(Lipshutz) Acquired Neuromuscular Weakness and Early Mobilization in the Intensive Care Unit Flashcards Preview

Complexities in Acute Care Part 2 > (Lipshutz) Acquired Neuromuscular Weakness and Early Mobilization in the Intensive Care Unit > Flashcards

Flashcards in (Lipshutz) Acquired Neuromuscular Weakness and Early Mobilization in the Intensive Care Unit Deck (8)
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1

Prolonged immobility and bedrest lead to catabolism and muscle atrophy, and are associated with _______ and ________

Critical illness neuromyopathy and ICU-acquired weakness

2

Implementation of early mobilisation therapy requires changes in ICU culture, including

Decreased sedation and bedrest

3

Critical Illness Neuromyopathy is an umbrella term for a spectrum of neuromuscular disorders associated with critical illness, including

Critical illness polyneuropathy (CIP) and critical illness myopathy (CIM)

4

Nutrition plays a role in CINM (critical illness neuromyopathy) as its been found _______ _______ and _________ play a role

Protein-energy malnutrition, electrocorticosteroids and glutamine deficiency

5

Lipshutz concluded early mobilisation is a

Safe and feasible intervention for many critically ill patients, and is associated with improved outcomes.

6

Neuromuscular weakness in the ICU is common; approximately 50% of ICU patients with ____, ______, or ___________ have electrophysiologic evidence of neuromuscular dysfunction

Sepsis, multi organ failure or prolonged mechanical ventilation

7

ICU-acquired weakness is defined as

bilateral symmetrical limb weakness, is the clinical manifestation of CINM

8

ICU-acquired weakness is associated with

Respiratory muscle weakness, difficulty weaning from the ventilator and prolonged ICU length of stay