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527 > Exercise for Cardio/ Pulmonary Conditions > Flashcards

Exercise for Cardio/ Pulmonary Conditions Flashcards

1
Q

Primary impairment in CAD

A

imbalance myocaridal oxygen supply n demand

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2
Q

narrowing due to

A

lumen of coronary artery

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3
Q

how does MI happen

A

blood to part of heart interrupted

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4
Q

most common cause of Mi (Heart attach)

A

occlusion (blockage) following by rupture atherosclerotic plaque

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5
Q

atherosclerotic plaque

A

unstable collection of lipids and WBC in artery

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6
Q

LV functions impaired

A

SV, Q, 02 delivery, v02 peak, WR

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7
Q

V02 equation

A

QxC(a-v)D02

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8
Q

what part of equation does CAD effect

A

Q (HR x SV)

stroke volume

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9
Q

RER higher or lower in CAD

A

higher

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10
Q

Why RER higher in CAD

A

impaired 02 delivery

incase metabolic acidosis

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11
Q

T/F Ve / VCo2 ration normal at rest and during exercise in CAD

A

true

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12
Q

when does respiratory compensation for metabolic acidosis happen

A

heavy exercise

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13
Q

T/F At similar in health and CAD

A

yes

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14
Q

Above the ischemic threshold, what happened to Vco2

A

incase more steeply in CAD

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15
Q

onset of myocardial ischemia

A

Curvilinear HR response

02 pulse below predicted

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16
Q

Are CAD patients ventilatory limited

A

not usually

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17
Q

Cardiac rehab

A

resorting individual with cardiac problem to max activity compatible with heart

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18
Q

goals of cardiac rehab

A 
limit psych effect
decrease risk of sudden death
control symptoms
stabilize atherscleorsis 
ADL
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19
Q

components of cardiac rehab

A

lifestyle (PA, Ed, Weight, Smoking)
Psychosocial
long term management

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20
Q

Phases of cardiac rehab

A

1-4

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21
Q

phase 1 cardiac rehab

A

in patient period

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22
Q

phase 2 cardiac rehab

A

early post discharge

up to 12 weeks supervised exercise / education

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23
Q

phase 3 cardiac rehab

A

supervised out patient program
variable leng program
intermittent or no ECG monitoring

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24
Q

phase 4 cardiac rehab

A

long term maintenance
no ECG
limited supervision

25
Q

Met level PT goal for discharge

A

3-4

26
Q

how to progress MET of cardiac rehab

A

3-4 MET

27
Q

F FITT Cardiac Patient

A

Early mobilization 2-4/day for 3 days

later mobilization: 2/day on day 4 with exercise bouts increased

28
Q

I FITT cardiac patient

A

to tolerance
RPE <13

Post MI/CHF: HR <120 or 20 of upper limit

Poster surgery - Hr rest + 30 of upper limit

29
Q

T FITT cardiac patient

A

bouts of 3-5 min as tolerated

2:1 exercise to rest

30
Q

when to progress cardiac patient

A

when patient can exercise continuously for 10-15 mins

31
Q

Activity classifications for inpatient activities

A

Class 1-6

32
Q

Class I

A

sit up with assistance
own self care
sits 15-30 min, 2-3/day

33
Q

Class II

A

sits in bed without assistant

walks in room and to bathroom

34
Q

Class III

A

sit stand indepedpntly

walks short distances , 3/day

35
Q

Class IV

A

does own self care

walks in halls, 3-4 /day

36
Q

Class V

A

walks in halls indpendelty (80-150m) 3-4/day

37
Q

Class Vi

A

independent ambulation 3-6/day

38
Q

goals of outpatient cardiac

A

return to pre morbid activities
establish home exercise program
provide education

39
Q

6 principals of out patient cardiac rehab

A
  • total conditioning
  • health adults prescription adjusted
  • test w meds
  • don’t use HR, use v02 n RPE
  • below threshold of angin
  • warm up
40
Q

Frequency FITT cardiac outpatient

A

4-7/days

1-10min/day

41
Q

I FITT cardiac outpatient

A

RPE 11-16
40-80% of HRR
below ischemic threshold

42
Q

T FITT cardiac outpatient

A

5-10 warm up/cool down
aerobic 20-60

add 1-5 min /sessoin
individual

43
Q

Type FITT cardiac outpatient

A

arm ergometer, cycle, elliptical, rower, start climber, treadmill

44
Q

cardiac guidleline to progress to minimal or no supervision

A

functional capacity >8Met or twice occupation
ECG appropriate
knowledge of abnormal signs

45
Q

Resistance training in cardiac rehab

A

technique
12-15 reps
RPE 11-13
2/3 days

46
Q

what causes COPD

A

smoking pollution

47
Q

causes of exercise intolerance in COPD

A 
ventilation limit
exertional symptoms
metabolic gas exchange abnormal
cardiac impairment
perhiperhal mm dysfunction
48
Q

benefits pulmonary rehab

A

reduce symtoms
improve exercise tolderence
increase functional abiltiy
improve quality of life

49
Q

T/F pulmonary benefits because of reduce air obstruction and decreed hyperinflation

A

no

50
Q

why benefit of pulmonary rehab

A

improved secondary morbidities

mm deconditionign, resp mm strengt, desensitzation to dysnpnea

51
Q

COPD intensity

A

higher intensity better
(increase v02 and oxidative enzymes)

submax exercse
(less lactic n ventilatiON)

52
Q

dual therapies with pulmonary rehab

A 
bronchodilators
internval training
single leg exercises
EMS
helium
53
Q

why single leg exercises

A 
half the load
same metabolic demands
reduce ventilation load
increase work capacity 
improve aerobic capacity
54
Q

mechanism for exercise intolerance CAD

A

impaired LV, mycardial ischemia (angine)

55
Q

what happens to Vo2 and Vc02 in CAD

A

v02 plates due to dec SV

vo2 continues to increase

56
Q

T/F respiratory compensation normal inCAD

A

yes

57
Q

calculate HRR

A

hr max - hr rest (outpatient!!!!)

58
Q

what is emphysema

A

loss lung recoils, dec surface area

527 (18 decks)

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