ICU Acquired Weakness

Question 1

Risk factors of Critical Illness Weakness

Answer 1

-bed rest
-immobility
-ventilatory suport
-sepsis
-organ failure

Question 2

Bedrest

Answer 2

-harmful
-no motion against gravity
-skeletal muscle declines 1-1.5% per day

Question 3

Immobility

Answer 3

-immobility due to meds
-skeletal muscle declines 5-6% per day

Question 4

3 Causes of Motor Weakness in ICU

Answer 4

-pre-existting neuromuscular disorder
-new neuromuscular disorder
-CIP or CIM

Question 5

Critical Illness Polyneuropathy

Answer 5

-sensory and motor nerves involved
-main contributor to persistent disability
-no cause
-chronic denervation

Question 6

Critical Illness Myopathy

Answer 6

-diffuse flaccid weakness in all limbs
-can have complete recovery
-chronic denervation

Question 7

Causes of CIP and CIM

Answer 7

-critical illness and cytokine production lead to cascade of issues

Question 8

Phase I of ICU Mobility and Walking

Answer 8

-restricted to bed
-unable to bear weight

Question 9

Phase II of ICU Mobility and Walking

Answer 9

-able to stand
-cannot ambulate

Question 10

Phase III of ICU Mobility and Walking

Answer 10

-able to ambulate
-improve endurance

Question 11

Phase IV of ICU Mobility and Walking

Answer 11

-can walk at a high level
-ready to discharge