Cardiovascular Part Eight Flashcards
for vasospastic disease, what drugs are indicated
calcium channel blockers
secondary lymphedema is common after
after surgery for breast or cervical cancer
for pacemakers, is HR set at a lower or upper limit
lower
following cardiac surgery, when can UE and LE exercise resume
LE: immediately
UE: until soft tissue and bony healing has occurred after 6-8 weeks
what stage of lymphedema has a positive stemmers sign
stage 2
what is lymphangitis
an acute bacterial or viral infection that spreads throughout the lymphatic system
frequency and duration of exercise for Phase II cardiac rehab program
freq: 2-3 sessions/week
duration: 30-60 minutes (5-10 minutes of warmup/cool down)
what should RPE be for perceived exertion with resistive training
11-13
how many METs are for ADLs
5 METs
travel of lymph
lymphatic capillaries
lymphatic vessels
large lymphatic ducts (right lymphatic duct, thoracic duct)
all stages of Lymphedema
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
lymphadenopathy is caused by
infection
ambulation time for HEP post-MI (Phase I)
20-30 min
1-2 times per day
4-6 weeks
what are Modified Buerger-Allen exercises
postural exercises plus active plantar and dorsiflexion of the ankle
compression pump therapy for CVI parameters
1-2 hour sessions
twice daily
for chronic venous insufficiency, how should LEs be positioned at rest
18 cm above heart
for chronic venous insufficiency, what should the pressure of graduated compression stockings be
30-40mmHg
Unna boot is good for…
chronic venous insufficiency
appropriate type of bandages for lymphedema
low resting
high working pressure
following cardiac transplant, where is decreased strength where
LEs
how to interpret Stemmer’s sign
positive: if the skin can’t be lifted but only grasped as a lump of tissue
entry level criteria for Phase 3 cardiac training program
functional cpacity of 5 METs
clinically stable angina
medically controlled arrhythmias during exercise
what type of lymphedema is common after surgery for breast/cervical cancer
secondary lympedema
what should intensity be for PAD walking program
patient reports 1 on claudication scale within 3-5 minutes
what temperatures should be avoided for lymphedema
no temperatures above 102 degrees (hot tubs/saunas)
extreme cold
what stage of lymphedema is stemmer’s sign negative
stage 1
most effective method of increasing LE blood flow
resistive calf exercises
what is lymphedema
chronic disorder characterized by excessive accumulation of lymph fluid due to mechanical insufficiency (obstruction of lymph flow or removal of lymph nodes)
ABI below ___ is a red flag for CVI exercise
less than 0.8
for right sided lymphedema, where should complete decongestive therapy begin
proximal segments at the right lymphatic duct
what is lymphadenopathy
enlargement of lymph nodes, with or without tenderness
what type of massage is used for complete decongestive therapy for lymphedema
effleurage
what are paste bandages/Unna boot
gauze impregnated with zinc oxide, gelatin, glycerin
applied for 4-7 days
when should PAD walking program resolve
if they reach a 2
following cardiac transplant, what are side effects from immunosuppresive drug therapy
hyperlipidemia
HTN
obesity
diabetes
leg cramps
red streaks on the skin (proximal to the infection site) are commonly seen with what disease
lymphangitis
4 lymph organs
spleen
tonsils
thymus
bone marrow
for left sided lymphedema/torso, where should complete decongestive therapy begin
thoracic duct
when will AICDs deliver an electric shock
if HR exceeds set limit
or
ventricular arrhythmia is detected
what should pressure be at the ankle for graded compression stockings
30 mmHg pressure at ankle
difference between primary and secondary lymphedema
primary: congenital or hereditary disorder with abnormal lymph node or lymph vessel formation
secondary: acquired insult to the lymphatic system
for postsurgical patients (cardiovascular), how long are lifting activities restricted for
6 weeks
for resistance training, how should it be initiated
low resistance (one set of 10-15 repetitions)
what stage of lymphedema does elevation not reduce swelling
stage 2
procedure of Stemmer’s sign
thickened fold of skin at the base of the 2nd toe or 2nd finger
fixed rate pacers; what happens to heart rate
it doesn’t change
suggested exit point for Phase II cardiac rehab
9 METs
what is filariasis
mosquito-borne illness
for lymphedema, high-stretch or low-stretch bandages?
short-stretch
filariasis can cause…
secondary lymphedema
