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Cardiopulmonary > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Phase I cardiac rehab:

A

Goal: make sure patient is safe/stable to go home

  • no signs/sx of activity intolerance during self-care ADLs and light exercise
  • self care activities
  • progressive ambulation
  • AROM exercise; flexibility
  • Patient education
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2
Q

adverse responses to exercise:

A
  • DBP >110 mm Hg
  • decrease in SBP >10 mm Hg
  • significant arrythmias with or without associated signs/symptoms
  • second or third degree heart block
  • angina, marked dyspnea, or ECG changes suggestive of ischemia
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3
Q

appropriate level of exercise after heart procedure:

A 
2-4x a day
MI: HR at rest +20bpm
CABG: HR at rest +30bpm
<120 bpm
3-5 min. bouts
1:2 rest ratio
-progress to 10-15 min walking
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4
Q

abnormal SpO2 during exercise:

A

decrease >5%

-stop exercise if <80%

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5
Q

Phase II cardiac rehab

A
  • outpatient
  • supervised and monitored exercise
  • social support
  • pt education for risk factor reduction
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6
Q

Phase III cardiac rehab

A
  • supervised unmonitored exercise

- continuation of previous interventions

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7
Q

phase IV cardiac rehab

A

-unsupervised unmonitored exercise

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8
Q

absolute criteria for stopping exercise

A
  • EKG changes (ST-segment elevation without preexisting Q waves; sustained v-tach; arrhythmias; heart block with hemodynamic compromise
  • > 10 mmHg drop in SBP (in conjunction with ischemia)
  • angina
  • ataxia
  • dizziness
  • faintness
  • cyanosis/pallor
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9
Q

relative criteria for stopping exercise

A
  • ST segment horizontal or downsloping >2 mm
  • multifocal ectopi, ventricular triplets, bradyarrhythmias, supraventricular tachycardia
  • > 10 mmhg drop in SBP (no ischemia)
  • hypertensive response (>250 / >115
  • fatigue
  • SOB
  • wheezing
  • leg cramps
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10
Q

P-R interval duration

A

0.12-0.20 sec

or lest than 5 little blocks

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11
Q

QRS complex duration

A

0.06-0.10 sec

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12
Q

Q-T interval duration

A

0.32-0.40 sec

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13
Q

heart surface viewed with lead I

A

lateral

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14
Q

heart surface viewed with lead II

A

inferior

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15
Q

heart surface viewed with lead III

A

inferior

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16
Q

heart surface vwed with lead aVR

17
Q

heart surface viewed with lead aVL

18
Q

heart surface viewed with aVF

19
Q

heart surface viewed by lead V1

20
Q

heart surface viewed by lead V2

21
Q

heart surface viewed by lead V3

22
Q

heart surface viewed by lead V4

23
Q

heart surface viewed by lead 5

24
Q

heart surface viewed by lead 6

25
Q

Steps to analyze an EKG

A
  1. Rate
  2. Rhythm
  3. P-wave morphology
  4. P-QRS Relationship and PR Interval
  5. QRS Morphology and duration
  6. T wave morphology
  7. ST segment
26
Q

PVC is QRS interval is

A

> 0.1-.012 s

Cardiopulmonary (3 decks)

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