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Special Clientele > Cardiac Rehab > Flashcards

Cardiac Rehab Flashcards

1
Q

Goals of Cardiac rehab

A
  1. to significantly reduce the risk of another cardiac event
  2. to prevent the worsening of a heart condition already present
  3. to improve a pt’s outlook on life
  4. to provide the support needed to make important lifestyle changes.
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2
Q

Coronary artery disease:

A

Hardening of the coronary arteries that can lead to a type of chest pain, pressure or discomfort known as angina

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3
Q

Recent heart attack

A

MI or open heart surgery

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4
Q

High blood pressure

A

Hypertension

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5
Q

Congestive heart failure

A

a condition in which the heart cannot pump efficiently enough to meet the body’s demand for oxygen

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6
Q

Recent ballon angioplasty

A

a catheter based procedures in which a blocked artery is widened

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7
Q

various circulation disorders

A

know its a diagnosis that may need cardiac rehab

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8
Q

Pacemaker

A

a device implanted in the chest to monitor and if necessary, correct an abnormally slow heartbeat.

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9
Q

Benefits of cardiac rehab:

A
  • better chance of avoiding disability & returning to work
  • Decreased risk of a recurrence of the heart problem, including MI
  • Decreased risk of death due to heat disease
  • Fewer episodes of reduced bloom flow to the heart cardiac ischemia
  • Improved physical functioning & strength
  • Less need for heart- related meds
  • Lower blood pressure
  • Lower levels of low-denssity lipoproteins LDL’s, cholesterol & fats in the blood (tryiglycerides)
  • Relief from depression, fear & anxiety
  • Slowed development, or even reversal, of hardening of the arteries atherosclerosis.
  • Weight loss.
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10
Q

Phase one:

A

In patient:
-Location/ frequency
~ in hospital
~usually BID

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11
Q

Intensity: Phase 1

A

1 Borg perceived Exertion scale

  1. No physical training.. exercise activity Done only to prevent de-conditioning
  2. MET’s 2-5 (usually not > 3.5)
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12
Q

Borg Perceived Exertion Scale:

A

Fairly light range (9-11)

-Scale from 6-20

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13
Q

MET’s Phase 1

A

2-5 Usually not >3.5
MET= Metabolic Equivalent
~1 MET is the amount of oxygen consumed at rest, or the amount of WORK done by the body at rest.

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14
Q

Duration: Phase 1

A
  • as tolerated by pt

- Depends a great deal on pt’s pre-morbid status

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15
Q

Types of exercises/ Activities used (Phase 1)

A
  • ROM exercises
  • Monitored ambulation
  • Self-care activities
  • Light LE exercises
  • Progress to light UE exercises
  • Education concerning: life style modifications & training how to monitor vital signs… Cont. on next slide
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16
Q

Education concerning: (Phase 1)

A
  • Recognizing signs & symptoms of fatigue
  • Depression & other feelings often felt by people with heart problems or following surgery
  • New physical limitations (weight restrictions- the maximum amount of work/activity that a physician decides a pt can do.
  • Stress management techniques that help people relax instead of getting overly tense, frustrated or angry
  • Identification of coronary risk factors and advice on how to reduce them
  • Heart- damaging effects of smoking & strategies for quitting
  • Importance of a heart-healthy diet and dietary strategies for reducing fat and cholesterol levels
  • Weight loss
  • Social support for lifestyle changes( quitting smoking) support groups
  • CPR training
  • Meds
17
Q

Phase Two:

A

Out patient:

  1. Location:
    - cardiac rehab facility with extra sessions at home
  2. RN & MD must be on site
  3. Pt’s are monitored while @ the facility- max of 5 pt’s per HCP
  4. Diagnoses of MI, stable angina & CABG are paid by insurance
18
Q

Frequency: Phase two

A

Usually 3x per week at facility & another 2-3 times a week at home: walking program

19
Q

-Borg scale: phase 2

A

“somewhat hard” -“hard” 12-16

20
Q

-Max heart phase two

A

30 bpm above resting heart rate OR 50% to 85% of max. HR depending on pt’s level of conditioning/ reconditioning.

21
Q

Will not exercise if resting systolic BP >_____ or Diastolic BP > ______
Phase two

A

200
100
Can vary depending on the source of info, check with MD

22
Q

METS: Men/ Women

PHase two

A

Men: 5.5
Women: 4.5-5 ( rarely greater than 5.5 or 6 METS)

23
Q

______ rate should return to normal/resting value within ____ minutes of cessation of _______ or activity.
Phase two

A

Heart
5 minuets
exercise

24
Q

________ _______ should return to normal resting value within _____ to _____ minutes after stopping exercise or activity.
Phase two

A

Blood pressure

5 to 7 min.

25
Q

Duration:Phase two

A

20-40 minutes of aerobic activity to pt tolerance 20 min is ideal minimum.

  • 12 weeks or 36 sessions whichever comes first ( reimbursed by Medicare)
  • Very important to have a warm up & cool down period
26
Q

Types of exercises/ activities used: large mm gouts: Phase two

A
  • Treatmill
  • Walking track
  • Stationary Bicycle
  • UE Ergometer
  • Light UE exercise
  • Stair stepper
  • HEP
27
Q

What happens after cardiac rehab?

A

People often finish a cardiac rehab program with all the oho-on-on attention, the support from fellow participants and cheering from the healthcare professionals., & then have trouble continuing to exercise on their own.

28
Q

People are encouraged to:

A
  • Avoid temptation to completely give up on exercising just because they missed a day
  • Either join an exercise group, or start a walking group in their own neighborhood
  • Find ways of being more active during the day, such as parking a little further away from the store & getting a good walk
  • Make exercise a routine that is done on the same days at the same times
  • Try different types of exercise: swimming, biking, walking, water aerobics and so forth
  • Pace themselves without pushing to the point of chest pain or severe SOB
  • Can stay at a cardiac rehab facility as a private pay pt.
29
Q

Heart pt’s who ________ are only a _______ as likely to have another heart attack as those who do ______ _______

A

Exercise
3rd
not exercise.

30
Q

Those who exercise have about a _____% greater chance of avoiding a _______ trip to the _______ in comparison with those who do Not _________

A

70%
return
hospital
exercise

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