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DPT 770 - Cardiopulmonary II & Lymphatics > Cardiac Rehab > Flashcards

Cardiac Rehab Flashcards

1
Q

What are the goals of cardiac rehab?

A
  • Reducing CVD morbidity and mortality
  • improve physical and psychological function
  • enhance quality of life
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2
Q

What are the main phases of cardiac rehab?

A
  • Phase 1: Inpatient
  • Phase 2: Early outpatient
  • Phase 3: Intensive outpatient
  • Phase 4: Independent maintenance
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3
Q

How does the PT develop an individualized exercise prescription in cardiac rehab?

A

Based on mode, intensity, duration, frequency; monitored through HR, BP, ECG, RPE, symptoms.

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4
Q

What are the indications for cardiac rehab

A

- Primary CVD:

  • MI, CABG, transplant, valve repair, HF.

- Secondary CVD:

  • CAD, diabetes, obesity, ESRD.
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5
Q

What are contraindications for cardiac rehab?

A
  • unstable angina
  • severe hypertension
  • critical aortic stenosis
  • acute systemic illness
  • uncontrolled arrhythmias
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6
Q

What patient assessments are done in Phase 1 of cardiac rehab?

A

Vitals, HR, BP, O2 saturation, auscultation, peripheral pulses, self-care ability, readiness for physical activity.

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7
Q

What is the goal of early mobilization in Phase 1?

A

Improve HR response, BP, oxygen uptake, circulation, ventilation, and reduce morbidity/mortality.

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8
Q

What criteria must be met to advance daily ambulation/activity?

A
  • no new chest pain
  • stable creatine/troponin
  • no decompensation signs
  • stable EKG
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9
Q

How is aerobic exercise structured in Phase 1?

A
  • Frequency: 3x/day
  • Intensity: RPE 9-11
  • Duration: 3-5 min progressing to 10-15 min
  • Mode: walking, stair climbing
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10
Q

What are examples of ADL activities and their METs levels?

A
  • Toileting: 1.5-2.5 METs
  • Bathing: 1.5-2.0 METs
  • Walking (2-3 mph): 2-3.3 METs
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11
Q

What are the benefits of progressive aerobic exercise in Phase 1?

A
  • increase HR tolerance
  • improve BP response
  • enhance patient recovery and return to ADLs
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12
Q

What safety measures must be monitored during exercise?

A
  • HR
  • BP
  • ECG
  • symptom reporting (e.g., chest discomfort, dizziness)
  • adherence to max HR ranges
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13
Q

What are the expected outcomes of inpatient cardiac rehab?

A

Prevent bed rest effects, enable continuous walking, safe stair navigation, establish HR and RPE limits.

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14
Q

What discharge planning needs are addressed in Phase 1?

A

Activity guidelines, exercise prescription, signs to watch for, referrals, setting transition.

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15
Q

What transitional settings exist for cardiac rehab?

A

Skilled nursing facilities, inpatient rehab facilities, home health care based on patient needs.

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16
Q

What are key components of a patient interview in cardiac rehab?

A

Admitting diagnosis, symptoms, PMH, social history, employment, risk factors, home setup.

17
Q

What factors influence readiness for physical activity?

A

Vital stability, EKG stability, patient’s alertness, understanding of the disease, motivation.

18
Q

How should PTs educate patients about CVD risk factors?

A

Discuss modifiable risk factors, disease process, symptom management, and lifestyle changes.

19
Q

What are the HR guidelines during inpatient cardiac rehab?

A

Post-MI: HR < 20 bpm above resting;
Post-surgery: HR < 30 bpm above resting;
Max HR < 120 bpm.

20
Q

What are signs of abnormal responses to physical activity?

A

Decreased SBP > 10 mmHg, HR outside max range, significant arrhythmias, angina, dyspnea, dizziness.

21
Q

What are the goals of cardiac rehab?

A

Reduce CVD morbidity/mortality, improve physical/psychological function, enhance quality of life.

22
Q

What education topics should be covered during cardiac rehab?

A

Disease management, risk factor modification, self-monitoring, general activity guidelines.

23
Q

What are the key elements of a discharge decision tree?

A

Patient stability, self-care ability, social support, resource availability, healthcare access.

24
Q

How is patient safety ensured during early mobilization?

A

Monitor vitals, use gait belts, avoid excessive exertion, check for dizziness/fatigue.

25
Q

What is the role of family/caregivers in cardiac rehab?

A

Support patient education, assist with ADLs, reinforce lifestyle changes and rehab goals.

26
Q

What is the PT’s role in symptom management during cardiac rehab?

A

Teach recognition of symptoms, provide strategies for management, and adjust activity levels.

27
Q

How are comorbidities considered during cardiac rehab?

A

Identify comorbidities in assessments and adjust interventions to prevent complications.

28
Q

What criteria determine patient readiness for discharge?

A

Ability to perform ADLs, stable vitals, understanding of exercise limits, safe mobility.

29
Q

What are realistic expectations for cardiac rehab outcomes?

A

Improved physical capacity, reduced symptom recurrence, and increased disease awareness.

30
Q

What communication is required among healthcare providers in cardiac rehab?

A

Regular updates on patient progress, shared treatment goals, coordinated discharge plans.

31
Q

What lifestyle modifications are essential for long-term cardiac health?

A

Diet changes, smoking cessation, regular exercise, stress management, medication adherence.

32
Q

How are cardiovascular risk factors identified during assessments?

A

Evaluate history, current health status, lab results, and lifestyle factors.

33
Q

What factors are considered in the design of a cardiac rehab exercise program?

A

Patient’s diagnosis, comorbidities, baseline fitness, rehab phase, and safety measures.

34
Q

How are exercise intensities adjusted during Phase 1 cardiac rehab?

A

Based on RPE, HR responses, patient tolerance, and absence of symptoms like angina.

35
Q

What are the criteria for advancing activities in Phase 1?

A

Stable vitals, no new symptoms, improving functional capacity, safe mobility.

DPT 770 - Cardiopulmonary II & Lymphatics (13 decks)

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