Chapter 5 Participation Health Screening Flashcards
Individuals with these underlying cardiovascular diseases (CVD) are at the greatest risk for what two cardiac events when performing moderate to vigorous activities?
1 Acute Myocardial Infarction (AMI)
2 Sudden Cardiac Death (SCD)
Health screening process is based on three factors:
1 Individual’s current level of physical activity
2 Diagnosed cardiovascular, metabolic, or renal disease
3 Desired exercise intensity
Goal of the Health Screening process:
1 Who should get a medical clearance before starting an new exercise program
2 Who should be monitored while participating in a medically supervised exercise program with significant disease(s)
3 Who does not need medical clearance with existing medical conditions
Ischemia
Decrease in blood supply to an organ, tissue, or part due to blood vessel constriction/obstruction
Clients that DO NOT participate in regular exercise, medical clearance is recommended when:
Client HAS cardiovascular, metabolic, or renal disease(s) or signs/symptoms to suggest so
Clients that DO participate in regular exercise, medical clearance is recommended when:
Client has signs/symptoms to suggest cardiovascular, metabolic, or renal disease(s)
Client has history of cardiovascular, metabolic, or renal disease and want to progress to vigorous intensity
dyspnea
Shortness of breath at rest with mild exertion
syncope
Dizziness
What are some additional forms?
Agreement to participate
Informed Consent
Lifestyle and Health History
Medical Release (if needed to participate)
Beta Blockers
Block epinephrine and norepinendrine and reduce HR
Calcium Channel Blockers
Prevent calcium dependent contraction of the smooth muscle in the arteries causing them to dilate. May reduce, increase or have no effect of on HR
ACE Inhibitors
block an enzyme secreted by the kidneys to prevent constriction of the blood vessels. Should not affect HR but will decrease BP.
Diuretics
Medication that increase the excretion of water and electrolytes. May cause electrolyte imbalances and easily dehydrate. No primary effect on the HR
Bronchodialators
Asthma medications that open the airways in the lungs. Increase exercise capacity and have minimal effect on HR/BP.