Exercise Respiratory Pt

Question 1

what is normal static lung volume (vital capacity)?

Answer 1

80-120% of predicted FEV1

Question 2

how is FEV1 predicted?

Answer 2

age, gender, race, height

Question 3

an estimated FEV1 of <80% indicates a _____ lung disease

Answer 3

restrictive

Question 4

an estimated FEV1 of >120% indicates a _____ lung disease

Answer 4

obstructive

Question 5

mild lung disease:
FEV1 = ____
FEV1/FVC = _____

Answer 5

FEV1 = <80% (restrictive)
FEV1/FVC = <70%

Question 6

which category of lung disease severity will have exercises similar to normal, healthy individuals?

Answer 6

mild lung disease

Question 7

moderate lung disease:
FEV1 = ____
_____ at rest

Answer 7

FEV1 = <80%
Hypoxemia at rest

Question 8

what should be used to measure exercise tolerance for patients on respiratory meds?

Answer 8

RPE (HR is not accurate)

Question 9

what limits exercise tolerance for moderate lung disease patients?

Answer 9

abnormal ventilatory responses
little ventilatory reserve
SOB with mild activity

Question 10

is the issue with restrictive lung disease patients with volume or flow?

Answer 10

volume

Question 11

severe lung disease:
FEV1 = ____
CO2 _____
_____ ventricular dysfunction

Answer 11

FEV1 = <50%
CO2 increased
Right ventricular dysfunction
–> Pulmonary arterial HTN

Question 12

what are the systems that limit physical activity?

Answer 12

muscular
cardiac
respiratory

Question 13

signs of intolerance to exercise of pulm pt

Answer 13

poor oxygenation
retain secretions
cyanosis

Question 14

what causes ventilatory pump dysfunction?

Answer 14

respiratory mm fatigue or weak diaphragm

Question 15

types of ventilatory pump dysfunction

Answer 15

mechanical
muscle
control

Question 16

characteristics of ventilatory pump dysfunction

Answer 16

• accessory muscle use
• coastal retraction: use intercostals in excess
• increased SOB w/ exercise
• cyanosis with exercise

Question 17

SpO2 goal for ventilatory pump dysfunction

Answer 17

at least between 88-92% (w/o suppression of CNS respiratory drive)

Question 18

mechanical pump failure is associated with ___ lung disease

Answer 18

obstructive

Question 19

what causes control pump failure?

Answer 19

CNS issue - chemoreceptors and respiratory centers (medulla)

Question 20

what is a Hoover’s sign?

Answer 20

paradoxical breathing:
- abdomen goes in on inhale
- abdomen moves out and rib in on inhale

Question 21

what is a flail segment?

Answer 21

3 or more ribs fractured
swing door effect when inhale
can puncture lung

Question 22

phrenic nerve damage causes

Answer 22

ventilatory pump failure

Question 23

pulmonary HTN:
MAP = ____ at rest
MAP = ____ during exercise

Answer 23

MAP = >20 mmHg at rest
MAP = >30 mmHg during exercise

Question 24

what diagnoses will have pulmonary HTN?

Answer 24

COPD
cor pulmonale
pulmonary fibrosis

Question 25

group 1 pulmonary HTN

Answer 25

idiopathic

Question 26

group 2 pulmonary HTN

Answer 26

L heart failure
(can eventually lead to R)

Question 27

group 3 pulmonary HTN

Answer 27

lung disease
ex: COPD, restrictive

Question 28

group 4 pulmonary HTN

Answer 28

pulmonary emboli
(damage lungs and/or R ventricle)

Question 29

group 5 pulmonary HTN

Answer 29

unclear mechanisms

Question 30

type ___ muscle fibers are lost with respiratory diseases

Answer 30

type I

Question 31

exercises for COPD emphysema

Answer 31

scapular retraction
strengthen LE
60-70% 1RM