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2) Cardiopulm > 11) Pulmonary Rehab > Flashcards

11) Pulmonary Rehab Flashcards

1
Q

Pulmonary Rehab

A

Tailored, multidisciplinary program designed to:

 * Stabilize/reverse physical & psychological effects of disease
 * Return pt to highest possible fxnl level
* Provide emotional support
* Educate
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2
Q

What are the goals for pulm rehab?

A
  • Control & alleviate the sx’s & pathophysiological complications of respiratory impairments
  • Train pt’s to achieve optimal capacity to do ADL’s
  • Decr exacerbations & hospitalizations
  • Incr exercise tol
  • Return pt back to their job
  • Decr psych sx’s
  • Promote independence
  • Improve QOL
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3
Q

What pt pops are candidates for pulm rehab?

A
  • Obstructive diseases
  • Restrictive diseases
  • Pulmonary diseases
  • Vascular diseases
  • Lung transplant/resection
  • Volume reduction
  • Occupation/environmental irritants
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4
Q

What are the outcomes of pulm rehab?

A
  • Decr hospitalization
  • Decr use of medical resources
  • Incr exercise tol
  • Possible return to work
  • Incr knowledge of the dx
  • Incr survival rates
  • Improve psychosocial sx’s
  • Improved QOL
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5
Q

What are the parts of the PT pulm rehab exam?

A
  • Medical clearance
  • PFT’s
  • ABG’s
  • Chest radiography
  • Resting ECG
  • Blood chem
  • Exercise tests
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6
Q

What exercise tests are done in pulm rehab?

A
  • 6MWT
  • Stress test
  • Metabolic studies
  • Monitor pt status
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7
Q

Exercise Prescription for Pulm Rehab

A
  • 3-5x/wk w/weekend walks
  • 20-45min of aerobic exercise
  • Warm-up & cool-down
  • 2min rest between modalities
  • Incorporate deep breathing during rest
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8
Q

How should you determine a pt’s optimal HR?

A

30-30BAR or Karvonen

*Can also be sx dervived based on dyspnea scale, breathing patterns, & SpO2

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9
Q

What is the minimum SpO2 a pt can have to exercise?

A

> 85%

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10
Q

What are the benefits of intermittent training?

A
  • Achieve higher intensity w/less fatigue
  • Permits different muscle groups to be stressed
  • Allows for more diverse muscle groups to be stressed
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11
Q

Pulmonary Stress Test

A

Objective assessment of impaired fxn & exercise disability to

 * Aid in diff-dx of exertion-limiting dyspnea
 * Guide prescription & assessment for respiratory tx
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12
Q

True or False: Pulm rehab should be a 1st resort.

A

True

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13
Q

When should pulm rehab be implemented into a pt’s POC for it to be the most successful?

A

The earlier the better

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