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TherapyEd > Cardiovascular Part Eight > Flashcards

Cardiovascular Part Eight Flashcards

1
Q

for vasospastic disease, what drugs are indicated

A

calcium channel blockers

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2
Q

secondary lymphedema is common after

A

after surgery for breast or cervical cancer

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3
Q

for pacemakers, is HR set at a lower or upper limit

A

lower

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4
Q

following cardiac surgery, when can UE and LE exercise resume

A

LE: immediately

UE: until soft tissue and bony healing has occurred after 6-8 weeks

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5
Q

what stage of lymphedema has a positive stemmers sign

A

stage 2

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6
Q

what is lymphangitis

A

an acute bacterial or viral infection that spreads throughout the lymphatic system

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7
Q

frequency and duration of exercise for Phase II cardiac rehab program

A

freq: 2-3 sessions/week
duration: 30-60 minutes (5-10 minutes of warmup/cool down)

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8
Q

what should RPE be for perceived exertion with resistive training

A

11-13

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9
Q

how many METs are for ADLs

A

5 METs

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10
Q

travel of lymph

A

lymphatic capillaries

lymphatic vessels

large lymphatic ducts (right lymphatic duct, thoracic duct)

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11
Q

all stages of Lymphedema

A

Stage 0: at risk, swelling is not yet evident despite reduced transport capacity of the system

Stage 1: reversible, early accumulation of fluid with visible swelling (pitting edema resolves with elevation)

Stage 2: spontaneously irreversible, increase in swelling.. elevation doesn’t reduce swelling

Stage 3: elephantitis; fibrotic deep skinfolds, skin may change color, skin changes limit mobility

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12
Q

lymphadenopathy is caused by

A

infection

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13
Q

ambulation time for HEP post-MI (Phase I)

A

20-30 min

1-2 times per day

4-6 weeks

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14
Q

what are Modified Buerger-Allen exercises

A

postural exercises plus active plantar and dorsiflexion of the ankle

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15
Q

compression pump therapy for CVI parameters

A

1-2 hour sessions

twice daily

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16
Q

for chronic venous insufficiency, how should LEs be positioned at rest

A

18 cm above heart

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17
Q

for chronic venous insufficiency, what should the pressure of graduated compression stockings be

A

30-40mmHg

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18
Q

Unna boot is good for…

A

chronic venous insufficiency

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19
Q

appropriate type of bandages for lymphedema

A

low resting

high working pressure

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20
Q

following cardiac transplant, where is decreased strength where

A

LEs

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21
Q

how to interpret Stemmer’s sign

A

positive: if the skin can’t be lifted but only grasped as a lump of tissue

22
Q

entry level criteria for Phase 3 cardiac training program

A

functional cpacity of 5 METs

clinically stable angina

medically controlled arrhythmias during exercise

23
Q

what type of lymphedema is common after surgery for breast/cervical cancer

A

secondary lympedema

24
Q

what should intensity be for PAD walking program

A

patient reports 1 on claudication scale within 3-5 minutes

25
Q

what temperatures should be avoided for lymphedema

A

no temperatures above 102 degrees (hot tubs/saunas)

extreme cold

26
Q

what stage of lymphedema is stemmer’s sign negative

A

stage 1

27
Q

most effective method of increasing LE blood flow

A

resistive calf exercises

28
Q

what is lymphedema

A

chronic disorder characterized by excessive accumulation of lymph fluid due to mechanical insufficiency (obstruction of lymph flow or removal of lymph nodes)

29
Q

ABI below ___ is a red flag for CVI exercise

A

less than 0.8

30
Q

for right sided lymphedema, where should complete decongestive therapy begin

A

proximal segments at the right lymphatic duct

31
Q

what is lymphadenopathy

A

enlargement of lymph nodes, with or without tenderness

32
Q

what type of massage is used for complete decongestive therapy for lymphedema

A

effleurage

33
Q

what are paste bandages/Unna boot

A

gauze impregnated with zinc oxide, gelatin, glycerin

applied for 4-7 days

34
Q

when should PAD walking program resolve

A

if they reach a 2

35
Q

following cardiac transplant, what are side effects from immunosuppresive drug therapy

A

hyperlipidemia

HTN

obesity

diabetes

leg cramps

36
Q

red streaks on the skin (proximal to the infection site) are commonly seen with what disease

A

lymphangitis

37
Q

4 lymph organs

A

spleen

tonsils

thymus

bone marrow

38
Q

for left sided lymphedema/torso, where should complete decongestive therapy begin

A

thoracic duct

39
Q

when will AICDs deliver an electric shock

A

if HR exceeds set limit

or

ventricular arrhythmia is detected

40
Q

what should pressure be at the ankle for graded compression stockings

A

30 mmHg pressure at ankle

41
Q

difference between primary and secondary lymphedema

A

primary: congenital or hereditary disorder with abnormal lymph node or lymph vessel formation
secondary: acquired insult to the lymphatic system

42
Q

for postsurgical patients (cardiovascular), how long are lifting activities restricted for

A

6 weeks

43
Q

for resistance training, how should it be initiated

A

low resistance (one set of 10-15 repetitions)

44
Q

what stage of lymphedema does elevation not reduce swelling

A

stage 2

45
Q

procedure of Stemmer’s sign

A

thickened fold of skin at the base of the 2nd toe or 2nd finger

46
Q

fixed rate pacers; what happens to heart rate

A

it doesn’t change

47
Q

suggested exit point for Phase II cardiac rehab

A

9 METs

48
Q

what is filariasis

A

mosquito-borne illness

49
Q

for lymphedema, high-stretch or low-stretch bandages?

A

short-stretch

50
Q

filariasis can cause…

A

secondary lymphedema

TherapyEd (81 decks)

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