Cardiopulmonary Part Seven Flashcards

1
Q

what is rate pressure product

A

the product of systolic BP and HR

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2
Q

average exercise frequency, intensities, and METs

A

3-5 sessions/week

moderate intensities/duration

> 5 METs

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3
Q

what is rating of perceived exertion (RPE)

A

subjective rating of feelings during exercise and impending fatigue

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4
Q

when should systolic BP rise

A

increasing workloads and VO2

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5
Q

when are resistive exercises usually prescribed

A

later rehab after a period of aerobic conditioning

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6
Q

for Phase I inpatient cardiac rehab, when is return to indepencence and ADLs initiated

A

24 hours (or until theyre stable for 24 hours)

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7
Q

what is transtelephonic EKG monitoring

A

used to monitor patients as they exercise at home

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8
Q

when does HR plateau in exercise

A

before maximal oxygen uptake

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9
Q

for exercise, what are absolute indications

A

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

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10
Q

how many METs for daily/multiple daily sessions for low intensity

A

under 5 METs

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11
Q

what is ambulatory monitoring (telemetry)

A

continuous 24-hour EKG monitoring

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12
Q

the category-ratio scale interpretation

A

scored 1-10

0 = nothing at all

5 = strong

10 = extremely strong

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13
Q

how is VO2 max with arm ergonometry compared to leg ergometry

A

lower VO2 max with arm ergometry

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14
Q

at discharge of Phase I cardiac inpatient rehab, what METs should be used

A

over or equal to 5 METs

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15
Q

early rehabilitation for exercise prescription: activity should be…

A

discontinous (interval training) with frequent rest periods

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16
Q

how does HR increase linearly

A

a function of increasing workload and oxygen uptake

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17
Q

____ % of HR max corresponds to __% of functional capacity or VO2 max

A

70-85% HR max

corresponds to

60-80% functional capacity or VO2 max

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18
Q

intensity used for resistive exercise prescription

A

moderate: 60-80% of 1 rep

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19
Q

exercise prescription for post-PTCA (percutaneous transluminal coronary angioplasty)

A

wait to exercise vigorously 2 weeks post-PTCA (to allow inflammatory process to subside)

walking program initiated immediately

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20
Q

severely compromised individuals may benefit from… (regarding conditioning)

A

multiple, short exercise sessions spaced throughout the day

3-10 minute sessions

21
Q

who is RPE especially used for

A

people who don’t exhibit the typical rise in HR (patients on medications that depress HR (beta-blockers))

22
Q

what is a MET equal to

A

3.5 mL/kg per minute

23
Q

for moderate intensity exercise, what is average conditioning time

A

20-30 minutes

24
Q

increased myocardial oxygen consumption (MVO2) indicates

A

increased coronary blood flow

25
Q

what happens to EKG in exercise in healthy person

A

reduced R wave

increased Q wave

26
Q

EKG changes with exercise for someone with CAD

A

significant tachycardia (occurs at lower level of exercise)

exertional arrhythmias (increased frequencies)

ST segment depression (horizontal or downsloping depression greater than 1 mm)

27
Q

RPE is measured between…

A

6-20

28
Q

max HR AND METs post-MI for Phase 1 Inpatient Cardiac Rehab

for how long

A

70% max HR/5 METs

6 weeks post-MI

29
Q

with increasing workloads, what should happen to diastolic BP

A

should remain the same

30
Q

is abrupt beginning or cessation of exercise recommended

A

no

31
Q

maximal oxygen uptake AKA

A

VO2 max

32
Q

an ST segment depression more than 1 mm below baseline indicates

A

MI

33
Q

how long should warm up and cool downs be

A

5-10 minutes

34
Q

exercise prescription post CABG

A

limit UE exercise while sternal incision is healing

avoid lifting, pushing, pulling for 4-6 weeks post surg

35
Q

purpose of the category-ratio scale

A

rates exercise intensity

36
Q

are exertional arrhythmias normal during exericse

A

yes

37
Q

what does Valsalva do to BP and work of heart

A

dramatic increase in BP

increased work of heart

38
Q

what does gradually increasing/decreasing intensity of exercise do to the body

A

promote circulatory and muscular adjustment to exercise

39
Q

what does beta blocking affect

A

ability of HR to rise in response to exercise stress

40
Q

typical exercise intensity is __%-___% of functional capacity

A

60-80

41
Q

minimal METs to promote endurance

A

5-6 METs

42
Q

what is a MET

A

the amount of oxygen consumed at rest

43
Q

what do pacemakers affect

A

the ability of HR to rise in response to an exercise stress if it is fixed

44
Q

how many METs for Phase I Cardiac Inpatient Rehab TO START

A

2-3 METs

45
Q

heart rate range or reserve can more closely approximate the relationship between…

A

HR and VO2 max

46
Q

cardiovascular effects with arm egometry compared to low ergometry

A

higher HR

lower SV

higher sytolic and diastolic BP

47
Q

resistive exercises are contraindicated with

A

uncontrolled HTN

arrhythmias

48
Q

for uncomplicated MI, how long is hospital stay

A

3-5 days

49
Q

oxygen uptake AKA

A

VO2