cardiopulm interventions

Question 1

how many lobes does R lung have?

Answer 1

3

Question 2

how many lobes does the L lung have?

Answer 2

2, has cardiac notch

Question 3

how can you decrease respiratory acidosis

Answer 3

supplemental o2

Question 4

how can you decrease metabolic acidosis?

Answer 4

bicarbonate infusion

Question 5

what can you have the patient do to decrease respiratory alkalosis

Answer 5

breath into a rebreathing mask

Question 6

how can you decrease metabolic alkalosis?

Answer 6

fluid/saline infusion, meds

Question 7

what technique is used to inflate a collapsed lung after atelectasis?

Answer 7

incentive spirometry

Question 8

pursed lip breathing and huffing can help what condition?

Answer 8

COPD

Question 9

the patient is positioned in seated and leaning forward over a pillow. what lobe is most likely being drained?

Answer 9

posterior apical segments of upper lobe

Question 10

when is postural drainage indicated? name 3 things

Answer 10

pulmonary complications
weak/elderly patients
atelectasis, pna, COPD

Question 11

what lobe is being drained when the pt is supine and a pillow is under their knees?

Answer 11

anterior segments of upper lobes

Question 12

what lobe is being drained when a pt is prone and two pillows are under their pelvis?

Answer 12

superior segments of lower lobes

Question 13

what lobe is being drained when a patient is sitting in a recliner, leaning backwards slightly?

Answer 13

anterior apical segments of upper lobes

Question 14

what segment of the lung is being drained in R sidelying with legs elevated 18 inches?

Answer 14

L lateral basal (lower) segment

Question 15

HRR =

Answer 15

HR max - RHR

Question 16

HR Max =

Answer 16

220 - age

Question 17

what do you do if diastolic BP goes up more than 20 mmHg during exercises?

Answer 17

stop exercise

Question 18

is SBP drops > 20, should I stop exercise?

Answer 18

yes

Question 19

what are the ACDEF symptoms to stop exercise?

Answer 19

angina
claudication
dyspnea
excessive fatigue

Question 20

list the 4 phases of cardiac rehab

Answer 20

1. acute (monitoring. can be initiated after 24 hours of being stable)
2. subacute (conditioning, as early as 24hr after discharge, up to 6 weeks, 50-70% HR max
3. training (5-6 weeks from discharge, 70-80% HR max)
4. conditioning (lasts up to 6-12 months)

Question 21

what phase of cardiac rehab can you start resistance training?

Answer 21

phase 3

Question 22

what does FITT stand for?

Answer 22

frequency
intensity
time
type

Question 23

what are the FITT parameters for phase 1 and 2?

Answer 23

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

Question 24

what are the FITT parameters for phase 3?

Answer 24

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

Question 25

how should you initiate resistance training in phase 3 of cardiac rehab?

Answer 25

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

Question 26

what are the weight reduction guidelines for obesity?

Answer 26

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