4. Cardiac Rehab

Question 1

What is cardiopulmonary physical therapy?

Answer 1

Examination, assessment, and intervention of the pt with cardiovascular or pulmonary impairments. It involves primary or secondary pathology or risk factors

Question 2

What are the three goals of cardiopulmonary PT?

Answer 2

1. Reverse risk factors, treatable pathologies, CAD
2. Prevent risk factors
3. Minimize chronic conditions and loss of function

Question 3

What is part of your observation during cardiac evaluation?

Answer 3

Skin color, posture in relation to thoracic cage, overall appearance

Question 4

Why is BMI relevant to cardiac rehab?

Answer 4

In combination with waist size is a good predictor of CAD

Question 5

What are the 7 contraindications for exercise?

Answer 5

1. Unstable angina
2. Resting HR > 120
3. Resting SBP > 200
4. DBP < 60 or > 100
5. EKG findings
6. Blood glucose
7. Significant medical problems

Question 6

What EKG findings are contraindications for exercise?

Answer 6

• Atrial or ventricular tachycardia
• Frequent PVCs
• Multi-focal PVCs
• PVCs which increase with exercise
• Resting ST segment depression of > 2mm
• 3rd degree heart block

Question 7

What are the 5 signs to stop early mobilization of high-risk patients?

Answer 7

1. Development of serious arrhythmias
2. Drop in BP > 20mm
3. Rapid rise in BP over 220
4. Signs of intolerance to activity
5. HR rise of > 20 bpm during phase I

Question 8

What are the three phases of cardiac rehab?

Answer 8

Phase I: inpatient-acute
Phase II: outpatient
Phase III: maintenance