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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

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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
Activities for phase 1 level 4
Trunk exercises Hall amb for 5-7 mins (indep or assisted)
26
METs level for phase 1 level 5
3-4
27
Activities for phase 1 level 5
Arm exercises Hall amb 8-10 mins (indep) Standing shower
28
METs level for phase 1 level 6
4-5
29
Activities for phase 1 level 6
Progressive hall amb Full flight of stairs Discharge for phase 1
30
Patients commonly undergo a symptom-limited maximal stress test (ETT)
Phase II (out patient)
31
(Negative) ETT prescription
65%-80% HRmax
32
+ETT prescription
keep MVO2 below the pts ischemic threshold
33
Activities in phase III
Endurance training Resistance training may begin Light weights (1-3 lbs for 12-15 reps)
34
Pts with cardiac disease resulting in slight limitation of physical activity. Ordinary physical activity does not cause undue fatigue
Class I
35
Pts with cardiac disease resulting in slight limitation. Ordinary physical activity results in fatigue and anginal pain
Class II
36
Pts with cardiac disease resulting in marked limitation in physical activity. Less than ordinary physical activity causes fatigue and anginal pain
Class III
37
Pts with cardiac disease resulting in inability to carry on any physical activity without discomfort. There are symptoms of cardiac insufficiency.
Class IV
38
Maximum METs for class I
6.5 METs
39
Maximum METs for class II
4.5 METs
40
Maximum METs for class III
3.0 METs
41
Maximum METs for class IV
1.5 METs
42
Strength training guidelines
Large ms groups before small Exhalation with exertion Focus on RPE 11 to 13 Use slow and controlled movements
43
Criteria for modification/termination of exercise in pts with HF
marked fatigue/dyspnea RR > 40 cpm s3 heart sound increase in pulmonary crackles
44
Criteria for initiation of exercise in pts with HF
compensated HF RR <30 cpm Less than moderate fatigue Crackles in less than one half of the lungs RHR < 120 bpm
45
CHF goals and outcomes
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
Aerobic exercises for pts with CHF should be
low impact with gradual progression
47
Function of strength training in CHF patients
help improve peripheral muscle strength and endurance
48
Occupational Activities for 1.5-2 METs
Driving Desk work Washing clothes
49
Recreational activities for 1.5-2 METs
Strolling (1mph) Playing cards Knitting Sewing
50
Occupational activities for 2-3 METs
Janitorial work Light wood work Repairs
51
Recreational activities for 2-3 METs
Level walking (2 mph) Level bicycling (5 mph) Billiards Bowling
52
Occupational activities for 3-4 METs
Cleaning windows Mopping floors Welding
53
Recreational activities for 3-4 METs
Walking (3 mph) Bicycling (6 mph) Non-competitive volleyball Badminton doubles
54
Occupational activities for 4-5 METs
Painting Light carpentry Raking Hoeing
55
Recreational activities for 4-5 METs
Walking (3.5 mph) Bicycling (8 mph) Calisthenics Table tennis
56
Occupation activities for 5-6 METs
Digging garden Shoveling light earth
57
Recreational activities for 5-6 METs
Walking (4 mph) Bicycling (10 mph) Horseback riding
58
Occupational activities for 6-7 METs
Shoveling 10 times/min Wood splitting Hand lawn mowing
59
Recreational activities 6-7 METs
Walking (5 mph) Bicycling (11 mph) Competitive badminton Folk dancing
60
Occupational activities for 7-8 METs
Sawing Hardwood Carrying 36 kgs (80lbs)
61
Recreational activities for 7-8 METs
Jogging (5 mph) Bicycling (12 mph) Basketball
62
Occupational activities for 8-9 METs
Shoveling 10 times/min (5.5kgs)
63
Recreational activities for 8-9 METs
Running (5.5 mph) Bicycling (12 mph) Vigorous basketball Rope skipping
64
Occupational activities for 10+ METs
Shoveling 10 times/min (7.5kgs)
65
Recreational activities for 10+ METs
Running 7mph (11.5 METs) Running 6 mph (10 METs) Handball Competitive swimming

Cardio (15 decks)

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