Mobilization in ICU: Effects and Risks
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Questions and Answers

Which patient state is indicated by a RASS score of +2?

  • Agitated, frequent non purposeful movements, fights ventilator (correct)
  • Anxious but movements not aggressive, vigorous
  • Combative, violent, immediate danger to staff
  • Drowsy, not fully alert, but has sustained awakening

    • What is the primary function of an Intra-Aortic Balloon Pump (IABP)?

  • Delivering mechanical ventilation
  • Providing circulatory support by inflating during ventricular diastole (correct)
  • Assisting the left ventricle in pumping
  • Oxygenating blood

    • What is a key precaution for patients with femoral access related to ECMO treatment?

  • Avoiding limb flexion at the hip (correct)
  • Increasing physical activity levels
  • Reducing sedation levels
  • Promoting walking exercises

    • In the context of LVAD complications, what is a significant concern?

    <p>Thrombosis</p> Signup and view all the answers

    What does a RASS score of -1 indicate about the patient?

    <p>Drowsy, not fully alert, but has sustained awakening</p> Signup and view all the answers

    Which scenario would lead to a patient being classified as 'out of bed' based on the provided information?

    <p>Known uncontrolled bleeding while out of bed</p> Signup and view all the answers

    What is a common complication associated with the Intra-Aortic Balloon Pump (IABP)?

    <p>Ischemia of limb due to femoral artery compression</p> Signup and view all the answers

    'Uncontrolled seizures' are listed as a factor for which condition according to the text?

    <p>'Active management of intracranial hypertension'</p> Signup and view all the answers

    'Decreases afterload and resistance' is a function associated with which life support device?

    <p>'Intra-Aortic Balloon Pump (IABP)'</p> Signup and view all the answers

    'Motor is rotary, not pulsatile' pertains to which consideration regarding blood pressure monitoring?

    <p>'Using dopper to measure SBP'</p> Signup and view all the answers

    What is one of the effects of immobility on muscle strength in the ICU?

    <p>Decrease in bone density</p> Signup and view all the answers

    What percentage of overall muscle strength can be lost in the first week of strict bedrest?

    <p>40%</p> Signup and view all the answers

    Which condition can develop in more than 50% of mechanically ventilated patients who are on ventilator support for over 7 days?

    <p>Development of critical illness polyneuropathy/ myopathy</p> Signup and view all the answers

    What is a benefit of early mobility in the ICU in the short term?

    <p>Shorter duration of delirium</p> Signup and view all the answers

    What does PICS stand for in the context of post-intensive care syndrome?

    <p>Post Intensive Care Syndrome</p> Signup and view all the answers

    Which component is part of the ABCDE Bundle aimed at preventing PICS?

    <p>Delirium monitoring, assessment, and management</p> Signup and view all the answers

    What should be considered before initiating early ambulation in the ICU?

    <p>Unstable hemodynamics</p> Signup and view all the answers

    Which aspect is NOT mentioned as affected by Post Intensive Care Syndrome (PICS)?

    <p><strong>Social</strong> health status</p> Signup and view all the answers

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