Cardiopulmonary & Respiratory Flashcards
General MET rules
Cardiac care unit: 1-2 mets
6 week healing period: 2-4 mets
1.0 - 1.4 MET
Stage 1
Sitting
Self-feeding, washing hands, bed mobility, table games, exercises in supine (neck and LE seated)
1.4 - 2.0 MET
Stage 2
Sitting
Dressing, seated sponge bathing, slow ambulation in room, seated exercises, seated crafts
2.0 - 3.0 MET
Stage 3
Sitting to standing
Seated shower, w/c mobility, brief standing, limited walking, light chores, light stationary bike
3.0 - 3.5 MET
Stage 4
Standing
Standing warm shower, unlimited walking, less than 2 flights stairs, light chores, mild resistance exercise, treadmill 6 mph
4.0 - 4.5 MET
Stage 5
Standing
Walking with stairs as tolerated, medium chores, 7-10 lb. weights with increased weights and increased treadmill
4.1+ MET
Standing
Standing hot shower, most chores and increased exercise (sex at 5)
5-7 MET
Brisk walking
Lifting 50-100#
7-10 MET
Jogging (7-8)
Running (8-9)
Stable angina
Chest pain that resolves with rest and nitroglycerin or both
Unstable angina
Chest pain that does not resolve with rest or nitroglycerin and requires emergency tx
Asthma
Hyper-inflated lungs and inflamed airways that expand over rib cage and can make it difficult to breath, barrel chest presentation
Cystic fibrosis
Airways fill with thick mucus making it difficulty to breath and causing damage to lungs and other organs, yellow/orange tint to skin
Cardiomyopathy
Disease of the heart where pumping blood to rest of body can be difficulty which can lead to heart failure, SOB, LE swelling, abdomen bloating
Myocardial infaction
Decreased or complete cessation of blood flow to the myocardium
Emphysema
Type of COPD that causes gradual damage of lung tissue and alveoli resulting in increased RR and pinkish skin coloration
Collapsed lung
Occurs with air escapes from the lung and fills the space outside the lung between the lung and chest wall putting pressure on the lung and ability to expand
Cirrhosis of liver
liver scarring and damage that can result in liver failure often due to alcohol abuse or hepatitis, yellow/orange tint to skin, gastro bleeding, swollen abdomen
Chronic bronchitis
Type of COPD causing long term inflammation of bronchi that is common in smokers and results in poor oxygenations, cyanosis, edema, increased infection risk
Congestive heart failure
Mechanical heart problem impacting ability to fill heart with blood and decreased ability to contract over time
Right sided: blood flows back into venous system causing cyanotic nail beds, jaundice, edema
Left sided: blood floes back into the lung causing difficulty breathing, anxiety and cerebral hypoxia
Aortic stenosis
Aortic valve narrows and blood cannot flow normally
Aortic insufficiency
Aortic heart value no longer functions adequately to control flow of blood from left ventricle into aorta
COPD
Group of diseases that cause airflow blockage and breathing-related problems resulting in SOB and chronic cough
COPD strategies
Pursed lip breathing
Exhale on exertion
Energy conservation
