Icu Flashcards
Positioning - high lying
Hypotension , traumatic brain injury
Side lying
Pulmoner abscess , pulmoner hemorrhage, unilateral lung disease
Prone
Trauma , surgery , gastrophageal reflux
Kinetic therapy
Continuous lateral rotation> 40>, mv , icu , risk infection decreases
Early mobilization
Progressive tilting , sitting by the bed , transfer to chair , pt sessions walking 30 m x2
Target
30 m walking before extubation
60m walk at icu discharge
Transfere w minimal support
Non mobilizeable patients
Prom prevents protein loss and stretch the muscles
Cpm prevent atrophy and protein loss prevent contractures
Nmes
Resistance exercise training
Intensity 1RM 50-70%
Number of reps 3 sets 8-10 reps
Respiratory muscle training
Threshold imt
Breathing exercise
Thoracic expansion exercise
Post operative period
The period of weaning from mv
Incentive spirometer
Breathing exercise
Post operative period
ICU and pulmonary complications decrease
Applications that inc expiratory flow rate
Coughing
Huffing
Forced expiratory technique
Mechanically assisted coughing
Manual hyperinflation
Expands collapsed alveolus
Oxygenation ↑
• Compliance ↑
• Movement of
secretions to the
central airway ↑
External manipulation of the thorax
Secretion excretion ↑
Intrapulmonary percussive
ventilation
IPVis a respiratory therapy technique designed to
aid airway clearance and support ventilation.
Oxygenation
• Mucus movement
High-frequency chest oscillations
VEST & Hayek
Oscillation on the
chest wall
• Repetitive cough-
like plucking
forces
• Ventilation distribution
Expiratory volume increases
Positive expiratory pressure (PEP)
therapy
• Continuous positive pressure therapy
(CPAP)
• PEEP
Expiratory volume increases
Manual Hyperinflation
Patients on invasive mechanical
ventilation
• Intubated patients
• Endotracheal tube
• Tracheostomy tube
• Indications
• Atelectasis
• Secretion accumulation
