Physiological Monitoring Flashcards
1
Q
Who monitors physiological variables?
A
- General public: exercise, stress, wearable devices
- Healthy, sick and those living with disease: self-monitor at home
- Carers
- Nurses
- Doctors
2
Q
What happens when homeostasis (internal monitoring) is slightly altered?
A
Small remedial actions e.g. rest, food/water, medication
3
Q
What happens if an imbalance in homeostasis persists?
A
Early intervention
4
Q
Main challenges associated with patient care
A
- ‘Big data’ processing
- Patient privacy - GDPR
- Ethics
- Economic impacts
5
Q
Examples of common conditions in ICU
A
- Acute respiratory distress (ARDS)
- Acute renal failure
- Delerium
- Brain injury
- Sepsis
- Heart failure
- Anaemia
- Seizures
6
Q
Benefits of intensive care
A
- High intensity nursing
- High-quality of supportive care, consultants & equipment access
- Disease specific-treatment
7
Q
Which patients require continuous physiological monitoring?
A
- Patients with unstable physiological regulatory system
- Patients with a suspected life-threatening condition
- Patients with a high risk of developing life-threatening condition
- Patients in critical physiologic state
8
Q
What physiological variables can we use to guide clinical
management/intervention?
A
- Assist in diagnosis
- Support homeostasis/ prevent deterioration
- Promote recovery - mobility and discharge
- Predict outcome
- Limit ICU-acquired weakness
9
Q
What should be monitored in the critically ill patient?
A
- Circulation
- Ventilation
- Oxygenation
- pH
- Inflammation
- Temperature
- Electrolytes
10
Q
Objective of physiological monitoring in critically ill patient
A
To maintain adequate tissue perfusion with oxygenated blood
