Week 7 - Contraindications For Activity Flashcards
Early mobilization benefits in ICU
Decrease risk of complications
Decreases time for return to participation and activities
Maximizes outcomes
Saves hospital and patient money
Contraindications - myocarditis, endocarditis, pericarditis
Inflammation in/around the heart
Can lead to cardiac tamponade - pressure on heart
Limited venous return - emergency
Acute PE or DVT
Use VTE guidelines to start/restart PT
If they’re not treated for it yet, but have a diagnosed PE or DVT, we need to hold therapy
Decompensated heart failure
Check for medical management - compensation
Closely monitor signs and symptoms when starting exercise with them
Signs and symptoms of dysrhythmias
Flutter or pounding in chest
Lightheaded or dizzy, ataxia, confusion
Dyspnea
Diaphoresis
Pale/gray and clammy
Other indications to stop activity
Claudication symptoms
Extreme fatigue, SOB or wheezing
SpO2 <80%, rest when below 88%
Abnormal BP response
Atrial fibrilation
Multiple ectopic foci firing
No significant atrial contraction - quivering
Mural thrombus risk
If diagnosed and anticoagulated, check lab and proceed —> want clotting time in therapeutic levels
If new diagnosis, use VTE guidelines
Severe aortic stenosis
Situational
No exercise stress testing
Relative contraindication - Heart block
Depends on degree and type
First and second degree type I are okay
Secondary type II and third degree more concerning
Look for s/s of cardiac compromise
Low levels of activity is good
Relative Contraindications - Anemia
Depends on severity - HR will guide you
HR will compensate by increasing
Look for symptoms of low O3
Relative Contraindications - Electrolyte Imbalance
Situationally dependent
Probably can be mobilized but don’t want to do an exercise test
Resting hypertension
Systolic > 200 mmHg
Diastolic > 110 mmHg
