ICU Liberation Bundle *Please take the quiz below the video to receive credit. Lecture Quiz "*" indicates required fields Name* First Last 1. The ICU Liberation Bundle has been proven in multiple studies to:* a. Increase physical restraint use b. Increase total coma days c. Increase discharges to nursing home and rehabilitation facilities d. Decrease likelihood of hospital death within 7 days by 68% 2. True or false: vital signs alone are a reliable indicator for non-verbal pain monitoring* True False 3. The Goals of ICU sedation include:* a. Maintaining a calm, comfortable, and cooperative patient b. Reduce a patient’s anxiety and agitation c. Facilitate mechanical ventilation d. Decrease traumatic memory of ICU stay and procedures e. All of the above 4. Which is true about a Spontaneous Awakening Trial?* a. Performed every 72 hours b. Maintaining sedation at current level to perform neurological assessment c. Restart sedation at one-half the previous dose d. Should be performed regardless of agitation, paralytics, active MI, increased ICP, alcohol withdrawal, or seizures 5. Which is not true about a Spontaneous Breathing Trial?* a. The safety screen includes items such as O2 saturation > 88%, FiO2 < 50%, PEEP < 7.5 b. The definition of an SBT failure is RR > 35/min, RR < 8/min, SpO2 < 88%, or any respiratory distress, mental status change, or acute cardiac arrhythmia c. The SBT should be paired with a SAT d. SBT alone vs SAT + SBT is superior in research and outcomes 6. The choice of analgo-sedation:* a. With an analgesia-first strategy is recommended in mechanically ventilated patients b. Reduces pain and discomfort which are common causes of agitation c. c. May interfere with respiratory drive, nutrition, and gastric motility d. Should be titrated to maintain lighter levels of sedation e. All of the above 7. What is a strategy to avoid ICU delirium?* a. Daily sedation holidays b. Over treatment of pain c. Avoid familiar objects from patient’s home in room d. Lights on a shades up during the night, lights off and shades closed during the day 8. The definition of delirium includes:* a. The abnormal behavior staying the same over the most recent time b. Evidence of an acute change in mental status from baseline or fluctuating during the past 24hours c. No difficulty with attention d. No evidence of disorganized thinking 9. Early mobility and exercise show which of the following:* a. Decreased ICU and hospital LOS b. Improvement in overall physical functioning c. Decreased duration of mechanical ventilation d. Decreased incidence of delirium e. All of the above 10. How can we encourage family engagement and empowerment?* a. Avoid understanding cultural or religious beliefs b. Keep families involved with active decision-making c. Do not provide opportunities to ask questions d. Keep strict visitation hours
