Cardiopulmonary Part Seven Flashcards
what is rate pressure product
the product of systolic BP and HR
average exercise frequency, intensities, and METs
3-5 sessions/week
moderate intensities/duration
> 5 METs
what is rating of perceived exertion (RPE)
subjective rating of feelings during exercise and impending fatigue
when should systolic BP rise
increasing workloads and VO2
when are resistive exercises usually prescribed
later rehab after a period of aerobic conditioning
for Phase I inpatient cardiac rehab, when is return to indepencence and ADLs initiated
24 hours (or until theyre stable for 24 hours)
what is transtelephonic EKG monitoring
used to monitor patients as they exercise at home
when does HR plateau in exercise
before maximal oxygen uptake
for exercise, what are absolute indications
drop in systolic over 10 mmHG with increased workload
moderate/severe angina
increasing nervous system symptoms (ataxia, dizziness, near syncope)
signs of poor perfusion
technical difficulties in monitoring EKG
subject’s desire to stop
sustained VT
ST elevation over 1.0mm
how many METs for daily/multiple daily sessions for low intensity
under 5 METs
what is ambulatory monitoring (telemetry)
continuous 24-hour EKG monitoring
the category-ratio scale interpretation
scored 1-10
0 = nothing at all
5 = strong
10 = extremely strong
how is VO2 max with arm ergonometry compared to leg ergometry
lower VO2 max with arm ergometry
at discharge of Phase I cardiac inpatient rehab, what METs should be used
over or equal to 5 METs
early rehabilitation for exercise prescription: activity should be…
discontinous (interval training) with frequent rest periods
how does HR increase linearly
a function of increasing workload and oxygen uptake
____ % of HR max corresponds to __% of functional capacity or VO2 max
70-85% HR max
corresponds to
60-80% functional capacity or VO2 max
intensity used for resistive exercise prescription
moderate: 60-80% of 1 rep
exercise prescription for post-PTCA (percutaneous transluminal coronary angioplasty)
wait to exercise vigorously 2 weeks post-PTCA (to allow inflammatory process to subside)
walking program initiated immediately