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21 Cards in this Set
- Front
- Back
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What does mobility help?
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systems function properly, respiratory, gastrointestinal, and urinary
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increased cardiac workload, orthostatic hypotension, venous thombosis
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Effects of immobility on the cardiac system
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Decreased ventilator effort, pooling of respiratory secretions, altered gas exchange
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Effects of immobility on the Respiratory system
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Decreased muscle mass, tone, and strength, decreased joint mobility, bone demineralization occurs as early as 2-3
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Effects of immobility on the Musculoskeletal system
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decreased appetite, stress ulcers, decreased peristalsis, constipation, fecal impaction
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Effects of immobility on the Digestive system
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Skin shearing and pressure ulcers
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Effects of immobility on the Integumentary system
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urinary stasis, formation of kidney stones, urinary retention
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Effects of immobility on the Urinary system
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decreased metabolic rate OR increased rate S/T fever, illness, and poor nutrition
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Effects of immobility on the metabolic function
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l sleep-wake disturbances, decreased sensory stimulation, boredom, anxiety, depression, increased dependency, behavioral changes
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Effects of immobility psychological
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Fat Emboli
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Occurs primarily after a pt has had a fx. Fat coems out of bone marrow and travels in the circulatory system to the lungs
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Defining characteristics of VTE
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Edema, extremity pain, redness or warmth following path of vein, temp greater than 100.4
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Doppler Ultrasound
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ultrasound used to document reduced blood flow
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Impedance Plethysmography
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Blood pressure cuff used to record changes in blood flow
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Radionuclide Scan
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Radioactive injection followed by scanning to localize area of obstructed blood flow.
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Venography
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Radiopaque contrast media injected through foot vein to localize thrombi in deep venous system
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GIven IV or SQ, monitored with PTT
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Heparin
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Argotroban or Refludan, monitored with PTT
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Used as an alternative to Heparin, especially in pts who have had HITT, Synthetic
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Heparin Induced Thrombocytopenia (HITT)
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Immune Response to Heparin
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Low Molecular Weight Heparin, Given SQ in abdomen, No monitoring, DVT prophylaxis
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LOVENOX
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Most common oral anticoagulant, monitored with PT/INR, s/b between 2.0-3.0, prevent/treat DVT, afib, and heart valve replacements, vitamin K antagonist
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COUMADIN
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FDA approved 10/10, thrombin inhibitor, no labs needed, 150mg bid PO
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PRADAXA
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