Move In the Right Direction
One day makes a big difference!!
Day
1
2
3
4-5
6-7
8-10
Contractures
Beginning 1*
​
Skeletal Muscle
atrophy begins 1*
​
Pressure area develop
​
Plasma volume begins to develop 2*
​
Orthostatic hypotension begins to develop 2*
​
Hypoxemia 2*
​
Insulin resistance ^
3*
​
Altered triglyceride levels 4*
​
Increase CA+ in urine 1*
To-Do List
Get Milk
Pick Up kids
Mobilize Patients
Sarcopenia (loss of muscle strength) 1-3% per day 1,2*
​
Dorsal atelectasis begins
​
Thoracic fluid volume ^ 5*
​
Loss of calcium in urine and increased risk of renal calculi
​
40% chance of becoming incontinent if >65 years 6*
​
Peristalsis/impaction <
​
​
8-10% loss of plasma volume 1*
​
Cardiac workload ^ 1*
​
HR (rest) 1*
​
Stroke volume < 1*
​
Cardiac output <1*
​
Lower pain threshold
​
Anxiety and fear
​
Depressed central nervous system responses
Risk of gastric aspiration and endotoxemia ^
​
Micrrovascular dysfunction 1*
​
> 1% bone mineralization lost per week 6*
​
Visible weakness in 25-30% MV patients
​
10% decrease in Muscle strength 1*
​
​
Bone degradation continues as long as bed rest occurs
​
Risk of ventilator acquired pneumonia increases every day
​
Risk of long term disabling weakness continues every day
​
Risk for falls and delirium increases every day
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13. Knight J, et al. Effects of bedrest 1. Cardiovascular, respiratory, & hematological systems. Nursing Times 2009; 105(21). https://www.pubfacts.com/detail/19548502/Effects-of-bedrest-1:-cardiovascular-respiratory-and-haematological-systems
14. Nigam Y, Knight J, & Jones A. The physiological effects of bed rest and immobility part 3- the musculoskeletal system, skin, and Immunity. Nursing Times 2009; 105(23):18-22
15. Shearer WT, Ochs HD, et al. Immune responses in adult female volunteers during the bed-rest model of spaceflight: Antibodies and cytokines. J Allergy Clin Immunol 2009; 123(4): 900–905
16. Anastasopoulos et al. Is plasma calcium concentration implicated in the development of critical illness polyneuropathy and myopathy? Critical Care 2011, 15:R247http://ccforum.com/content/15/5/R247
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