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Acute Care Module 3 > Cardiac PT 1 > Flashcards

Cardiac PT 1 Flashcards

1
Q

define normal BP

A

< 120 AND < 80

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2
Q

define elevated BP

A

120-129 AND < 80

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3
Q

define HTN stage 1

A

130-139 OR 80-89

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4
Q

define HTN stage 2

A

> 140 OR > 90

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5
Q

CO = ____ x ____

A

HR and SV

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6
Q

T/F: elevated blood pressure leads to clinical manifestations/symptoms

A

false: elevated BP may be asymtpomatic

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7
Q

what is the most important general goal for someone with HTN

A

educate on how to assess cardiac distress/intolerance

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8
Q

it is prudent to maintain SBP _____ and/or DBP _____ when exercising

A

<220 and <105

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9
Q

how do beta blockers impact exercise

A

they may reduce max/submax exercise capacity

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10
Q

what is a consideration for working with patients on CCBs and vasodilators

A

excessive reductions in postexercise BP may occur without proper cool down

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11
Q

at what RPE should you train your HTN patients?

A

no more than 13

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12
Q

what is the hallmark sign of acute coronary syndrome

A

ischemic chest pain

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13
Q

what are the four determinants of myocardial perfusion

A
  1. DBP - primary driving force
  2. resistance - atherosclerosis can increase it
  3. vasomotor tone - determines volume
  4. LVEDP
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14
Q

RPP = ____ x _____; what does this mean for us

A

HR and SBP; during ischemia, stop the aggravating activity to decrease O2 demand

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15
Q

what are 4 non-modifyable risk factors for CHD

A
  1. male
  2. age
  3. fam hx
  4. ethnicity
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16
Q

what are 4 biological modifiable risk factors for CHD

A
  1. HBP
  2. blood lipid abnormalities
  3. pre-DM and DM
  4. obesity
17
Q

what is the difference in confirming STEMI v NSTEMI

A

STEMI confirmed by biomarkers and EKG and NSTEMI confirmed mainly by biomarkers

18
Q

where else can pain be referred in chronic stable angina

A

left shoulder, jaw, and between the shoulder blades

19
Q

what two EKG signs suggest cardiac ischemia

A

ST depression and T wave inversion

20
Q

what is the best goal for PT for pts with chronic stable angina

A

increase the amount of activity the patient can perform before experiencing chest pain

21
Q

what are FITT considerations for aerobic activity for patients with chronic stable angina

A

F: min 3 but optimally >5 days per week
I: no closer than 10 beats below anginal threshold
T: 20-60 min
T: large muscle group rhythmic

22
Q

what are FITT considerations for strength for patients with chronic stable angina

A

F: 2-3 nonconsecutive days per week
I: 10-15 reps w/o major fatigue RPE 11-13
T: 1-3 sets of 8-10 exercises
T: whatever is safe and comfortable for the pt

23
Q

sxs of unstable angina v variant angina

A

unstable and variant - chest pain at rest or with min exertion

24
Q

what is a major PT consideration for patients following percutaneous coronary interventions

A

bed rest 6-8 hours after PCI

25
Q

what are the physical activity recommendations for PCI patients

A

mod intensity for min 30 min 5 days/wk

26
Q

what are inpatient activity considerations for patients receiving stents

A

early mobility working at 11-12 RPE

27
Q

WHAT ARE STERNAL PRECAUTIONS

A
  1. no pushing or pulling
  2. no supporting the body with arms
  3. no driving for 4-6 weeks
  4. no lifting more than 5 pounds
  5. no arms > 90
28
Q

in what position should you NOT exercise post-op cardiac patients?

A

supine b/c increases fluid shifting to the central system

29
Q

what are exercise recommendations for the acute care setting 1-2 weeks post CABG

A

RPE < 12
1-2x/day
walking lasting 3-5 min progressing to 10-15 min

30
Q

how long is typical hospital stay for a heart attack patient

A

1-2 days in the CCU and 3-4 days in the hospital

31
Q

when is the heart at its weakest following an MI, which phases ensue?

A 
days 4-10
necrotic phase (6d) tissue easily ruptures
fibrosis phase (5d-4w)
collagen phase (4w-2m)
32
Q

what are considerations for strength training following an MI (4)

A
  1. avoid heavy lifting esp UE work
  2. avoid valsalva
  3. avoid isometrics
  4. avoid working in supine
33
Q

what are aerobic, inpatient considerations following an MI

A
  1. RPE < 12
  2. 1-2x/day almost all days per week
  3. include warm up and cool down
  4. walking 3-5 min per session increasing to 10-15 within RPE

Acute Care Module 3 (11 decks)

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