ICU Flashcards

1
Q

decreased mm mass and protein synthesis. Insulin resistance w/in 5 days.

A

ICU Aquired Weakness ICUAW

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2
Q

early intervention and increased activity in ICU leads to…(2)

A
  1. decreased stay

2. better outcomes

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3
Q

with disuse, bone density changes occur after…

A

3-6 weeks

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4
Q

mm atrophy occurs in which mm first?

A

biggest and strongest

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5
Q

TF bone density and mm changes are likely to occur in the ICU

A

False. Usually short stay

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6
Q

primary cause for ICU care

A

hypoxia

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7
Q

inflated particle bed, reduces pressure on skin to reduce ulcer formation

A

clinitron

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8
Q

tachycardia =

bradycardia =

A

> 140 bpm

<60 bpm

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9
Q

Normal ejection fraction EF

A

60-65%

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10
Q

Hypotension BP

Hypertension BP

A

<60 mmHg

>200 mmHg

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11
Q

ventilator that does all the work

A

CMV constant mechanical ventilation

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12
Q

pt can take some breaths on their own, ventilator fills in to reach set rate/depth of breath

A

SiMV

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13
Q

ventilator suspended but not removed to see how pt does on their own

A

SBT spontaneous breathing trial

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14
Q

breathe out against a force. Balloon inflates before fully deflating

A

PEEP positive end expiratory pressure

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15
Q

constant amount of pressure throughout respiratory cycle. makes alveoli stay open longer. sleep apnea

A

CPAP constant positive airway pressure

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16
Q

normal room FiO2

can be increased up to

A

21%

60%

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17
Q

FiO2 increases _____ for every 1L of O2

A

4%

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18
Q

trache tubes, endotrache tubes. Not own breaths

A

invasive ventilator supported

19
Q

CPAP (1 pressure), BiPAP (2 pressure)

A

Non invasive ventilator supported

20
Q

Nasal cannula, venturi mask, non-rebreather mask. Pt’s own breaths

A

non invasive non ventilator supported

21
Q

% of hemoglobin with O2 / total hemoglobin

A

sO2

22
Q

% of O2 in space being measured

A

FiO2

23
Q

sedation meds

Propofol vs Ativan/Fentinyl

A

fast acting vs slow acting

24
Q

decreased drugs to see if pt can respond and breathe on their own

A

sedation holiday

25
Q

4 types of ICU lines

A
  1. peripheral
  2. indwelling
  3. monitoring
  4. drains
26
Q

example of peripheral lines

A

IV

27
Q

example of indwelling lines

A

central line

28
Q

example of monitoring lines

A

vitals

29
Q

example of drains

A

chest tube, catheter

30
Q

drain line placed at bottom of wounds

A

J-P (Jackson-Pratt)

31
Q

In/Out line. Skinny tube for feeding

A

Dobhoff

32
Q

In/Out line. Drains the gut

A

G-tube

33
Q

In/Out line. Directly into stomach for feeding

A

PEG

34
Q

In/Out line. Directly into jejunum for feeding

A

J-tube

35
Q

gives you a head start on how tx session will go. Observe status, lines, cultural background

A

doorway assessment

36
Q

TF you should talk to pt and introduce yourself even if they are unresponsive

A

true

37
Q

number 1 goal for pts in the ICU

A

Get out of ICU. Functional activity is best

38
Q

TF you may do ROM exercises w/ neurologically involved pts, if that is all that can be done

A

true

39
Q

FiO2 over 60% increases….

A

CO2

40
Q

when performing a ventilator walks, coordinate w/…

A

respiratory therapist, other team members

41
Q

must be turned off/clamped before changing positions

A

lumbar and v-drains

42
Q

if FiO2 is greater than _____, you should think before getting pt up

A

50%

43
Q

if sO2 is below 88%…

below 85%

A

give supplemental O2

don’t tx (hypoxic)

44
Q

do not tx is hemoglobin levels are…
Light ex…
Resistive ex…

A

< 8g/dL
8-10 g/dL
>10 g/dL