Exericse Guidelines For CV Disease Flashcards
Goal of cardiac rehab is to enable patients to _________ within imposed limitations
Resume active and productive lives
Objectives of cardiac rehab include
Restore optimal physiologic, psychosocial, and vocational status
Prevent progression or reversal of disease
Reduction of risk of SD or reinfarction
Alleviation of symptoms
Patients become responsible and autonomous for their medical treatment and lifestyle changes
Candidates for cardiac rehab (13)
MI CABG PTCA/Stents Stable angina pectoris Silent ischemia Valve replacement
High risk for CHD Congenital heart defects CHF Cardiac arrhythmias Transplants (heart and lung) Secondary and tertiary prevention PAD
Components of CV Rehab include multidisciplinary approaches including:
Medical treatment Nutritional counseling Smoking cessation Risk stratification Stress management Hypertension management Control of diabetes or dyslipidemia
How many cardiac rehab phases are there?
4
Phase I of cardiac rehab is the _____ phase
Inpatient
How long does phase I cardiac rehab last?
Lasts about 3 days until discharge
What is the goal of phase I?
NO physiological effects of bed rest
NO cardiac cripples
What exercise can you do in phase I?
Low level functional activities
PROM to AROM
Walking and stairs
Phase II of cardiac rehab is the ______ phase
Out patient
How long does phase II last?
3 months duration
What is the goal of phase II?
Increase the functional and CV efficiency of the patient
How is phase II monitored?
Telemetry (ECG)
What is phase III otherwise known as?
Supervised phase
How long does phase III last?
4-6 months duration
What is the goal of phase III?
To decrease supervision of exercise program and to promote self regulation of SAID program
Phase III is monitored how?
Heart rate. NO telemetry
Phase IV is otherwise known as
Unsupervised phase
What is the duration of phase IV?
Lifetime in duration
What is the goal of phase IV?
Maintain the lifestyle changes acquired in cardiac rehab
Client exercises on their own
True or false (Benefit of exercise?) reduces long term mortality?
True
True or false (Benefit of exercise?) May retard the atherosclerotic process?
True
True or false (Benefit of exercise?) negative changes in lipid profiles
False- positive
True or false (Benefit of exercise?) Decrease cellular sensitivity to insulin?
False- increases
True or false (Benefit of exercise?) Modification of TABP
True
True or false (Benefit of exercise?) Decrease platelet adhesiveness
True
True or false (Benefit of exercise?) Enhanced fibrinolysis
True
True or false (Benefit of exercise?) Decreased PNS outflow
False- increase
True or false (Benefit of exercise?) Little change in central, but significant change in peripheral parameters?
True
True or false (Benefit of exercise?) Decrease in ECG abnormalities?
True
True or false (Benefit of exercise?) Decrease in RHR, submax HR, SBP, RPP, and MVO2 demands
True
True or false (Benefit of exercise?) Can develop collaterals
True