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Cardiac Rehab > Phases Of Cardiac Rehab > Flashcards

Phases Of Cardiac Rehab Flashcards

1
Q

Effects of dobutamine on heart and what receptors does it target

A

B1, B2, a1. It is inotropic and chronotropic. It Increases CO, SV

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2
Q

Two of the most commonly used pharmacologic stress tests

A

Dobutamine stress echo

Thallium scintigraphy with dipyridamole or adenosine

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3
Q

How many METs is sexual intercourse

A

3-4

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4
Q

Sexual intercourse is as physically intense as _________

A

Climbing 2 flights of stairs. If a patient can do this, they can have sex

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5
Q

Which phase is the maintenance phase

A

Phase 3/4

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6
Q

What does graded exercise testing assess?

A

Ability to tolerate increased physical stress

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7
Q

What uses more METs, using a bedside commode or using a bedpan?

A

Using a bedpan requires more METs (4.7) than bedside commode (3.6)

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8
Q

Most of the ADLs in the home environment require less than how many METs?

A

4

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9
Q

How many METs is mopping the floor

A

2-4

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10
Q

3 different exercise testing with imaging

A
  1. Exercise echo
  2. Exercise nuclear imaging
  3. Exercise pharmacologic stress testing
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11
Q

How many METs is regular speed walk (3mph)

A

3-4

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12
Q

Advantage of treadmill exercise testing

A

Physiologic stress

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13
Q

HR and BP parameters for phase 1

A

Don’t let HR go above 120 or below 50. Don’t let SBP to decrease more than 10-20mmHg for first few days.

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14
Q

BP absolute contraindication for cardiac rehab

A

> 200/110

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15
Q

How many METs is propelling wheelchair?

A

2-3

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16
Q

What kind of change in BP during stress testing is an absolute indication to stop exercise testing?

A

Since BP normally increases when exercising, a decrease in SBP by > 10 = STOP!!

17
Q

Bruce Protocol

A

Go up by 2-3 METs per stage

18
Q

AHA suggests heart rate limit of ____ to ____ bpm for patients not on beta-blocking agents or Borg RPE of ____ to ____

A

30-140 bpm

RPE of 13-15

19
Q

It is not recommend to have sexual intercourse for how long after an MI?

A

2 weeks

20
Q

Mobilization after cardiac surgery must progress asap to prevent what three things?

A

Decubitus, pneumonia, dvt

21
Q

Which phase is the most closely monitored phase

A

Phase 2

22
Q

When would you use an arm ergometer for exercise testing

A

For amputees

23
Q

Timing of the phases

A

Phase 1: 1-14 days
Phase 2: 3-6 mths
Phase 3/4: lifetime

24
Q

A slow stroll is how many METs?

A

1.5-2

25
Q

Advantage of a cycle ergometer

A

Can get better quality ekg because arms and thorax aren’t moving

26
Q

How many METs is regular slow walk? (2mph)

A

2-3

27
Q

2 periods of phase 1

A

Acute period - in the CCU

Subacute period - transfer from CCU to tele or medical floor

28
Q

Which phase is outpatient period immediately after inpatient

A

Phase 2

29
Q

Patients who are able to tolerate how many METs can resume normal sexual activities?

A

5-6

30
Q

Which phase is during the inpatient period

A

Phase 1

31
Q

What type of exercise must be avoided in acute period of phase 1

A

Avoid isometrics, valsalva, and raising the legs above the heart.

32
Q

Who gets pharmacologic stress testing

A

People unable to do exercise stress testing

33
Q

What METs are tolerated in subacute period of phase one?

A

3-4 METs

34
Q

How many METs is jogging?

A

9

35
Q

Activities of what METs are allowed in the acute period of phase 1?

A

1-2 METs, passive ROM

36
Q

During phase 1, if you’re on a beta blocker, do not let HR do what?

A

Increase more than 20bpm above resting rate.

37
Q

When doing graded exercise testing, at what METs do you start, and how much do you increase?

A

Start at 2 METs and increase by 1 MET at each stage

38
Q

What kind of patients is bruce protocol used in

A

Patients who are medically stable and have functional capacity of 10 METs

39
Q

What type of exercise should be done in acute period of phase 1?

A

Light isotonic exercises

Cardiac Rehab (6 decks)

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