CARDIAC REHABILITATION PHASES

Question 1

what are the DECONDITIONING EFFECTS OF
PROLONGED BED REST?

Answer 1

• Pulmonary complications:
• Decrease in Lung Volumes and capacities
• Atelectasis
• Circulatory complications:
• DVT,
• Decreased in the circulating blood volume,
• Orthostatic hypotension
• Musculoskeletal complications:
• Decrease in the contractile strength of body musculature,
• joint dysfunction
• Decrease in the physical work capacity

Question 2

(AACVPR) defines cardiac rehabilitation as the provision of comprehensive
long-term services involving?

Answer 2

medical evaluation,
prescriptive exercise,
cardiac risk-factor modification,
education, counseling,
and behavioral interventions

Question 3

British Association of Cardiac Rehabilitation continues to classify four phases of rehabilitation as?

Answer 3

• phase I - hospital inpatient period;
• phase II - immediate post-discharge;
• phase III — intermediate post-discharge; and
• phase IV - long-term maintenance

Question 4

for phase 1

1-Average ____ days

2-Graduated mobilization of cardiac patients on ____ units as part of overall patient care

3-Activities in the first ______ hours are usually restricted to ________ exercises,
simple arm/leg ROM and limited selfcare activities

fill in the blanks

Answer 4

1- 5-7 days
2- acute
3-24-48 hours, breathing exercise

Question 5

list the steps of phase 1 in order

Answer 5

step one, sitting in bed, breathing exercises ,ankle movement, AROM exercises to elbow and wrist

step 2, AROM to UL and LL 2 sets with 5 reps
walking in the room

step 3, progression of exercises 4 sets with 5 reps
and minimum 5 min walking

step 4, 6 sets with 5 reps of exercises
and 10 min walking

Question 6

A phase 2 program takes a threefold approach, consisting of?

Answer 6

exercise,
aggressive risk factor modification,
and education classes.

Question 7

Sessions typically take place 3 times a week for up to 36 sessions; usually,
options are available for more frequent weekly attendance for a less period
to achieve a full course

true or false?

Answer 7

false, less frequently for more period of time

Question 8

when to start phase 2 rehab if it is invasive open heart surgery?

Answer 8

within 4 weeks

Question 9

Prescribed exercise generally targets moderate activity in the range of?

Answer 9

50% to 70% of peak estimated functional capacity.

Question 10

Programmers may start any time from 3 to 8 weeks post-event and last for up
to 6-12 weeks. They are often hospital based but there are also rehabilitation
centers in community.

this duration related to which phase?

Answer 10

phase three

Question 11

Goal: facilitate long term maintenance of lifestyle changes, monitoring risk
factor changes and secondary prevention.

is the goal to which phase?

Answer 11

PHASE 3: LIFETIME MAINTENANCE

Question 12

what are the indications for cardiac rehabilitation?

Answer 12

Coronary artery bypass grafting
Myocardial infarction in the past 12 months
Percutaneous coronary angioplasty or intervention
Chronic stable angina
Heart valve repair or replacement
Heart failure (must fit all 3 criteria
Heart or heart and lung transplant
Peripheral artery disease