cardiopulm interventions

Question 1

rate product pressure

Answer 1

HRxSBP

Question 2

treatment for respiratory alkalosis

Answer 2

breath into paper bag/rebreather mask

Question 3

treatment for respiratory acidosis

Answer 3

give O2, bronchodilator

Question 4

treatment for metabolic acidosis

Answer 4

bicarbonate infusion

Question 5

treatment for metabilic alkalosis

Answer 5

give meds to reduce

Question 6

how long to hold postural drainage for

Answer 6

5-10 mins

Question 7

where is lingula of lung

Answer 7

Left middle, medial

Question 8

postural drainage position for basal/lower lungs

Answer 8

trendelenburg raised 18in

Question 9

postural drainage position for middle lobes

Answer 9

trendelenburg raised 12 in

Question 10

postural drainage position for superior segments of lower lobe

Answer 10

prone lying with 2 pillows under pelvis

Question 11

postural drainage position for posterior apical segments of upper lobes

Answer 11

sitting in chair, leaning forward over folded pillow

Question 12

postural drainage position for anterior segments of upper lobes

Answer 12

supine lying on bed with pillows under knees

Question 13

postural drainage position for upper lobe, anterior apical segment

Answer 13

reclined, leaning slightly back

Question 14

hemoptysis

Answer 14

hemoptysis=discharge of blood/bloody mucus coming from bronchi, larynx, trachea, and lungs
- relative contra for postural drainage

Question 15

precautions for postural drainage

Answer 15

• hemoptysis
• massive obesity
• massive ascites
• pulm edema
• large pleural effusion

Question 16

relative contraindications

Answer 16

• increased ICP
• hemodynamically unstable
• recent esophageal anastomosis
• recent spinal fusion or injury
• recent head trauma
• diaphragmatic hernia

Question 17

how to predict HR

Answer 17

220-age
- see how percentages of that number is for % of HR max

Question 18

when to use 50-60% of HR max

Answer 18

if cardiac condition, obesity or comorbidity

Question 19

when to usually start exercise perscription % of HR max

Answer 19

60-70%

Question 20

When to terminate exercise

Answer 20

• extreme diaphoresis, angina, dyspnea, excessive fatigue, severe leg claudication, pallor, ataxia, pulm rales, onset of 3rd heart sound
• RR >40
• SBP >240, or drop 20
• DBP >110
• ## heart rate - too rapid increase or decrease with ex

Question 21

when can you do resistance training after CABP

Answer 21

8 wks

Question 22

when can you do resistance training afterMI

Answer 22

5 wks

Question 23

when can you do resistance training after PTCA

Answer 23

PTCA-transluminal coronary angioplasty
- to see if theres blockage
- 2 wks

Question 24

phase I/II cardiac rehab

Answer 24

• I: monitoring/acute phase
• II: subacute/conditioning phase
• F: 2-3x/day
• I: 50-70% HR Max
• T: 10-15 min (phase 1), 30 min (phase 2)
• T: ADLS, ambulation

Question 25

phase III cardiac rehab

Answer 25

• training phase
• F: 2-3x/wk
• I: 70-85% HR max
  T: 30-60mins with 5-10 min warmup/down
  T: aerobic, light strength training (1-2lbs, 30-50% 1RM with light resistance bands), want for UE resistance until scars heal

Question 26

phase IV cardiac rehab

Answer 26

• aka maintenance period
• at clinic or community centers
• F: 3-4x/wk
  -I: 50-85% of activity tolerance
• T: 45min+
• discharge 6-12 months

Question 27

weight loss guidelines for obesity

Answer 27

F: >5 days/wk
I: 40-60% HR max, progress to >60%
T: 45-60mins
T: moderate ex: aerobic, resistance training, flexibility