ICU Equipment Flashcards
What is the normal range for HR
50-100
Newborn: 90-170 1 yr old: 80-160 Preschool: 80-120 10 y/o: 70-110 Adult: 60-110
What is the normal range for SBP
85-140
Exercise: Up to 200
What is the normal range for DBP
40-90
Exercise: Up to 100-110
What is the normal range for RR
12-20
Excerise: Up to 40
Newborn: 35-40 1 yr old: 25-35 Preschool: 20-25 10 y/o: 15-20 Adult: 12-20
What is the normal range for O2 sat
> 95%
What is the equation for Max HR
206.9 - (.67 x age)
Your pt’s ECG shows quivering where P waves should be with an irregular ventricular rhythm (random QRS complexes). What arrhythmia is it and what should you do as a PT?
Atrial Fibrillation
- If this is a new dx, hold PT until treated, patient is at risk for a mural thrombi/stroke
- If chronic and patient not in CHF, treat to tolerance
Your pt’s ECG shows multiple P waves with no change in PR intervals, P waves to QRS complexes vary from 2-4 P waves for every QRS complex. What arrhythmia is it and what should you do as a PT?
Second degree AV block, T2
*Hold PT for medical mangement, watch for progression to 3rd degree heart block
Your pt’s ECG shows no relationship between P waves and QRS complex (wide) = no communication between atria and vents. What arrhythmia is it and what should you do as a PT?
3rd degree AV block
*Hold PT for medical mangement
Your pt’s ECG shows a wide QRS complex without P wave. What arrhythmia is it and what should you do as a PT?
Premature Ventricular Complex
*PT is fine unless there is a change in frequency or quality of PVC, 6 PVC/min may be problematic (couplet can become triplet = v-tach)
What do you do if your patient is in ventricular tachy?
Medical emergency, get help!
*Patient may be stable with CO but can progress rapdily to pulseless= Never treat pts with vent tachy!
Your pt’s ECG shows erratic quivering of ventriclar muscle resulting in no CO. What arrhythmia is it and what should you do as a PT?
Ventricular Fibrillation
*Do not do PT!!!!!
In general never do PT in what type of ECG changes
- ) ST changes
- ) Onest, increase or change in PVC
- ) Onset of atrial flutter or fib
- ) Progression of heart block
Besides automatic and manual, what are 2 other ways to get BP?
Arterial line and Central Line (measure directly-CVP)
*Also able to do blood draws, usually inserted in femoral (limit hip flexion to less then 90) or radial artery
What is the phlebostatic point
Part of arterial line that has the sensor (catheter tip)
These are inserted in subclavian or jugular vein, rests in sup vena cava and measure central venous pressure directly, allows meds to be adminstered
Central Lines
*assess fluid in the R vent
You patient has poorly compliant lungs, show signs of hypoxia and hypercarbia. What type of ventilation do you think they will be on?
Pressure Ventilation
*Provides more support at lower PIP (peak inspiratory pressure) for poorly compliant lungs vs. volume ventilation. This is the preferred load for non-compliant / stiff lungs.
Volume ventilation good for patient with more compliant lungs, it is more comfortable and has a guaranteed minute ventilation
What type of ventilation mode provides the most support?
Assist Control
*Machine delivers every breath weather it is mechanical or spontaneous
Your patient is trying to wean themselves of ventilator assistance. What mode of ventilation do they most likely have?
Synchronized intermittent mandatory ventilation (SIMV)
Equation for pulmonary compliance
Vol/Pressure
If on volume mode and the required pressure decreases what happens to compliance?
Improves/increase
If on pressure mode and the required volume increases,what happen to compliance?
Improves/increase
You are working with a patient with a ventriculostomy catheter. You notice the ICP pressure is 12 mmHg. You know that this is too high and it is going down very slowly. What should you do?
Limit or stop exertional activity; patients who are bagged or deliberately hyperventilated for increased ICP should have minimal therapy involvement
*Norm range 0-10
You patient is receiving hemodiaylsis. Can they still have PT?
YES. This is not contraindicated. Expect patient to show signs of fatigue.
