ICU Setting
What could, physically, effect transfers?
Lines, tubes, and leads
What should the PTA monitor during a session in the ICU?
Vitals and alertness
Discontinue session if HR is
<40 bpm or >130 bpm
What does a CBC count?
RBC, WBC, and platelets
CBC normal ranges
RBC: 4.2 - 5.4 / cubic mm
WBC: 4,300- 10,000 / cubic mm
Hemoglobin: male: 13-18gm/dL; females: 12-16gm/dL
What is the first thing you should do when treating an ICU patient?
Plan
What types of activities does a physical therapy session consist of?
gait training, bed mobility, stretching, PROM, positioning, sitting EOB, and transfers.
Discontinue session if RR is
<5 bpm or >40 bpm
Electrolytes consist of
Sodium,Potassium, Carbon dioxide, and Chloride
Calcium normal range
8.5-10.2 mg/dL
Who do you communicate with when in the ICU?
patient, nurse, doctor, family, social worker, and other PTs.
Physical therapy sessions in the ICU want to
increase the levels of activity
Discontinue session if SpO2 is
< 88%
What does a CMP check?
current status of metablolism
Kidney test normal ranges
BUN: 7-20 mg/dL
Creatinine: 0.6 - 1.2 mg/dL
What are common diagnosis in the ICU?
trauma, CVA, MI, burns, or TBI
Physical therapy sessions must be
SAFE
Discontinue session if the BP is
Systolic: >200 mmHg
Mean arterial pressure (MAP): <65
Fasting blood sugar normal range
70-100 mg/dL
Desirable limit for cholesterol
180 mg/dL