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1501. Best Practice in Acute Care – Optimizing Treatment in the Setting of Invasive Lines, Tubes, and Monitoring- Registration and Pretest
Presented by Katelyn Whitlock, PT, DPT
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1501. Best Practice in Acute Care – Optimizing Treatment in the Setting of Invasive Lines, Tubes, and Monitoring - Pretest
1. What PT intervention is unlikely to help treat atelectasis?
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A. Mobilization
B. Breathing Exercises
C. Bronchodilator usage
D. Chest PT
2. 62 year old female on day 2 hospitalization for pneumonia, fall, concussion with forehead laceration; PT Eval & Treat orders put in yesterday. There is no MD note yet in the chart this morning.Upon PT eval at 8:00am, the patient’s vitals are assessed at rest: HR 123bpm, Sp02 88% on 3LPM via NC, RR 26, BP 110/65. The patient reports she cannot work with PT right now because she has to drive home to feed her cats. States Year is 2009. She is lethargic and hard to awaken.
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A. Sit her up EOB with goal of transfer to chair, monitoring vitals closely.
B. Defer PT eval; plan to return in afternoon.
C. Consult with RN; relay concern for sepsis or ARDS
D. Call for Rapid Response.
3. What is the normal tidal volume of a healthy adult?
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A. 5,000 mL
B. 500 mL
C. 300 mL
D. 6,000 mL
4. For a patient in acute respiratory distress, we would expect which of the following?
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A. Decreased tidal volume
B. Decreased residual volume
C. Increased vital capacity
D. Increased respiratory reserve volume
5. Your patient extubated this morning post-op CABG after 5 days on vasopressors including epinephrine, levophed, and vasopressin due to severe vasoplegia and has slowly been weaned down to 5 of dobutamine and .02 of epi. The team determines the patient is stable for PT intervention today (POD #6) with a MAP goal of >70. What is your primary concern you may have regarding their presentation and safety with initiating mobility?
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A. Hypotension and low tolerance to activity
B. Post-intubation atelectasis
C. Decreased gut absorption
D. Ischemic toes
E. ICU delirium
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