S/sx Of Exercise Intolerance - ICU Lecture Flashcards
1
Q
To lower intensity…
A
HR increases > 20-30bpm above resting HR SBP increases > 20-30mmHg RR > 30 Increased accessory muscle use Dizziness, nausea/vomiting Mild-mod pain Mild agitation, nonverbal signs of pain
2
Q
To terminate exercise…
A
> 20% decrease in resting HR HR < 40bpm, > 130bpm MAP < 65, > 110mmHg OH Severe agitation RASS > 2 Sedation or coma RASS less than or equal to -3 EKG changes, angina, diaphoresis O2 sats decrease 4% or < 88-90% RR < 5 breaths/min, > 40 breaths/min, intolerable dyspnea Pt discomfort/refusal
3
Q
Ventilator-specific…
A
Ventilator alarms for disconnect FiO2 greater than or equal to 0.60 (0.80), or PEEP > 10 Pt-vent asynchrony Mode changed to AC Tenuous airway Stacking breaths not good for vent
