(精编)【体外膜肺ECMO精品课件】 Mobilization in the Critical Care Unit (How It Works)教学课件.pptVIP

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2018-03-21 发布于天津
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(精编)【体外膜肺ECMO精品课件】 Mobilization in the Critical Care Unit (How It Works)教学课件.ppt

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演示文稿演讲PPT学习教学课件医学文件教学培训课件

Therapy ICU Intervention: Positioning and Postural Drainage: Position the patient for respiratory success (eg. Anterior vs. Posterior Pelvic Tilt) Postural drainage is accomplished by positioning the patient so that the position of the lung segment to be drained allows gravity to have its greatest effect We to remember to write signs in the patient’s rooms to increase communication… Patient is in semi-left-sidelying to drain the right middle lobe for 30-45 minutes for optimal respiratory mobilization; patient positioned at 10:30am Therapy ICU Intervention Exercise: Get Family Involved Educate Nursing Strengthen Respiratory Musculature Primary: Diaphragm, Intercostals Accessory: Sternocleidomastoid, Scalene Therapy ICU Intervention Cough Assist: Asthma Patient: ~teach a “pump cough” ~a forceful prolonged exhalation can lead to distress COPD Patient: ~difficulty with expiration ~do not teach “take a deep breath” ~controlled small breaths Neuromuscular Paralysis: ~maximize airway clearance ~make sure the patient can swallow safely ~position for success, couple extension inhalation, couple flexion exhalation Therapy ICU Intervention Prior to initiating our mobility project, we needed to train all staff in… Body Mechanics Proper Lifting Safety with Functional Transfers Proper Guarding Techniques Therapy ICU Intervention Transfer and Balance Training: Monitor the Ventilator and Vital Signs Blood Pressure with Change in Position Transfers are the mainstay of our ICU treatment sessions Who is doing what to ensure safety??? ONE PERSON IN CHARGE We always try incorporate quality of life into our treatment sessions!! Safe Mobilization with Multiple Lines, Tubes, and Drains Arterial Line EVD Central Line IABP Chest Tube Licox Monitor Dialysis Catheter Sheath ECMO Swan-Ganz Catheter Mobilization in the Critical Care Unit(How It Works) Craig Moreland, PT, MS Director of Physical Therapy, UPMC Presbyterian, Montefiore, and Western Psychiatric Institute Cli