Cardiac Flashcards

1
Q

Stemi vs Nstemi

A

Stemi - elevation of ST

Nstemi - depression of ST

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2
Q

hypercapnia
hypocapnia
pH levels

A

hyper 7.0

hypo - 7.8

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3
Q

agonal rhythm

A

< 20 bpm

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4
Q

cardiac PT interventions

3

A

1) Assess hemodynamic response during self-care and functional mobility
2) Maximize activity tolerance
3) Pt/caregiver edu for activity/behavior modification

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5
Q

unstable cardiac response

A

a) Pt cannot meet physiologic demands due to patho

i) Hemodynamically unstable

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6
Q

stable cardiac response

A

a) Pt can perform function Indi without over exertion

i) Hemodynamically stable

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7
Q

cardiac absolute indications

A

i) Decompensated CHF
ii) Second-degree heart block with PVCs
iii) Third-degree heart block
iv) >10 PVCs/min at rest
v) Chest pain with new ST segment changes
vi) New onset A-fib with rapid ventricular response at rest (HR > 100 bpm)

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8
Q

cardiac relative indications

A

i) Resting HR > 100 bpm
ii) Resting HTN > 160 systolic and > 90 diastolic
iii) Hypotension at rest (< 80 systolic)
iv) Ventricular ectopy(PVC) at rest
v) A-fib with rapid ventricular response at rest (HR > 100 bpm)
vi) Psychosis/unstable psych condition

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9
Q

HR increase with exercise
norm
beta blockers

A

20-30 safe norm

do not exceed 20 beta blockers

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10
Q

bpm cool down

A

greater than 12 bpm - more than resting?

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11
Q

norm BP response to exercise

A

5-12 more for each MET

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12
Q

Phase 1 cardiac

A

i) Started once  pt is stable
ii) Tolerate ADL’s waling climbing stairs – 1-4 METS
iii) Edu essential

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13
Q

phase 2

A

i) 2 weeks out

ii) Progresses exercises

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14
Q

phase 3

A

i) Maintain

ii) 2-3 months after

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