cardiopulm interventions Flashcards
how many lobes does R lung have?
3
how many lobes does the L lung have?
2, has cardiac notch
how can you decrease respiratory acidosis
supplemental o2
how can you decrease metabolic acidosis?
bicarbonate infusion
what can you have the patient do to decrease respiratory alkalosis
breath into a rebreathing mask
how can you decrease metabolic alkalosis?
fluid/saline infusion, meds
what technique is used to inflate a collapsed lung after atelectasis?
incentive spirometry
pursed lip breathing and huffing can help what condition?
COPD
the patient is positioned in seated and leaning forward over a pillow. what lobe is most likely being drained?
posterior apical segments of upper lobe
when is postural drainage indicated? name 3 things
pulmonary complications
weak/elderly patients
atelectasis, pna, COPD
what lobe is being drained when the pt is supine and a pillow is under their knees?
anterior segments of upper lobes
what lobe is being drained when a pt is prone and two pillows are under their pelvis?
superior segments of lower lobes
what lobe is being drained when a patient is sitting in a recliner, leaning backwards slightly?
anterior apical segments of upper lobes
what segment of the lung is being drained in R sidelying with legs elevated 18 inches?
L lateral basal (lower) segment
HRR =
HR max - RHR
HR Max =
220 - age
what do you do if diastolic BP goes up more than 20 mmHg during exercises?
stop exercise
is SBP drops > 20, should I stop exercise?
yes
what are the ACDEF symptoms to stop exercise?
angina
claudication
dyspnea
excessive fatigue
list the 4 phases of cardiac rehab
- acute (monitoring. can be initiated after 24 hours of being stable)
- subacute (conditioning, as early as 24hr after discharge, up to 6 weeks, 50-70% HR max
- training (5-6 weeks from discharge, 70-80% HR max)
- conditioning (lasts up to 6-12 months)
what phase of cardiac rehab can you start resistance training?
phase 3
what does FITT stand for?
frequency
intensity
time
type
what are the FITT parameters for phase 1 and 2?
F: short sessions 2-3x per day
I: 50-70% HR max
T: 10-15 min (phase 1) and 30 min (phase 2)
T: ADLs, supervised amb
what are the FITT parameters for phase 3?
F: 2-3 sessions/wk
I: 70-85% HR max
T: 30-60 min with 5-10 min of warm up and cool down
T: single mode of training (walking) or multiple modes using treadmill, erg, cycle
how should you initiate resistance training in phase 3 of cardiac rehab?
start with elastic bands and light hand weights (1-3 lbs) or 30-50% max weight to complete 1 RM
begin with 8-10 reps, progress to 12-15
avoid UE resistance as soft tissue is sill healing
what are the weight reduction guidelines for obesity?
minimum of 250-300 min/wk
greater than 5 days/wk
40-60% Vo2, progress to >60%
45-60 min/day
mod exercise: aerobic, resistance, flexibility
