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Interventions for cardiac conditions > Interventions for cardiac conditions > Flashcards

Interventions for cardiac conditions Flashcards

1
Q

During exercise testing, should the patient be on their dosage of medication?

A

Yes- You want to see how they perform on their medication

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2
Q

EKG monitoring for every session of treatment is used during which phase of cardiac rehab?

A

Phase II:

  • Is a supervised program 6-8 wks
  • the GOAL is to increase exercise capacity to 5 METS (A brisk Walk)
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3
Q

Cardiac Rehab phase II is a supervised 6-8wk program consisting of EKG monitoring, increasing exercise capacity to 5 METS, and what two other factors?

A
  • Performing an exercise test prior to rehab

- Patient education on HR, exercise, symptoms

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4
Q

Phase II consists of several components, what are the physical Activity Core components?

A
  • EVALUATION: assess current Physical Activity level and readiness to change behaviors.
  • INTERVENTIONS: Advice, support, counseling, follow up
  • EXPECTED OUTCOMES: increased participation in physical activity and aerobic fitness, well being.
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5
Q

What are the Exercise Training Core components of phase II cardiac rehab?

A
  • EVALUATION: Symptom limited exercise test to monitor HR, rhythm, s/s, perceived exertion, capacity
  • INTERVENTIONS: Individual exercise program, FITT and Progress
  • EXPECTED OUTCOMES: Increased aerobic capacity, strength, flexibility and reduced symptoms, improved risk factor profile, and improved QOL
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6
Q

The following are outcomes for which phase of cardiac rehab?

  • Goal is to exceed 8 METS or 2 times energy requirements of work
  • Training effects are expected
  • No cardiac symptoms
  • EKG is used sometimes or when increasing activity parameters
  • pts learn self-monitoring of HR and symptoms
A

Phase III Outcomes

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7
Q

Phase IV of cardiac rehab consists of what two objectives?

A
  • Unsupervised program

- Community based

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8
Q

What is an appropriate expected outcome of a cardiac rehab program?

A
  • Improved exercise tolerance
  • Return to work
  • improved quality of life
  • Decrease risk factors (weight loss, diet, stop smoking)
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9
Q

Your patient requires constant EKG monitoring, which phase of cardiac rehab are they?

A

Phase II

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10
Q

Exercise training greatly effects ejection fraction.

True or False

A

False: Exercise training has little effect on ejection fraction

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11
Q

Do elderly patients have exercise trainability similar to that of younger patients?

A

YES!

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12
Q

You have a patient 4 weeks post MI, can you safely begin a resistance program?

A

NO, must be a minimum of 5 weeks post MI, including 3 weeks in cardiac rehab

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13
Q

You have a patient who is 8 weeks post CABG, can you begin a resistance training program in cardiac rehabilitation?

A

YES- min of 8 weeks post CABG, including 3 weeks of rehab.

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14
Q

Resistance training for cardiac rehab is defined as what percentage of 1RM?

A

> 50%

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15
Q

You have a patient who is difficult to work with and has a poor exercise capacity. Will education, counseling, and behavior modification improve their exercise capacity?

A

NO!

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16
Q

You are assessing a patient with a nasty wound on the lower calf and capillary refill of big toe is >8 seconds. What is a probable diagnosis for this patient?

A

PVD: poor wound healing and poor vascular perfusion of lower leg.

17
Q

You suspect that your patient is having lower limb problems, and you suspect PVD. What test could you have them perform to help confirm your hypothesis?

A

Active Pedal Plantarflexion (APP) Intermittent CLaudication test.
or
ABI

18
Q

You have a patient with PAD (peripheral artery disease), what type of exercise prescription is appropriate?

A

Ambulation to modest to moderat pain (grade 1 or 2 on claudication scale), rest, repeat for 30-60 minutes a day.

19
Q

Typical outcome measures for PAD/PVC include?

A 
ICD- initial claudication distance
ACD-absolute claudication distance 
Self reporting walking limitations
Peak vo2
QOL
20
Q

THe following are characteristics of individuals with symptomatic what?

  • Adult age 65
  • Peak VO2 is 50% of age-predicted normal
  • ICD (initial claudication distance) 110 meters
  • Sedentary
A

PAD

21
Q

What are effective interventions for PAD?

A

Medication to control risk factors
Medication to improve claudication
Surgery
EXERCISE TRAINING! (home, supervised, dynamic)

22
Q

The following drugs are used to treat which disease?

Cilostazol, Pentozifylline, and L-carnitine

A

PAD/PVD

Interventions for cardiac conditions (1 decks)

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