Cardiac Disorders & Rehab Flashcards

1
Q

What BP is considered hypertension?

A

140/90

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2
Q

What is malignant hypertension?

A

Diastolic BP > 125

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3
Q

What protein & value indicates high risk for atherosclerosis?

A

C-reactive protein> 3.0 mg/L

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4
Q

Optimal total cholesterol level?

A

< 200; >240 is high risk!

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5
Q

Optimal HDL level?

A

> 60; <40 is high risk!

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6
Q

Optimal LDL level?

A

< 100; >190 is high risk!

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7
Q

Optimal triglyceride level?

A

< 150; >500 is high risk!

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8
Q

What indicates acute MI on EKG?

A

ST elevation on V5 & V6

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9
Q

What indicates angina on EKG?

A

ST depression on V5 & V6

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10
Q

What heart sounds indicates MI?

A

S4

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11
Q

How long do sternal precautions last?

A

6-9 weeks

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12
Q

What should you do first in therapy after CABG?

A

Check incision site

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13
Q

What is least likely to be performed in evaluation after CABG?

A

MMT (don’t want to Valsalva)

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14
Q

Increased cardiac biomarkers indicate?

A

Myocardial infarction has occured and pt is not prepared for PT until levels return to normal

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15
Q

What does an echocardiogram show?

A
  1. Ventricular wall motion
  2. Cardiac valve function
  3. Estimation of ejection fraction
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16
Q

Why perform ETT?

A

To determine the RPP & the workload necessary for ischemic threshold before beginning aerobic ex

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17
Q

What is RPP?

A

The myocardial oxygen demand for workload

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18
Q

Symptoms of CHF?

A

SOB, orthopnea, pulmonary edema, anxiety & fatigue

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19
Q

Symptoms of right heart failure?

A

Depdendent edema, jugular vein distnsion, ascites (peritoneal edema)

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20
Q

What test is diagnostic for CHF?

A

Brain natriuretic peptide (BNP) > 500 (normal <100)

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21
Q

At home testing for CHF:

A
  1. Increased HR
  2. Decreased BP
  3. H2O sounds in lungs
  4. S3 added heart sound
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22
Q

Diagnostic values of ABI:

A

0.71-0.90 mild PAD
0.41-0.70 moderate PAD
<0.40 severe PAD

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23
Q

What indicates a TRUE aneurysm?

A

50% increase in noral diameter of vessel with weaking fo all 3 vessel layers

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24
Q

S1 heart sounds?

A

Closure of MITRAL & tricuspid valves

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25
Q

S2 heart sounds?

A

Closure of AORTIC & pulmonic valve

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26
Q

What is a significant change in going from supine to sit?

A

> 10 mmHg change in DBP

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27
Q

Normal resting RR?

A

12-20 breaths/min

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28
Q

What causes an S4 heart sound?

A

Hypertension, ischemia, & cardiomyopathy

29
Q

Duration of Phase 1:

A

Day 1 post event > discharge from hospital

30
Q

Duration of Phase 2:

A

Immediately after discharge > 6 weks post event

31
Q

Duration of Phase 3:

A

Lasts 6-12 wks

32
Q

Duration of Phase 4:

A

Self maintenance, periodic consults with PT

33
Q

Skin changes in CVI:

A

Hemosiderin staining, lipodermatosis (fibrosis) of soft tissue, & venous stasis ulceration

34
Q

Coagulation test results indicating no PT?

A

PT/INR >3

35
Q

Doppler ultrasound:

A

Determines speed of blood flow through a vessel

36
Q

D-Dimer:

A

Provides measurement of fibrin degredation (new clot OR clot breakdown)

37
Q

Leads V1-V2:

A

Septum

38
Q

Leads V3-V4:

A

Anterior left ventricle

39
Q

Leads V5-V6:

A

Lateral left ventricle

40
Q

Normal RP interval:

A

0.12 - 0.20

41
Q

Normal QRS interval:

A

0.04-0.10

42
Q

What is the P wave?

A

Atrial depolarization by SA node

43
Q

What is te PR interval?

A

Delay of AV node firing as the ventricles fill

44
Q

What is the QRS complex?

A

Depolarization of the ventricles; contraction

45
Q

What is the ST segment?

A

Beginning of ventricular repolarization

46
Q

What is the T wave?

A

Ventricular repolarization

47
Q

Sinus Tachycardia:

A

Rhythm with a rate > 100 bpm

48
Q

Sinus Bradychardia:

A

Rhythem with a rate < 60 bpm

49
Q

Atrial Flutter

A

No true P waves seen; One ectopic focus in atria keeps depolarizing

50
Q

Atrial Fibrillation

A

No true P waves seen; Multiple exotic foci in atria are depolarizing in an irregularly irregular rhythm

51
Q

Junctional Rhythm

A

AV node becomes the pacemaker if the SA node fails; a very slow rate

52
Q

Premature Ventricular Contraction

A

Impulse originates in one of the ventricles; wide QRS occurs; possible ischemia or caffeine/nerves

53
Q

Ventricular Bigeminy

A

Pattern develops with every other beat being a PVC

54
Q

Ventricular Tachycardia

A

Run of 3 or more PVCs - call for help IMMEDIATELY

55
Q

Ventricular Fibrillation

A

Chaotic electrical activity from the ventricles; cardiac arrest

56
Q

A-systole

A

Absence of electrical activity from the heart. Must be confirmed on 2 leads.

57
Q

Mobitz 1

A

Progressive prolongation of PR interval until P wave without QRS, then back to normal.

58
Q

Mobitz 2

A

P waves continually without QRS

59
Q

Mobitz 3

A

No communication between atrial and ventricle

60
Q

No exercise with _ Hgb?

A

Less than 8 g/dL (should be 12-18 g/dL)

8-10 light, >10 to tolerance

61
Q

No exercise with _ Hct?

A

Less than 25% (should be 37-52%)

>25% light, 30-32% to tolerance

62
Q

No exercise with _ platelets?

A

Less than 20,000 (should be 150,000-400,000)

63
Q

No exercise with _ WBC?

A

<5,000 mm3 with fever (should be 4,300-10,800)

64
Q

Purpose of Na+

A

Involved in muscle contraction and fluid regulation

65
Q

Purpose of K+

A

Neuromuscular functioning of skeletal and cardiac muscle

66
Q

Purpose of Ca++

A

Bone strength, blood clotting, cell permeability, and neuromuscular function

67
Q

Purpose of Mg++

A

Neuromuscular functioning and regulation of kidneys

68
Q

Purpose of Cl-

A

Accompanies sodium to maintain osmotic pressure of blood