Must Know Info Part 2

Question 1

Heart Disease Class 1

Answer 1

no limits in activity
no compliants
max MET: 6.5

Question 2

Heart Disease Class 2

Answer 2

slight activity limit
comfort at rest
ordinary activity results in fatigue, pain, dyspnea, palpitations
max MET: 4.5

Question 3

Heart Disease Class 3

Answer 3

marked limitations
comfort at rest
less than ordinary activity results in fatigue, palpitations, dyspnea, angina
max MET: 3.0

Question 4

Heart Disease Class 4

Answer 4

inability to carry out physical activity without discomfort

max MET: 1.5

Question 5

normal adult pulse/HR/respiratory rate

Answer 5

60-80 BPM
120/80
12-18 breaths/min

Question 6

normal newborn pulse/HR/respiratory rate

Answer 6

120 BPM
75/50
40 breaths/min

Question 7

tachycardia BPM

Answer 7

100+ BPM

Question 8

Bradycardia BPM

Answer 8

less than 60 BPM

Question 9

hypertension systolic/diastolic

Answer 9

above 140/90

Question 10

ASIA A

Answer 10

complete
no sensory
no motor

Question 11

ASIA B

Answer 11

incomplete
sensory
no motor

Question 12

ASIA C

Answer 12

incomplete
sensory
motor 3/5 or below

Question 13

ASIA D

Answer 13

incomplete
sensory
motor 3/5 or above

Question 14

ASIA E

Answer 14

normal sensory and motor function

Question 15

MET Phase 1

Answer 15

Inpatient rehab; 5-14 days; MET 1.0-3.5

Question 16

MET Phase 2

Answer 16

Outpatient rehab; d/c when can carry activities at MET 35 -12 weeks post d/c

Question 17

MET phase 3

Answer 17

Maintenance
this phase may begin as early as 4 weeks post cardiac event
gym program, weight training

Question 18

MET Stage I (1.0-1.4 MET)

Answer 18

sitting, self feeding, wash hands and face, bed mobility, transfers, progressively increase sitting tolerance, reading, radio, non-competitive table games, light handwork
Exercise in supine: all extremities
Exercise in sitting: LE, neck, deep breathing

Question 19

MET stage II (1.4-20. MET)

Answer 19

In sitting: self-bathing, shaving, crafts

Exercises in sitting: all extremities, increase # of reps

Question 20

MET Stage III (2.0-3.0 MET)

Answer 20

Sitting: showering in warm water, home making tasks with brief standing periods to transfer light items, ironing, card playing , crafts, machine sewing, typing, w/c mobility for limited distances

Standing: exercise all extremities and trunk, progressively increasing # reps; may include balance exercises and light mat activities w/o resistance

begin progressive ambulation and 0% grade and comfortable pace

Question 21

MET Stage IV (3.0-3.5)

Answer 21

ADLs and homemaking activities in standing while practicing energy conservation

Unlimited distance ambulation at 0% grade in a nd outdoors; may begin slow stair climbing

bowling, canoeing, golfing, light gardening, driving

Exercise: increase workload, balance, and mat activities with mild resistance

Question 22

Glasgow Coma score range

Answer 22

3-15

Question 23

General possible effects of L sided brain injury

Answer 23

R visual field loss
language and/or reading problems
R hemiparesis

Question 24

General possible effects of R sided brain injury

Answer 24

L visual field loss
visual neglect
perceptual problems
L hemiparesis

Question 25

Stage 1 pressure ulcer

Answer 25

redness edema superficial epidermis and dermis involved

Question 26

Stage 2 pressure ulcer

Answer 26

``` redness edema blistering and hardening of tissue skin is open inflammation extends to fat ```

Question 27

stage 3 pressure ulcer

Answer 27

full thickness lesion down to muscle

Question 28

Stage 4 pressure ulcer

Answer 28

ulcer extends down to bone