Abnormal Exercise Responses

Question 1

What do rales/crackles that occur after exercise indicate?

Answer 1

CHF

Question 2

Nausea/vomiting can indicate

Answer 2

Cardiac issue or loss of sodium

Question 3

Lightheadedness can indicate

Answer 3

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

Question 4

SBP drop > ______ mmHg indicates ______

Answer 4

> 10 mmHg

L ventricular dysfunction

Question 5

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

Answer 5

Autonomic dysfunction (MS, diabetes)

Question 6

DBP that increases or decreases by _____ mmHg

Answer 6

10 mmHg (should stay the same during exercise)

Question 7

HR above _____

Answer 7

THR

Question 8

Flat or blunted ____ response

Answer 8

HR

Question 9

HR drop can indicate _____ or ____ issue

Answer 9

SA node dysfunction, ANS issue

Question 10

HR that increases out of proportion to work rate indicates

Answer 10

SV problems

Question 11

HRR Formula

Answer 11

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

HR max from stress test

Question 12

________ BAR for pathology

Answer 12

20-30

Question 13

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

Answer 13

[162-(0.7xage)]

Question 14

Exercise principles include

Answer 14

1. Frequency
2. Intensity
3. Time
4. Type

Question 15

Training Principles

Answer 15

1. Specificity
2. Overload
3. Individuality
4. Progression
5. Reversibility

Question 16

What should happen to HR from rest to aerobic exercise

Answer 16

Rest: 60-90 bpm

Aerobic exercise: INCREASE 10-12 bpm/MET

Question 17

What should happen to SBP with aerobic exercise from rest

Answer 17

Rest: SBP <120 mmHg

Aerobic ex: Increase 7mmHg/MET

Question 18

What should happen to DBP from rest to aerobic exercise

Answer 18

Rest: DBP <80 mmHg

Aerobic ex: Inc/Dec 10mmHg in entire session

Question 19

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

Answer 19

just SBP increases

Question 20

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

Answer 20

BOTH increase

Question 21

What happens to Q with aerobic exercise from rest?

Answer 21

5 L/min –> increases 20-22 L/min

Question 22

What happens to SV from rest to aerobic exercise?

Answer 22

Rest: 71 ml/b

Aerobic ex: increases 100ml/b

Question 23

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

Answer 23

ARMS!

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

Question 24

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

Answer 24

ARMS!

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

Question 25

Is arm exercise appropriate for someone with cardiac issues?

Answer 25

NO! DBP will increase too much

Question 26

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

Answer 26

physical activity

Question 27

For HEALTH BENEFITS

Answer 27

Physical activity

Question 28

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

Answer 28

EXERCISE

Question 29

for FITNESS BENEFITS

Answer 29

Exercise

Question 30

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

Answer 30

Mobilization

Question 31

WBC normal

Answer 31

5000-10000

Question 32

WBC <1000/mm3

Answer 32

Wear protective mask, no exercise

Question 33

WBC <5000 OR 10,000 with fever

Answer 33

No exercise

Question 34

WBC >5000

Answer 34

Light exercise, progress to resistive exercise

Question 35

HCT <25%

Answer 35

No exercise

Question 36

HCT >25%

Answer 36

Light exercise

Question 37

HCT 30-32%

Answer 37

Add resistive exercise

Question 38

Hgb <8

Answer 38

No exercise- can do bed mobility

Question 39

Hgb 8-10

Answer 39

light exercise, walking, ADLs

Question 40

Hgb >10

Answer 40

Resistive exercise, aerobic exercise

Question 41

Platelets <20,000

Answer 41

no exercise- ADLs and walking with approval

Question 42

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

Answer 42

PT and OT contraindicated

Question 43

Clients receiving anticoagulant therapy | INR >/= 2.5-3.0

Answer 43

Consult with physician

Question 44

General exercise contraindications: | RHR > ______ b/min

Answer 44

100-120

Question 45

General exercise contraindications: | Resting BP > _______

Answer 45

180/110 mmHg

Question 46

General exercise contraindications: | Besides RHR and Resting BP levels, name the other 6

Answer 46

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