ICU

Question 1

____ % of strength is lost per day while on bed rest

Answer 1

4-5

Question 2

In healthy subjects, ______ resistance, and ______ dysfunction occur after 5 days of bed rest

Answer 2

Insulin

Microvascular

Question 3

Issues with mechanical ventilation (4-7 days post)

Answer 3

Critical illness polyneuropathy

Critical illness myopathy

Question 4

Critical illness polyneuropathy (CIP)

Answer 4

Weakness
Reduced DTR’s
Impaired sensation (cranial nerves spared)
Facial weakness

Question 5

Critical Illness Myopathy

Answer 5

Profound weakness-especially proximal
DTR’s preserved or diminished
Sensation intact

Question 6

Post Intensive Care Syndrome

Answer 6

Long term 
Reduced ability to perform ADL's
Reduced ambulatory capacity (up to 5 years post)
Depression
PTSD
Anxiety

Question 7

Treatment for PICS

Answer 7

Minimize sedation

Early mobility

Question 8

Continuous lateral rotation therapy

Answer 8

pt turned every 2

Question 9

ICU exercise guidelines: intensity

Answer 9

60-80% of max HR (may not be most reliable)

Borg of 3-5 (on 1-10 scale)

Question 10

ICU pulmonary red flags

Answer 10

02 sats: 35

PEEP >10 cm h20

Question 11

ICU Cardiovascular red flags

Answer 11

MAP: 120
resting HR 140
SBP 200

New arrhythmia
New angina

Question 12

Glucose ICU red flag

Answer 12

200

Question 13

Which side should the IV pole be on when transferring?

Answer 13

The side that you are getting up on (towards the ventilator)

Question 14

When to stop or modify ICU treatment?

Answer 14

02 drop below 88%
Significant increased work of breathing (accessory muscle use)
Hemodynamic instability (decreased BP/MAP, EKG changes, chest pain)
HR greater than predicted max.
Increased RR >20 over resting
pt request