Cardiac Rehab part 2

Question 1

How do you calculate HR from EKG monitor?

Answer 1

30 squares 6 sec

count how many QRS complexes within 30 squares and multiply by 10.

Question 2

What is a clinical indication of CHF?

Answer 2

jugular vein distention (right ventricle failing) peripheral edema.

Question 3

What is the pitting edema scale?

Answer 3

1+ barely detectable impression
2+ Slight indentation 15 sec to rebound
3+ Deeper indentation 30 sec to rebound
4+ > 30 sec to rebound.

Question 4

What are the two components of endurance

Answer 4

Central

• pulmonary
• cardiac

Peripheral

• systemic circulation
• muscle

Question 5

What exam is used to determine the ability of the cardiac system to accommodate increasing metabolic demand?

Answer 5

ETT exercise tolerance test

Question 6

If someone is in a lot of pain what is a good test to use to analyze the cardiovascular system?

Answer 6

Pharmalogical stress test

Question 7

What is the exercise prescription based on?

Answer 7

Fit equation

• Frequency
• Intensity
• Time
• Type

Question 8

What is a normal exercise frequency?

Answer 8

3-5 times a week

Question 9

What is a normal duration goal?

Answer 9

30-40 min with 5-10 min cool down/warm up

Question 10

What is phase 1 of cardiac rehab?

Answer 10

Inpatient facility
Low level exercise and pt. education "fairly light RPE 11"
end when the pt. is ready to go home
Goal: self care and independence
MET level 1-6

Question 11

What is phase 2 of cardiac rehab?

Answer 11

Outpatient EKG monitored supervised 
2-4 weeks after discharge from the hospital
Intensity: Activities between 4-9 METS
3-6 months 
Do not exceed 90% of ischemic RPP.

Question 12

What is phase 3 of cardiac rehab?

Answer 12

Outpatient with decreased monitoring 
health facilities and maintenance program
Intensity: > 8 METS 13-15 Borg scale
12 weeks or longer 
no medical supervision
start strength training!

Question 13

What is phase 4 of cardiac rehab?

Answer 13

Community based independent living
strength
sternal precautions

Question 14

How do you calculate RPP?

Answer 14

HR x SP