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DPT (Cumulative Final) > Cardiac Rehabilitation II & III > Flashcards

Cardiac Rehabilitation II & III Flashcards

1
Q

What is Phase 1 of Cardiac Rehabilitation?

A

Inpatient Period

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2
Q

What is Phase 2 of Cardiac Rehabilitation?

A

Early Post-Discharge Period

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3
Q

What is Phase 3 of Cardiac Rehabilitation?

A

Supervised outpatient program, including structured exercise

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4
Q

What is Phase 4 of Cardiac Rehabilitation?

A

Long-Term follow-up/maintenance of primary care

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5
Q

On Day 1 of Post OP Recovery, what activities are performed & at what MET ranges?

A

OOB in chair (within hours of surgery) / 1-2 MET

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6
Q

On Day 2 of Post OP Recovery, what activities are performed & at what MET ranges?

A

Walk in Room / 2-3 MET

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7
Q

On Day 3 of Post OP Recovery, what activities are performed & at what MET ranges?

A

Hallway walking 3-5 min x2-3/day (3-4 MET)

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8
Q

On Day 4 of Post OP Recovery, what activities are performed & at what MET ranges?

A

Hallway walking 5-10 min x3-4/day (3-4 MET)

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9
Q

How long should the warmup be in an exercise program for a patient in Phase II (Early Post-Discharge Period)?

A

2-5 min (gradually increase pulse, reduce injury risk, mentally prepare patient)

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10
Q

Warmup exercises should consist of?

A

3-5 reps of each exercise 1-2x daily.

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11
Q

What is FITT for cardiac walking?

A

F: x3 walks per day (preferably outdoors)
I: RPE (Patient Exercise Effort Scale)
T: Work up to 20m (Increase by 2m each day)
T: Assisted Cardiac Walk

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12
Q

When should the RPE scale be used in training of a cardiac rehab patient?

A

During Exercise

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13
Q

How long should you wait before obtaining a patients heart rate?

A

5 min

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14
Q

What is the upper heart rate limit for a patient in the early recovery period?

A

Not higher than 20 bpm above avg. RHR.

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15
Q

What are some signs to stop & rest during exercise with a cardiac rehab patient?

A
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16
Q

If warning sign symptoms during exercise are not relieved after 2-5 minutes of rest, what is the next course of action?

A

Have the patient take nitroglycerine (if prescribed)

17
Q

When should you end the session if warning signs continue to persist & who should you notify?

A

End after 15-20 minutes of of persisting symptoms and call 911.

18
Q

How long should strength activities be abstained from after open-heart surgery?

A

3 months

19
Q

When is it ok to resume strength training exercises in a open heart surgery patient?

A

After the patient’s sternum is healed (light to moderate RPE)

20
Q

If the patient is sick for a few days, what does that do to the training calendar for cardiac rehab?

A

How ever many sick days there are, go back and complete those sessions & extend the program.

21
Q

What are some ways to reduce stress?

A

Learn Progressive Relaxation Techniques
Reduce Perfectionism
Find Humor in the Situation
Find a Relaxing Place

22
Q

What is the ideal time for a GXT for post-CABG?

A

> 3-4 weeks post-op

23
Q

How often does an individualized treatment plan need to be reviewed by the the physician?

A

every 30 days

24
Q

What life saving equipment should be present in the facility in case of emergency during cardiac rehab?

A

Oxygen, CPR Equipment, Defibrillator

25
Q

A patient is considered High-Risk if the have?

A

One or More of:

26
Q

A patient is considered Moderate-Risk if they have?

A

Patient meets neither High-Risk or Low-Risk standards.

27
Q

A patient is considered Low-Risk if they have?

A

If all of the following factors are present:

28
Q

What is the lead placement for 3 electrodes during exercise?

A

Right Mid-Clavicular (2nd Intercoastal Space)
Left Mid- Clavicular (2nd Intercoastal Space)
Left Lower Rib (5th or 6th Intercoastal Space)

29
Q

Which lead on telemonitoring is indicating rhythm?

A

Lead II

30
Q

What are outpatient FITT Recommendations for Aerobic?

A

F: Minimum x3 /wk / Preferably > x5/wk
I: 40-80% HRR
T: 20-60 min
T: Upright Cardio Equipment or Walks

31
Q

What are outpatient FITT Recommendations for Resistance Training?

A

F: 2-3 days/wk
I: 10-15 reps @ 40-60% 1RM
T: Full Body Lifting
T: 1-3 sets, 8-10 exercises, 8-12 reps

  • Non-Consecutive Days
32
Q

What are outpatient FITT Recommendations for Flexibility?

A

F: >2-3 days/wk
I: stretch to point of tightness or discomfort
T: x4 reps of 15 sec hold
T: Static, Dynamic, PNF

DPT (Cumulative Final) (19 decks)

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