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FF: cardio content > class 8 : cardio interventions > Flashcards

class 8 : cardio interventions Flashcards

1
Q

what is postural drainage

A

Bronchus of the involved lung segment is perpendicular to the ground

using gravity, these positions assist the mucociliary transport system in
removing excessive secretions from the tree.

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2
Q

what are the indication for postural drainage

A
  • Pulmonary complications
  • Weak/elderly patients
  • Atelectasis, pneumonia, COPD
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3
Q

how long should you maintain postural drainage positions

A

Maintain each position for 5-to-10 minutes

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4
Q

how do we clear the secreations following postural drainage

A

Secretions cleared by coughing or suctioning

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5
Q

what do beta blockers end with

A

LOL

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6
Q

what is the function of beta blockers

A

low the heart rate and reduce blood pressure by blocking the effects of hormones like adrenaline and noradrenaline

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7
Q

prone lying (two pillows under the pelvis) - postural drainage

A

superior segments of the lower lobes

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8
Q

sitting in a chair (leaning forward over a folded pillow) - postural drainage

A

posterior apical segments of the upper lobes

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9
Q

supine lying - postural drainage

A

anterior segments of the upper lobes

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10
Q

sitting in a recliner, leaning backwards - postural drainage

A

anterior apical segments of the upper lobes

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11
Q

Precautions to postural drainage

A
  • Pulmonary edema
  • Hemoptysis
  • Massive obesity
  • Large pleural effusion
  • Massive ascites
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12
Q

does the right or left lung have 3 lobes

A

the right lung has 3 lobes

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13
Q

what is Hemoptysis

A

coughing up blood or bloody mucus from the respiratory tract

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14
Q

Relative Contraindications to postural drainage

A
  • Increased intracranial pressure
  • Hemodynamically unstable
  • Recent esophageal anastomosis
  • Recent spinal fusion or injury
  • Recent head trauma
  • Diaphragmatic hernia
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15
Q

what is Massive ascites

A

a severe accumulation of fluid in the abdomen that can cause pain, discomfort, and difficulty moving

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16
Q

why do COPD pt’s have elevated shoulder girdle

A

they are using their accessory muscle to breath

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17
Q

what is esophageal anastomosis

A

a surgical procedure that reconnects the digestive tract after an esophagectomy

18
Q

what is HR Max

A

220 - age

19
Q

what is Heart rate reserve

A

the difference between your maximum heart rate and your resting heart rate

20
Q

Exercise Hypertension

A
  • SBP: >240 mmHg
  • DBP:>110 mm Hg or until controlled
21
Q

Systolic Hypotension

A
  • > 20 mm Hg drop from
    upright resting SBP
22
Q

what is an Unusual heart
response

A
  • Too rapid increase in HR
  • Failure to increase in HR
  • Decrease in HR with increased exercise intensity/duration
23
Q

ECG abnormalities

A
  • second- or third-degree heart block
  • Onset of right or left bundle branch block
  • Acute ST changes
24
Q

I- Acute: Monitoring

A

timeline: When patient is
medically stable

exercise prescription: Patient education, and hemodynamic
and ECG monitoring

25
Q

II- Subacute: Conditioning

A

timeline: As early as 24hr after discharge up to 6 weeks

exercise prescription: 50% to 70% of
HRmax

26
Q

III- Training: Intensive
rehab

A

timeline: ~5-6 weeks from discharge
extends indefinitely

exercise prescription: 70%-to-85%
Resistance training begins here

27
Q

IV- Conditioning: Maintenance
or prevention

A

timeline: Lasts up to 6-12
months

exercise prescription: Patient who are at high risk for infarction and patient
who wish to continue under supervision of trained personnel

28
Q

what is the function of ECG

A

measures the heart’s electrical activity and is used to assess the heart’s health

29
Q

Phase I & II do we do resistance training

A

No resistance training.

30
Q

Phase I & II: FITT principle

A
  • F - Short sessions 2-3 times a day
  • I - 50%-70% HR max
  • T - 10-15 mins (phase I) and 30 mins (phase II) per session
  • T - ADLs, supervised ambulation
31
Q

to clear the right lobe do you lay on the right or left side

A

left side

32
Q

Phase III - what do we do

A
  • Begin with the use of elastic bands and light hand weights
    (1-3 pounds) or 30-50% of max weight used to complete 1RM
  • Begin with 8-10 reps, progress to 12-15 reps
  • Avoid upper extremity resistance as soft tissue is still healing
33
Q

Phase IV - location

A

Community centers, YMCA, or clinical facilities

34
Q

Phase IV - Exercise

A

Clinically stable angina, medically controlled arrhythmias
during exercise

35
Q

Phase IV - Progression:

A

50-85% of functional capacity, 3-4/week, 45 minutes
or more/session

36
Q

Phase IV - Discharge:

A

Typically, 6-12 months

37
Q

freq for weight loss

A

Greater than 5 days/week

38
Q

intesity and time for Weight Reduction Guidelines

A

40-60% V02

45-60 min/day

39
Q

pt with no comorbidites what HRmax can we go to

A

70-80% of HRmax

40
Q

older pt with no comorbidities what HRmax can we go to

A

60-70%

41
Q

pt with comorbidities - HR max

A

50-70%

42
Q

what is diaphoresis

A

excessive sweating that’s not caused by physical activity or hot temperatures

FF: cardio content (11 decks)

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