Abnormal Exercise Responses Flashcards

1
Q

What do rales/crackles that occur after exercise indicate?

A

CHF

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2
Q

Nausea/vomiting can indicate

A

Cardiac issue or loss of sodium

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3
Q

Lightheadedness can indicate

A
  1. Drop in blood sugar
  2. Dehydration
  3. Drop in HR/BP
  4. Sign of MS
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4
Q

SBP drop > ______ mmHg indicates ______

A

> 10 mmHg

L ventricular dysfunction

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5
Q

SBP should go up with exercise, not be blunted or flat- can indicate _______

A

Autonomic dysfunction (MS, diabetes)

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6
Q

DBP that increases or decreases by _____ mmHg

A

10 mmHg (should stay the same during exercise)

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7
Q

HR above _____

A

THR

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8
Q

Flat or blunted ____ response

A

HR

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9
Q

HR drop can indicate _____ or ____ issue

A

SA node dysfunction, ANS issue

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10
Q

HR that increases out of proportion to work rate indicates

A

SV problems

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11
Q

HRR Formula

A

THR = [(HRmax - RHR) x ____%] + RHR

HR max from stress test

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12
Q

________ BAR for pathology

A

20-30

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13
Q

formula for those on beta blocker who do NOT have stress test (not the best alternative…)

A

[162-(0.7xage)]

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14
Q

Exercise principles include

A
  1. Frequency
  2. Intensity
  3. Time
  4. Type
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15
Q

Training Principles

A
  1. Specificity
  2. Overload
  3. Individuality
  4. Progression
  5. Reversibility
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16
Q

What should happen to HR from rest to aerobic exercise

A

Rest: 60-90 bpm

Aerobic exercise: INCREASE 10-12 bpm/MET

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17
Q

What should happen to SBP with aerobic exercise from rest

A

Rest: SBP <120 mmHg

Aerobic ex: Increase 7mmHg/MET

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18
Q

What should happen to DBP from rest to aerobic exercise

A

Rest: DBP <80 mmHg

Aerobic ex: Inc/Dec 10mmHg in entire session

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19
Q

With AEROBIC training, does SBP, DBP, or do both increase?

A

just SBP increases

20
Q

With weight training, does SBP, DBP, or do both increase?

A

BOTH increase

21
Q

What happens to Q with aerobic exercise from rest?

A

5 L/min –> increases 20-22 L/min

22
Q

What happens to SV from rest to aerobic exercise?

A

Rest: 71 ml/b

Aerobic ex: increases 100ml/b

23
Q

At 25, 40, 50, and 75% VO2max, is SBP higher for arms or legs exercise

A

ARMS!

25%: SBP 150 (legs 132)
40%: SBP 165 (138)
50%: SBP 170 (144)
75%: SBP 205 (160)

24
Q

At 25, 40, 50, 75% VO2max, is DBP higher for arm or leg exercise?

A

ARMS!

25%: DBP 90 (legs 70)
40%: DBP 93 (71)
50%: DBP 96 (73)
75%: DBP 103 (75)

25
Q

Is arm exercise appropriate for someone with cardiac issues?

A

NO! DBP will increase too much

26
Q

Any bodily movement produced by contraction of skeletal muscles that results in substantial increase over resting energy expenditure

A

physical activity

27
Q

For HEALTH BENEFITS

A

Physical activity

28
Q

A type of PA consisting of planned, structured, and repetitive bodily movement done to improve or maintain one or more components of physical fitness

A

EXERCISE

29
Q

for FITNESS BENEFITS

A

Exercise

30
Q

Therapeutic and prescriptive application of low-intensity exercise in the management of acute CP dysfunction- usually for acutely ill patients

A

Mobilization

31
Q

WBC normal

A

5000-10000

32
Q

WBC <1000/mm3

A

Wear protective mask, no exercise

33
Q

WBC <5000 OR 10,000 with fever

A

No exercise

34
Q

WBC >5000

A

Light exercise, progress to resistive exercise

35
Q

HCT <25%

A

No exercise

36
Q

HCT >25%

A

Light exercise

37
Q

HCT 30-32%

A

Add resistive exercise

38
Q

Hgb <8

A

No exercise- can do bed mobility

39
Q

Hgb 8-10

A

light exercise, walking, ADLs

40
Q

Hgb >10

A

Resistive exercise, aerobic exercise

41
Q

Platelets <20,000

A

no exercise- ADLs and walking with approval

42
Q

Prothrombin time (PT) > or = to 2.5x reference range

A

PT and OT contraindicated

43
Q

Clients receiving anticoagulant therapy

INR >/= 2.5-3.0

A

Consult with physician

44
Q

General exercise contraindications:

RHR > ______ b/min

A

100-120

45
Q

General exercise contraindications:

Resting BP > _______

A

180/110 mmHg

46
Q

General exercise contraindications:

Besides RHR and Resting BP levels, name the other 6

A
  1. Uncontrolled DM
  2. Decompensated heart failure
  3. Significant aortic stenosis
  4. Active infection
  5. Acute systemic illness/fever
  6. Uncontrolled atrial/ventricular dysrhythmias