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Cardio > Cardiac Rehab > Flashcards

Cardiac Rehab Flashcards

1
Q

What are the goals of cardiac rehab?

A

Increase aerobic capacity
Increase ability to perform ADLs
Increased strength, power, and endurance

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2
Q

Contraindications of cardiac rehab

A

Unstable angina
Symptomatic & uncompensated heart failure
Uncontrolled arrhythmias
Uncontrolled diabetes
Uncontrolled resting tachycardia

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3
Q

Frequency of cardiac rehab in a week

A

at least 3 times/week

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4
Q

Duration of a cardiac rehab session

A

20-40 mins

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5
Q

Intensity of a cardiac rehab session

A

70%-85%

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6
Q

Karvonen’s formula

A

THR = MHR - RHR (%-%) + RHR

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7
Q

%-% for sedentary people

A

50-60%

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8
Q

%-% for normal people

A

70-85%

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9
Q

%-% for athletes

A

80-90%

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10
Q

How long does a warm-up/cool down last?

A

5-10 mins

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11
Q

Examples of exercise equipment

A

Treadmill
Arm ergometer
Stair climbers
Bicycles
Rowers
Steppers

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12
Q

What is done when a patient becomes symptomatic and experiences angina?

A

Decrease MVO2 by decreasing HR and SBP

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13
Q

What to do for an in-patient?

A

Help may be bought stat

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14
Q

What to do for an out patient

A

Take NTG

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15
Q

Ratio of METS and HR increase

A

1-2 METs increase = 10-20 bpm

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16
Q

A team-based approach on activity progression

A

Phase 1 or in-patient phase

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17
Q

Goals for phase 1

A

ECG
Hemodynamic monitoring
Patient education

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18
Q

METs level for phase 1 level 1

A

1-1.5

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19
Q

Activities for phase 1 level 1

A

Bed exercises
Ankle pumps
Deep breathing exercises

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20
Q

METs level for phase 1 level 2

A

1.5-2

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21
Q

Activities for phase 1 level 2

A

Sitting
Leg exercises
Reclining upright chair
Commode privileges

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22
Q

METs level for phase 1 level 3

A

2-2.5

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23
Q

Activities for phase 1 level 3

A

bathroom privileges
walking for 5 mins
sit on side of bed

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24
Q

METs level for phase 1 level 4

A

2.5-3

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25
Q

Activities for phase 1 level 4

A

Trunk exercises
Hall amb for 5-7 mins (indep or assisted)

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26
Q

METs level for phase 1 level 5

A

3-4

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27
Q

Activities for phase 1 level 5

A

Arm exercises
Hall amb 8-10 mins (indep)
Standing shower

28
Q

METs level for phase 1 level 6

A

4-5

29
Q

Activities for phase 1 level 6

A

Progressive hall amb
Full flight of stairs
Discharge for phase 1

30
Q

Patients commonly undergo a symptom-limited maximal stress test (ETT)

A

Phase II (out patient)

31
Q

(Negative) ETT prescription

A

65%-80% HRmax

32
Q

+ETT prescription

A

keep MVO2 below the pts ischemic threshold

33
Q

Activities in phase III

A

Endurance training
Resistance training may begin
Light weights (1-3 lbs for 12-15 reps)

34
Q

Pts with cardiac disease resulting in slight limitation of physical activity. Ordinary physical activity does not cause undue fatigue

A

Class I

35
Q

Pts with cardiac disease resulting in slight limitation. Ordinary physical activity results in fatigue and anginal pain

A

Class II

36
Q

Pts with cardiac disease resulting in marked limitation in physical activity. Less than ordinary physical activity causes fatigue and anginal pain

A

Class III

37
Q

Pts with cardiac disease resulting in inability to carry on any physical activity without discomfort. There are symptoms of cardiac insufficiency.

A

Class IV

38
Q

Maximum METs for class I

A

6.5 METs

39
Q

Maximum METs for class II

A

4.5 METs

40
Q

Maximum METs for class III

A

3.0 METs

41
Q

Maximum METs for class IV

A

1.5 METs

42
Q

Strength training guidelines

A

Large ms groups before small
Exhalation with exertion
Focus on RPE 11 to 13
Use slow and controlled movements

43
Q

Criteria for modification/termination of exercise in pts with HF

A

marked fatigue/dyspnea
RR > 40 cpm
s3 heart sound
increase in pulmonary crackles

44
Q

Criteria for initiation of exercise in pts with HF

A

compensated HF
RR <30 cpm
Less than moderate fatigue
Crackles in less than one half of the lungs
RHR < 120 bpm

45
Q

CHF goals and outcomes

A

improved physiological response to increased oxygen demand
improved self management of symptoms
risk of secondary impairments is reduced
increased performance and independence in performing ADLs

46
Q

Aerobic exercises for pts with CHF should be

A

low impact with gradual progression

47
Q

Function of strength training in CHF patients

A

help improve peripheral muscle strength and endurance

48
Q

Occupational Activities for 1.5-2 METs

A

Driving
Desk work
Washing clothes

49
Q

Recreational activities for 1.5-2 METs

A

Strolling (1mph)
Playing cards
Knitting
Sewing

50
Q

Occupational activities for 2-3 METs

A

Janitorial work
Light wood work
Repairs

51
Q

Recreational activities for 2-3 METs

A

Level walking (2 mph)
Level bicycling (5 mph)
Billiards
Bowling

52
Q

Occupational activities for 3-4 METs

A

Cleaning windows
Mopping floors
Welding

53
Q

Recreational activities for 3-4 METs

A

Walking (3 mph)
Bicycling (6 mph)
Non-competitive volleyball
Badminton doubles

54
Q

Occupational activities for 4-5 METs

A

Painting
Light carpentry
Raking
Hoeing

55
Q

Recreational activities for 4-5 METs

A

Walking (3.5 mph)
Bicycling (8 mph)
Calisthenics
Table tennis

56
Q

Occupation activities for 5-6 METs

A

Digging garden
Shoveling light earth

57
Q

Recreational activities for 5-6 METs

A

Walking (4 mph)
Bicycling (10 mph)
Horseback riding

58
Q

Occupational activities for 6-7 METs

A

Shoveling 10 times/min
Wood splitting
Hand lawn mowing

59
Q

Recreational activities 6-7 METs

A

Walking (5 mph)
Bicycling (11 mph)
Competitive badminton
Folk dancing

60
Q

Occupational activities for 7-8 METs

A

Sawing Hardwood
Carrying 36 kgs (80lbs)

61
Q

Recreational activities for 7-8 METs

A

Jogging (5 mph)
Bicycling (12 mph)
Basketball

62
Q

Occupational activities for 8-9 METs

A

Shoveling 10 times/min (5.5kgs)

63
Q

Recreational activities for 8-9 METs

A

Running (5.5 mph)
Bicycling (12 mph)
Vigorous basketball
Rope skipping

64
Q

Occupational activities for 10+ METs

A

Shoveling 10 times/min (7.5kgs)

65
Q

Recreational activities for 10+ METs

A

Running 7mph (11.5 METs)
Running 6 mph (10 METs)
Handball
Competitive swimming

Cardio (15 decks)

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