Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

618 Phys Dys 2 Quiz1 > Cardiopulmonary Rehabilitation > Flashcards

Cardiopulmonary Rehabilitation Flashcards

1
Q

Pain or pressure radiating to jaw, teeth, arm or midback

A

Acute coronary syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lack of blood flow leading to tissue death (heart attack)

A

Myocardial Infarction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Heart muscle is stretched beyond ability to contract; ineffective pump

A

Congestive Heart Failure (CHF)

Usually a chronic condition. Pt.’s have specialized diets (i.e. low sodium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Secondary effects of CHF

A

Edema (in LE), SOB, fatigue, cough or SOB in side lying.

Pt.’s should be weighing themselves daily, if there is a 3lb increase they need to call the Dr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Enlarged heart, decreased pumping & leads to CHF

A

Cardiomyopathy

75% of cases are dilated

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Abnormal heart rhythm which usually leads to CHF

A 
Artial fibrillation (afib) 
Afib= increase in clot production
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

high blood pressure d/t narrowing of blood vessels

A

Hypertension (HTN)
Systolic 140
Dystolic >90

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Congestive Heart Failure: Overview

A

Coronary artery disease or coronary heart disease (CAD or CHD): buildup of plaque on wall vessels
Diuretics = increase in urination & increased fall risk due to frequency & urgency of bathroom trips
Digitals
Heart transplant
Decreased salt and fluid intake

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Cardiac Catheterization

A

Insert tube and dye into the heart muscle to elevate blood pumping (?)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Angioplasty & stent placement

A

Mini step before CABG by pass

Pushes plaque against vessel wall to decrease Bp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Bypass Surgery or CABG : Overview

A

Open heart procedure
Transfer of donor vein- usually great saphenous from LE
Sternomoty precautions for 6-8 weeks following

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Sternotomy Precautions

A 
No pushing or pulling 
No lifting anything greater than 5lbs 
No sh flexion greater than 90 degrees 
No UE retraction
Holf pillow when coughing 
No driving
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pacemaker : Overview

A

Creates artificial action potential
Control arrhythmia
SA node disorders- bradycardia
AV nodes disorders: tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Ventricular Assistive Device (VAD): Definition

A

May be a left (LVAD), right (RVAD), or both (BiVad)

For end-stage heart disease as a bridge to heart transplant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

VAD Function

A

Produces continuous flow of blood

  • No pulse, hard to get BP read
  • Must be careful of driveline or power source
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

VAD precautions

A 
No driving, No contact sports 
No pregnancy, No bike riding 
No showers w/o clerance & bag 
No swimming, no static, no vacuming 
Sternotomy precautions for 6-8 weeks 
No touch screen on computer or tv monitor 
Not chest compressions unless unit stop
Avoid magnets and metal detectors 
No MRI 
Avoid exposure to infections
17
Q

Theracotomy : Overview

A

Incision to chest to Tx

  • Artificial airway
  • Daohragm, esophagus, kidneys, lung
  • liver, spleen
18
Q

Anestheisa: Phrenic N. Irritation/Compression

A

Decreased diaphragm contraction
Several days duration
O2 decreased hypoxemia
Confusion & mental effects can be long lasting

19
Q

Narcotics

A

Interruption of normal breathing & HR

Causes alveoli collapse

20
Q

Post - Op ICU : Overview

A 
Mobility 
Positioning 
Endurance 
Light ADL's 
Incentive spirometer
21
Q

Metabolic Equivalent Level

A

Unit of measure of oxygen that body needs for a given activity
Used in cardiac rehab to determine activity tolerance during recovery
1 MET = 3.5 ML/02/min/kg body weight = oxygen consumption at rest

22
Q

Cardiac Rehab : Candidates

A 
Post MI 
Post CABG 
Poor ventricular fxn
Cardiomyopathmy 
Cardiac transplant 
Elderly - deconditioned 
Assymptomatic at risk population 
Pt.s have to be stable and beyond the point of sternal precautions
23
Q

Phases of Cardiac Rehab

A

Phase 1: Acute
Phase 2: Out pt. or home health (4x weekly typically out pt. )
Phase 3: Community program (i.e. smoking programs)
Phase 4: Maintenance

24
Q

Non Candidates for cardiac rehab

A

Overt CHF
Unstable agina=chest pain
Serious arrythmia
Uncontrolled HTN

25
Q

Benefits of cardiac rehab

A 
Weight loss 
Decreased lipid levels 
Elevation of HDL
Decreased BP 
Increased Glucose
26
Q

Exercise guidelines

A 
HR : 20-30 bpm above resting 
BP: 15-20 mmHG from resting 
Monitor SOB, dizziness, chest pain, nausea, diaphoresis (i.e. sweating and clammy feeling), fatigue  
Check vitals regularly 
Give frequent and regular rest breaks 
Move slowly 
Work w/in MET levels prescribed
27
Q

Exercises Precautions

A 
DVT (appears in calf: redness & swelling) 
Unstable angina 
Increased BP 
Uncontrolled arrythmia (blood clot) 
Active pericarditis 
Temp of 100 or more 
No isometices (breath holding and increase in BP)
No valSalva
No UE overhead 
No lateral UE ex. 
Sternal Precautions
 No driving
28
Q

Pulmonary Dysfunction (COPD) : overview

A

Progressive and irreversible destruction of alveolar walls
Lungs lose elasticity and air is trapped
Decrease airflow during expiration; lung cannot shrink
Result of chronic bronchitis & emphysema
#5 cause of death
Use of Borg Scale

29
Q

Respiratory Arrest

A

May be related to recent surgical procedure, frail health or complex co-morbidities
May lead to anoxia and decline in cognitive processes

30
Q

OT Eval & Tx

A

UE function: limited to 90 degress FF
ADL performance
Home safety accessibility
Endurance: stanima to do daily tasks: use of energy conservation and pacing
Strength: No MMT: look at it in terms of function (i.e. walking to the bathroom)
Cognition and insight into limitations
Vocational abilities
Incorporation of precautions (sternotomy) into ADL’s

31
Q

Occupational therapy Eval & Tx : Continued

A 
Pt. self monitoring & Pacing: Recognize when they are SOB, know how to follow sternal precautions 
Psychosocial 
Caregiver education
Community re-entry 
pt. education

618 Phys Dys 2 Quiz1 (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions