Cardiac Rehab (not done)

Question 1

Cardiac Rehab is a Multidisciplinary approach to the rehab for pts w/ __ disease. It involves (4): education, structured/progressive __ __, lifestyle ___, and vocational counseling.

Answer 1

1) heart
2&3) physical activity
4) modifications

Question 2

In order to be a candidate for cardiac rehab you must be 1 of the following: (7)
1) Post myocardial __ w/in a (year/month/week)
2) Post __
3) Post Percutaneous coronary intervention (stent)
4) Post heart __ surgery
5) Post Heart/lung __
6) Post chronic stable angina
7) Post Compensated HF EF </=35% (must be __ weeks s/p)

Answer 2

1&2) infarction w/in a year
3) CABG
4) Post heart valve surgery
5) Post Heart/lung transplantation
6) Must be 6 wks s/p

Question 3

Pts who are not candidates include __ angina, hemodynamic ___ (SP>200, DP>100, orthostatic fall >20 mmHg), serious arrhythmias, conduction abnormalities, active infection, unctrlled DM, resting ST segment depression.

Answer 3

1) unstable angina
2) hemodynamic instability

Question 4

T/F: Early, progressive rehabilitation intervention results in greater improvements in physical function than usual care.

Answer 4

True

Question 5

T/F: Cardiac Rehab is effective in reducing mortality for pts w/ heart disease but not effective in reducing HF hospitalizations.

Answer 5

False: Cardiac rehab is effective in reducing mortality and HF hospitalizations.

Question 6

Phase I is the ___ phase/inpatient. It starts ___ when the pt becomes hemodynamically stable, which is monitored by the __.

Answer 6

1) acute
2) IMMEDIATELY
3) ECG

Question 7

Phase II is the subacute/rehab/__ phase. It begins immediately after __. ECG monitoring for part of care. Medicare will cover __ sessions or 72 if intensive.

Answer 7

1) conditioning
2) Discharge
3) 36 sessions

Question 8

Phase III is training or ___ rehab which is rarely __ or supervised, usually ___patient.

Answer 8

1) intensive rehab
2) monitored
3) outpatient

Question 9

Phase IV is ___. No monitoring and the equivalent to a __ __ __ (YMCA, geriatric walkers, silver crew).

Answer 9

1) maintenance
2) fitness facility membership

Question 10

Initial eval of pt in phase I would NOT include which of the following?
A) Vitals
B) Integ. for JVD or neuropathy
C) Sternal Precautions
D) Auscultations
E) all of these are included in the IE

Answer 10

E

Question 11

T/F: Pts in Phase 1 should be monitored for vitals (esp BP). As long as pt tolerates exercises (hemodynamically stable), you can progress tx no matter their subjective response.

Answer 11

False; everything is true except you must consider pt’s subjective feelings too

Question 12

Tx for Phase I pts should start slow w/ __ duration sessions, ___ times per day at an intensity of <__BPM or <__-__ BPM increase during exertion. They will include a warm up/cool down.

Answer 12

1) shorter
2) numerous
3&4) <120 BPM or <20-30 BPM