Mobilization in ICU: Effects and Risks

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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?

Thrombosis (D) Signup and view all the answers

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

Drowsy, not fully alert, but has sustained awakening (B) Signup and view all the answers

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

Known uncontrolled bleeding while out of bed (A) Signup and view all the answers

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

Ischemia of limb due to femoral artery compression (D) Signup and view all the answers

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

'Active management of intracranial hypertension' (B) Signup and view all the answers

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

'Intra-Aortic Balloon Pump (IABP)' (D) Signup and view all the answers

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

'Using dopper to measure SBP' (C) Signup and view all the answers

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

Decrease in bone density (B) Signup and view all the answers

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

40% (B) 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?

Development of critical illness polyneuropathy/ myopathy (C) Signup and view all the answers

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

Shorter duration of delirium (C) Signup and view all the answers

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

Post Intensive Care Syndrome (D) Signup and view all the answers

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

Delirium monitoring, assessment, and management (C) Signup and view all the answers

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

Unstable hemodynamics (D) Signup and view all the answers

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

Social health status (B) Signup and view all the answers