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 (D)</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 (B)</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 (A)</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 (D)</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' (B)</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)' (D)</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' (C)</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 (B)</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% (B)</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 (C)</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 (C)</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 (D)</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 (C)</p> Signup and view all the answers

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

<p>Unstable hemodynamics (D)</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 (B)</p> Signup and view all the answers

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