Cardiopulmonary Exam 3: Early Mobility
in the ICU UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
critical illness - CORRECT ANSWERS disease state in which death is
imminent or possible
respiratory acidosis - CORRECT ANSWERS low pH, high CO2
respiratory alkalosis - CORRECT ANSWERS high pH, low CO2
Hypoventilation can lead to respiratory ___________ while hyperventilation
can lead to respiratory __________ - CORRECT ANSWERS acidosis
alkalosis
metabolic acidosis - CORRECT ANSWERS low pH, low HCO3
What are some causes of metabolic acidosis? - CORRECT ANSWERS -
diabetic ketoacidosis
-shock
-sepsis
-severe diarrhea
-renal failure
metabolic alkalosis - CORRECT ANSWERS high pH, high HCO3
What are some causes of metabolic alkalosis? - CORRECT ANSWERS
-loss of gastric juices
, -overuse of antacids
-potassium wasting diuretic
What are some symptoms fluid loss contributes to? (4) - CORRECT
ANSWERS -postural hypotension
-tachycardia
-decrs cardiac output and stroke volume
-decrs peak oxygen uptake
T or F: cognitive deficits from critical illness/immobility are never permanent -
CORRECT ANSWERS F: they can be permanent
(anxiety, depression, PTSD, delirium)
What recovers faster from immobility...bone mineral density or muscle? -
CORRECT ANSWERS muscle...this may create an imbalance between
muscle and bone
Bed rest contributes to ________% loss of muscle strength per week in healthy
individuals - CORRECT ANSWERS 4-5%
bed rest is negative except in these 2 cases - CORRECT ANSWERS -
following heart cath
-pre-term labor
What are some possible strategies for prevention/treatment of ICU acquired
weakness? (4) - CORRECT ANSWERS 1) early mobility and rehab
2) strict glycemic control
3) avoid use of corticosteroids and neuromuscular blockades
4) protocols to minimize use of sedatives and analgesics
in the ICU UPDATED Study Guide
QUESTIONS AND CORRECT ANSWERS
critical illness - CORRECT ANSWERS disease state in which death is
imminent or possible
respiratory acidosis - CORRECT ANSWERS low pH, high CO2
respiratory alkalosis - CORRECT ANSWERS high pH, low CO2
Hypoventilation can lead to respiratory ___________ while hyperventilation
can lead to respiratory __________ - CORRECT ANSWERS acidosis
alkalosis
metabolic acidosis - CORRECT ANSWERS low pH, low HCO3
What are some causes of metabolic acidosis? - CORRECT ANSWERS -
diabetic ketoacidosis
-shock
-sepsis
-severe diarrhea
-renal failure
metabolic alkalosis - CORRECT ANSWERS high pH, high HCO3
What are some causes of metabolic alkalosis? - CORRECT ANSWERS
-loss of gastric juices
, -overuse of antacids
-potassium wasting diuretic
What are some symptoms fluid loss contributes to? (4) - CORRECT
ANSWERS -postural hypotension
-tachycardia
-decrs cardiac output and stroke volume
-decrs peak oxygen uptake
T or F: cognitive deficits from critical illness/immobility are never permanent -
CORRECT ANSWERS F: they can be permanent
(anxiety, depression, PTSD, delirium)
What recovers faster from immobility...bone mineral density or muscle? -
CORRECT ANSWERS muscle...this may create an imbalance between
muscle and bone
Bed rest contributes to ________% loss of muscle strength per week in healthy
individuals - CORRECT ANSWERS 4-5%
bed rest is negative except in these 2 cases - CORRECT ANSWERS -
following heart cath
-pre-term labor
What are some possible strategies for prevention/treatment of ICU acquired
weakness? (4) - CORRECT ANSWERS 1) early mobility and rehab
2) strict glycemic control
3) avoid use of corticosteroids and neuromuscular blockades
4) protocols to minimize use of sedatives and analgesics
