Cardiovascular Diseases 2

Question 1

Can someone mobilize after an Saphenous Vein Graft?

Answer 1

No mobility and leg exercs until doctors notice

Question 2

How many months after CABG surgery can someone perform mod/heavy resistance training?

Answer 2

3months

Question 3

What is the timeline for sternum precautions?

Answer 3

6-8weeks to heal

Question 4

Cite 5 precautions for Sternal surg…

Answer 4

-no push
-no pulling
-no lifting one arm above 90
-no hand behind back
-no lifting 5lbs for 6 weeks

Question 5

What is the most common type of mechanical ventilation?

Answer 5

Positive pressure: which forces air into the lungs.
Ex: enchendo um balao.

Question 6

What is the indication for positive mechanical ventilation?

Answer 6

If the inspiratory mm are weak

Question 7

What are the two types of mechanical ventilation?

Answer 7

1-Invasive( intubation)
2-non invasive

Question 8

What are the types of invasive mechanical ventilation?

Answer 8

Endotracheal tub (nose or mouth)

Or

Tracheostomy

Question 9

What are the types of non invasive mechanical ventilation?

Answer 9

Nasal mask ( only over nose)

Complete face mask (over nose and mouth)

Question 10

What are some indications for mechanical ventilation?

Answer 10

Severe hypo ventilation,hypoxia,hypoxemia
Apnea
PaO2 leas then 50mmhg w suplemental oxygen

Question 11

What are the thpes of mechanical ventilation breaths?

Answer 11

Mandatory
Assisted
Spontaneous

Question 12

How is the mechanical ventilation breath- mandatory type?

Answer 12

Ventilation is initiated,controlled and ended by the ventilator.

Question 13

How is the mechanical ventilation breath- assisted type?

Answer 13

Ventilation initiated by the pt but controlled and ended by the ventilator

Question 14

How is the mechanical ventilation breath- spontaneous type?

Answer 14

Ventilation is initiated,controlled and ended by the pt but the volume and pressure of the breath delivery by the ventilator is based on pt demand.

Question 15

How does the Continuous Mandatory ventilation works?

Answer 15

Tidal volume and present resp rate delivery by the ventilator.
Ventilator provides TOTAL support. Pt has no control

Question 16

How does the Assist Control ventilation works?

Answer 16

Tidal volume and minimum number of mandatory breaths per min delivery by the ventilator. It will deliver a minimum min ventilation.

Pt is able to initiate inspiration but still receive preset tidal volume.

If the pt does not initiate a breath within a specific time period, the ventilator will deliver a breath to maintain the resp rate

Question 17

How does the Synchronized intermittent mandatory ventilation works?

Answer 17

Preset mandatory tidal volume and resp rate delivery by ventilator.

Pt is able to breath spontaneously between ventilator breaths

Spontaneous patient -initiated breaths are synchronized w ventilador breaths.

Question 18

How does the CPAP-Continous positive airway pressure works?

Answer 18

Pt spontaneous breaths are augmented w a predetermined level of positive pressure delivery throughout the entire resp cycle

Question 19

What is PEEP?

Answer 19

Positive end expiratory pressure

A positive pressure is applied to the lung at the end of the expiratory phase of ventilation.

Helps keep alveoli open during exp

Question 20

How does the weaning of mechanical ventilation works?

Answer 20

A spontaneous breathing trial while being closely monitored .
Doctor/nurse/RT make the call to weaning pt off the ventilator

Question 21

How many METS are allowed on Phase 1 of cardiac rehab?

Answer 21

Up to 4METS