Cardiac Flashcards
Stemi vs Nstemi
Stemi - elevation of ST
Nstemi - depression of ST
hypercapnia
hypocapnia
pH levels
hyper 7.0
hypo - 7.8
agonal rhythm
< 20 bpm
cardiac PT interventions
3
1) Assess hemodynamic response during self-care and functional mobility
2) Maximize activity tolerance
3) Pt/caregiver edu for activity/behavior modification
unstable cardiac response
a) Pt cannot meet physiologic demands due to patho
i) Hemodynamically unstable
stable cardiac response
a) Pt can perform function Indi without over exertion
i) Hemodynamically stable
cardiac absolute indications
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)
cardiac relative indications
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
HR increase with exercise
norm
beta blockers
20-30 safe norm
do not exceed 20 beta blockers
bpm cool down
greater than 12 bpm - more than resting?
norm BP response to exercise
5-12 more for each MET
Phase 1 cardiac
i) Started once pt is stable
ii) Tolerate ADL’s waling climbing stairs – 1-4 METS
iii) Edu essential
phase 2
i) 2 weeks out
ii) Progresses exercises
phase 3
i) Maintain
ii) 2-3 months after