Abnormal Exercise Responses Flashcards
What do rales/crackles that occur after exercise indicate?
CHF
Nausea/vomiting can indicate
Cardiac issue or loss of sodium
Lightheadedness can indicate
- Drop in blood sugar
- Dehydration
- Drop in HR/BP
- Sign of MS
SBP drop > ______ mmHg indicates ______
> 10 mmHg
L ventricular dysfunction
SBP should go up with exercise, not be blunted or flat- can indicate _______
Autonomic dysfunction (MS, diabetes)
DBP that increases or decreases by _____ mmHg
10 mmHg (should stay the same during exercise)
HR above _____
THR
Flat or blunted ____ response
HR
HR drop can indicate _____ or ____ issue
SA node dysfunction, ANS issue
HR that increases out of proportion to work rate indicates
SV problems
HRR Formula
THR = [(HRmax - RHR) x ____%] + RHR
HR max from stress test
________ BAR for pathology
20-30
formula for those on beta blocker who do NOT have stress test (not the best alternative…)
[162-(0.7xage)]
Exercise principles include
- Frequency
- Intensity
- Time
- Type
Training Principles
- Specificity
- Overload
- Individuality
- Progression
- Reversibility
What should happen to HR from rest to aerobic exercise
Rest: 60-90 bpm
Aerobic exercise: INCREASE 10-12 bpm/MET
What should happen to SBP with aerobic exercise from rest
Rest: SBP <120 mmHg
Aerobic ex: Increase 7mmHg/MET
What should happen to DBP from rest to aerobic exercise
Rest: DBP <80 mmHg
Aerobic ex: Inc/Dec 10mmHg in entire session
With AEROBIC training, does SBP, DBP, or do both increase?
just SBP increases
With weight training, does SBP, DBP, or do both increase?
BOTH increase
What happens to Q with aerobic exercise from rest?
5 L/min –> increases 20-22 L/min
What happens to SV from rest to aerobic exercise?
Rest: 71 ml/b
Aerobic ex: increases 100ml/b
At 25, 40, 50, and 75% VO2max, is SBP higher for arms or legs exercise
ARMS!
25%: SBP 150 (legs 132)
40%: SBP 165 (138)
50%: SBP 170 (144)
75%: SBP 205 (160)
At 25, 40, 50, 75% VO2max, is DBP higher for arm or leg exercise?
ARMS!
25%: DBP 90 (legs 70)
40%: DBP 93 (71)
50%: DBP 96 (73)
75%: DBP 103 (75)
Is arm exercise appropriate for someone with cardiac issues?
NO! DBP will increase too much
Any bodily movement produced by contraction of skeletal muscles that results in substantial increase over resting energy expenditure
physical activity
For HEALTH BENEFITS
Physical activity
A type of PA consisting of planned, structured, and repetitive bodily movement done to improve or maintain one or more components of physical fitness
EXERCISE
for FITNESS BENEFITS
Exercise
Therapeutic and prescriptive application of low-intensity exercise in the management of acute CP dysfunction- usually for acutely ill patients
Mobilization
WBC normal
5000-10000
WBC <1000/mm3
Wear protective mask, no exercise
WBC <5000 OR 10,000 with fever
No exercise
WBC >5000
Light exercise, progress to resistive exercise
HCT <25%
No exercise
HCT >25%
Light exercise
HCT 30-32%
Add resistive exercise
Hgb <8
No exercise- can do bed mobility
Hgb 8-10
light exercise, walking, ADLs
Hgb >10
Resistive exercise, aerobic exercise
Platelets <20,000
no exercise- ADLs and walking with approval
Prothrombin time (PT) > or = to 2.5x reference range
PT and OT contraindicated
Clients receiving anticoagulant therapy
INR >/= 2.5-3.0
Consult with physician
General exercise contraindications:
RHR > ______ b/min
100-120
General exercise contraindications:
Resting BP > _______
180/110 mmHg
General exercise contraindications:
Besides RHR and Resting BP levels, name the other 6
- Uncontrolled DM
- Decompensated heart failure
- Significant aortic stenosis
- Active infection
- Acute systemic illness/fever
- Uncontrolled atrial/ventricular dysrhythmias
