Cardiac Rehab Flashcards
what is phase 1 level 1 cardiac rehab
CCU and bedrest progressing to sitting EOB
what is phase 1 level 2 cardiac rehab
sitting at EOB to room ambulation - 15-30 min/day 2-4x/day
what is phase 1 level 3 cardiac rehab
limited hall ambulation up to 5 min or as tolerated 3-4x/day
what is phase 1 level 4 cardiac rehab
hall ambulation 5-7min/day 3-4x/day
what is phase 1 level 5 cardiac rehab
hall ambulation 8-10min/day 3-4x/day and independence as appropriate
what is phase 1 level 6 cardiac rehab
hall ambulation to tolerance and a flight of stairs
what should a cardiac patient know/be able to do at DC from inpatient (3)
- 150 ft independent <13/20
- know exercise protocol
- know activity limits
what are the four ACSM parameters for cardiac rehab qualification
- no new/recurrant chest pain in prev 8 hours
- stable or falling CKMB and troponin
- no sxs of decomp HF
- normal rhythm and stable EKG in prev 8 hours
if a patient has angina, should you stop exercise?
yes, anginal chest pain is a sign of exercise intolerance
what are the blood pressure parameters to halt exercise
if DBP > 110 and SBP drops more than 10 points
what is phase 2 of cardiac rehab, when does it normally begin, and how long does it last
- outpatient
- usually starts at 1-2 weeks
- lasts about 2-6 weeks
when is sub max exercise testing most appropriate?
for individuals with cardiac and pulmonary dysfunction
what are the three ideal sub max exercise tests for cardio-pulm patients?
- 6mwt
- 2mwt
- 2 minute step test
what is the two minute step test
sub max exercise test where the individual steps in place for 2 minutes and the score is the number of steps taken in those 2 min
what is the goal for a 6mwt at discharge and why
600 meters for men and 500 for women because its just above the median value for healthy adults