final exam review Flashcards
recommended sequence of patient evaluation
informed consent
pre-participation health screen
resting HR, BP
body comp.
cardiorespiratory fitness
muscular strength and endurance
flexibility
inpatient interventions for CVD, pulmonary diseases
- Current clinical status
- Mobilization
- Identification and provision of info regarding modifiable risk factors and self-care
- Discharge planning, HEP, ADL training
- Referral to outpatient
- Assessments and documentation of vital signs
- Supervised
outpatient interventions for CVD, pulmonary diseases
- Medical, surgical history, comorbidities, pertinent medical history
- Physical exam w/ cardiopulmonary and musculoskeletal emphasis
- Routine pre-exercise assessment of risk for exercise before, during, after
- RPE <12 (<3) light, <40% HRR
- 12-13 (4-6) somewhat hard, 40-59% HRR
- 14-16 (7-8) hard, 60-80% HRR
- Aerobic: rhythmic, large muscle group activities
- Continuous ECG monitoring
cardiac rehab: inpatient indications
a. Medically stable post MI
b. Stable angina
c. Coronary bypass graft
d. Percutaneous transluminal coronary angioplasty
e. Stable heart failure caused by either systolic or diastolic dysfunction
f. Heart transplant
g. Valvar heart disease/surgery
h. Peripheral artery disease
i. At risk for coronary artery disease with diagnosis of diabetes, dyslipidemia, HTN, obesity
j. Other individuals who may benefit from structured exercise and/or individual education based on physician referral and consensus of the rehab team
cardiac rehab: inpatient contradictions
a. Unstable angina
b. Uncontrolled HTN
c. Orthostatic BP drop >20 mmHg w/ symptoms
d. Significant aortic stenosis
e. Uncontrolled atrial or ventricular arrhythmias
f. Uncontrolled sinus tachycardia
g. Uncompensated heart failure
h. Third degree atrioventricular block with pacemaker
i. Active pericarditis or myocarditis
j. Recent embolism
k. Acute thrombophlebitis
l. Aortic dissection
m. Acute systemic illness or fever
n. Uncontrolled diabetes mellitus
o. Severe orthopedic conditions
p. Other metabolic conditions
q. Severe psychological disorder
FITT for CHF: aerobic
F: 3-5 days/week
I: moderate, 40-70% HRR, 11-3 RPE
T: 20-60 min
T: low impact; walking, cycling, swimming
FITT for CHF: resistance
F: 2-3 dats/week, non consecutive
I: light to moderate, 50-70% 1RM
T: 1-3 sets, 8-12 reps
T: large muscle groups, body weight, machines, few weights
FITT for CVA: aerobic
F: 3-5 days/week
I: moderate, 40-70% HRR, 11-14 RPE
T: 20-60 min
T: walking, stationary cycle, low impact cardiovascular
FITT for CVA: resistance
F: 2-3 days/week
I: light to moderate 50-70% 1RM
T: 1-3 sets, 8-15 reps
T: functional strength training, machines, weights, resistance bands
FITT for COPD: aerobic
F: 3-5 days/week
I: moderate, 50-80% HRR, 4-6 RPE
T: 20-60 min
T: walking, cycling, swimming, interval training
FITT for COPD: resistance
F: 2-3 days/week
I: light to moderate, 50-70% 1RM
T: 1-3 sets, 8-15 reps
T: improve strength and muscle endurance
application of aerobic training for intermittent claudication
i. Time at which patient begins to feel claudation symptoms is defined as the end
ii. Pre-exercise assessment: evaluate LE skin and feet
iii. Significant risk for skin ulcers
iv. Walk/bike to mild to moderate pain (3-4 out of 5 on claudation scale)
v. Stop, sit down until pain is completely gone, resume activity
vi. Eventual goal is to progress to cumulative session of 50 mins
vii. Progression should not occur during current session, but at beginning of next
values of HTN when not to engage in exercise
220/105
FITT for HTN: aerobic
F: >5-7 day/week
I: moderate, 40-59% HRR, 12-13 RPE
T: >30 min
T: prolonged rhythmic; walking, cycling, swimming
FITT for HTN: resistance
F: 2-3 days/week
I: moderate, 60-70% 1RM
T: 204 sets, 8-12 reps
T: resistance machines, free weights, resistance bands, functional body weight
difference between type 1 and 2 diabetes
type 1: body does not produce insulin
type 2: body does not respond to insulin
difference between hypoglycemia and hyperglycemia in regard to exercise
Hypo: exercising will lower it more, potential to pass out
Hyper: exercise will lower glucose levels, improves over time
risk factors for obesity
diet, genetics, lifestyle
training considerations for obesity
i. Moderate to vigorous >30min/day; 250 min/week
ii. Target minimal reduction in BW 3-10% initial BW over 3-6 months
iii. Reduction 500-1000 kcal/day for 1-2 lb/week
iv. Beyond 5-10% weight loss may require more aggressive nutrition, exercise, behavioral intervention
v. Diets <1500 kcal/week medically indicated
vi. Incorporate opportunities to enhance communication
vii. Target changing eating and exercise behaviors
cancer screening measures to determine safety for exercise
i. Medical history
ii. Chemo, radiation, drugs
iii. Fatigue, pain, nausea, anemia,
iv. cardiovascular health, BP, respiratory
v. bone health, muscle weakness, ROM
vi. CBC, electrolyte, kidney and liver fxn
vii. Immune fxn
viii. Mental health
ix. Limitations
FITT for MS: aerobic
a. F: 3-5 days
b. I: moderate, 40-70% VO2 max, 12-14 RPE
c. T: 20-60 min
d. T: walking, cycling, swimming, aquatic
FITT for MS: resistance
a. F: 2-3 days/week
b. I: light to moderate, 50-70% 1RM
c. T: 1-3 sets, 8-12
d. T: major
FITT for Parkinsons: aerobic
a. F: 3-5 days
b. I: moderate, 40-60% VO2 max, 12-14 RPE
c. T: 20-60 min
d. T: walking, cycling, dancing, swimming, boxing: rhythmic patterns
FITT for Parkinsons: resistance
a. F: 2-3 days/week
b. I: light to moderate, 60-80% 1RM
c. T: 1-3 sets, 8-12
d. T: machine, free weight, resistance band, body weight
