phase 3 Flashcards
1
Q
Mx
A
- Group effect is important
- Refer to community groups
- Give precautions regarding exercise
- Establish energy involved in normal occupation & housework
- Establish MET level
- Discuss activity patient prefers
- Give ceiling pulse pre, post, 2 min
2
Q
Precautions – Safe Exercises
A
- Care with hills
- Don’t exercise in heat of day
- > 28C or humidity – low intensity
- > 2 hours after meals
- Don’t exercise if sick
- Resume > 2 days after illness resolves
- Learn to take pulse – know limits
3
Q
Exercise in Obesity & Diabetes
A
¬ Low intensity > 40-70% of MHR
¬ Long duration > endurance
¬ Intermittent at first > 2-3 x 10 minute walk/bicycle
¬ Non-weight-bearing > cycling, hydrotherapy
¬ Aerobic & resisted
¬ Monitor:
o Haemodynamic response (blood pressure)
o Blood glucose
4
Q
Contraindications for Stress Test or Exercisev
A
- Unstable or at rest angina
- Dangerous arrhythmias
- Third degree AV heart block
- Uncontrolled LVF
- Moderate severe aortic stenosis
- Suspected dissection aortic aneurysm
- Myocarditis
- Recent embolism
- Uncontrolled hypertension
- Pregnancy
- Resting SBP >200mHg or DBP > 100mmHg
- Orthostatic BP drop > 20mmHg
- Acute illness, fever
- Acute pericarditis or myocarditis
5
Q
Relative Contraindications/Special Precautions
A
- Diabetes – uncontrolled
- Pulmonary hypertension
- Cardiac enlargement
- Conduction disturbances
- Severe anaemia
- Renal, hepatic disease
- Pulmonary disease
6
Q
Reasons for Stress Test
A
- Diagnostic – IHD, Respiratory/Cardiac cause
- Rhythm disturbances
- Prior to exercise programme
- Comparison at end of programme
- Estimate LV function
- Prognosis
