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Flashcards in PT management in critical care Deck (10)
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1

Is there sufficient CV response?

RHR < 50% of APMHR
BP < 20% variability
ECG is normal

2

Is there sufficient respiratory response

PaO2/FiO2 > 300
SpO2 > 90%
less than 4% decrease in SpO2
respiratory pattern is satisfactory
mechanical ventilation is maintainable

3

favorable factors for mobilization

body temp < 38 degrees Celsius
stable Hgb and platelet count
blood glucose 3.5- 20 mmol/.L
good pt. appearance (no SOB, fatigue or chest pain)
stable ECG
no neuro or orthopedic conditions
pt. consent

4

signs they are tolerating mobilization

appropriate incremental increase in HR
stable ECG
PaO2/FiO2 > 300, SpO2 >90% with < 4 % decrease
pt. appears unstressed

5

unsure if they are tolerating

ectopic beats
pt. appears distressed
decrease in PaO2/FiO2
excessive increase in HR

6

signs they are not tolerating mobilization

excessive increase in HR or BP plus signs of CV stress
increase in ectopic beats
arrhythmia plus hemodynamic instability
pt. appears distressed

7

contraindications for OOB exercise

SpO2< 90%
HFOV ventilation
prone positioning
uncontrolled bleeding
unstable fracture
uncontrolled seizures
cardiac ischemia
pacemaker with dependent rhythm
femoral IABP
deeply sedated
very agitated or combative
spinal precautions
ventricular rate > 150 bpm

8

safe criterion for in an dOOB mobilization for FiO2 is...

<0.6

9

what is room FiO2

21%`

10

what are the major criteria for terminating a mobilization

decrease RHR
new abnormal heart rhythms
desaturation (> 4% decrease)
SBP > 180 mmHg
RR <5 or > 40 breaths/min