

Question 5

general precautions for treating patients in ICU part 2

Answer 5

follow Standard Precautions for all patients; close curtains; move any equipment to prepare; ask nurse for longer O2 tube; brakes locked on bed; gait belt; walking socks or shoes; move tubes so you don’t pull on them

Question 6

general precautions for treating patients in ICU part 3

Answer 6

catheter below pelvis; no kinks in tubes; ask nurse to detach gastric feeding tube; check IV to make sure its secure; check ECG/EKG electrodes; leave patient and room as found (comfortable, equipment, bed rails, positioning, document fluids, inform family); document everything;