Brainscape's Knowledge GenomeTM

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


See full index

Cardiovascular > Cardiovascular and Pulmonary: Exercise Prescription > Flashcards

Cardiovascular and Pulmonary: Exercise Prescription Flashcards

1
Q

FITT Principle

A
  • Frequency
  • Intensity
  • Time
  • Type
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Type: Lower Extremity Cardiorespiratory Endurance

A
  • Recommended to improve exercise tolerance

- Can be maintained at a constant velocity

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

Type: Upper Body Ergomotor

A
  • Smaller muscle mass

- Lower VO2max (Than LE cardio)

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

Type: Upper Body Ergomotor: Vitals differences from Leg Ergometry

A
  • Higher Heart Rate
  • Lower Stroke Volume
  • Higher Systolic and Diastolic Blood Pressure
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Type: Early Rehab

A
  • Exercise should be discontinuous (Interval Training)
  • Frequent rest periods
  • Then progress to continuous training
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Type: Resistance Training

A
  • Typically incorporated in water stages of rehab following a period of aerobic conditioning.
  • Typically performed at 60-80% of a 1 or 10 RM
  • Rate pressure product is used to monitor response to exercise.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Type: Resistance Training: Red Flag: Valsalva Maneuver

A

Carefully monitor for Valsalva Maneuver which is:

- Forced exhalation against a closed airway

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

Type: Resistance Training: Red Flag: Valsalva Maneuver: Causes

A
  • Increase in BP and a reduction in stroke volume and cardiac output.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Type: Resistance Training: Red Flag: Valsalva Maneuver: Resistance exercise is contraindicated when

A
  • Patients have uncontrolled hypertension or arrhythmias
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Intensity: Heart Rate

A
  • HRmax has close correlation to 60-80% of functional capacity or VO2max
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Intensity: Heart Rate: Beta Blocker

A
  • Affects ability for HR and BP to rise in response to exercise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Intensity: Heart Rate: Pacemaker

A
  • Can affect the ability for HR to rise in response to an exercise if the pacemaker is fixed
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Intensity: Ratings of Perceived Exertion Scale (RPE)

A
  • May be helpful if patient is on a beta blocker when HR can not be used as a measure of intensity.
  • May not be appropriate for some populations
  • May not be effective for those who are not familiar with the scale
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Intensity: MET’s

A
  • 40-85% of a functional capacity achieved on ETT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Intensity: MET’s: Problems with using MET’s alone to prescribe intensity

A
  • High intensity activities must be performed in a discontinuous pattern
  • Metabolic cost of activity can be impacted by several factors making it in precise
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Time

A
  • Can range fro 10-60 min
  • Moderate intensity activity usually has a time duration of 20-30 min
  • Patients level of conditioning plays a critical role in determining time of activity
17
Q

Frequency

A
  • Dependent upon intensity and duration

- Low intensity+short duration=Greater frequency

18
Q

Frequency: Time+Intensity

A
  • Mod intensity=3-5 sessions per week (Greater than 5 MET’s)

- Low Intensity=Daily or multiple daily activities (Exercise less than 5 MET’s)

19
Q

Progression: Modify Activity if

A
  • HR does not meet target HR
  • RPE is lower than it typically is for a given exercise (indicating that patient feels the exercise is easier than it has been)
  • Patient no longer has ischemia at a given exercise intensity
20
Q

Exercise: Red Flag

A

Consider reduction in exercise if

  • Acute illness. fever, flu
  • Acute injury, orthopedic complications
  • Progression of cardiac disease
  • Edema
  • Weight gain
  • Unstable angina
  • Environmental stressors
21
Q

ACSM GUIDELINES: Red Flag: Exercise Termination

A
  • Diastolic BP greater than or equal to 110 mmHG
  • Decrease in systolic BP of greater than 10 mmHG during exercise
  • Significant ventricular or atrial dysrhythmias
  • Second or third degree AV block
  • Exercise Intolerance: Angina, Dyspnea
  • ECG changes indicative of ischemia
22
Q

Prescription: Post Percutaneous Trans-luminal angioplasty

A
  • Initiate a walking program immediately

- Wait to exercise vigorously approx 2 weeks post PTCA to allow inflammatory process to subside

23
Q

Prescription: Post Coronary Artery Bypass Graft

A
  • Limit upper extremity exercise while sternal incision is healing.
  • Avoid lifting, pushing, and pulling for four to 6 weeks post surgery

Cardiovascular (46 decks)

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