Physiologic Norms and Exercise Safety

Question 1

Is recent MI a contraindication or precaution

Answer 1

yes contraindication recent MI within 3-6 weeks

Question 2

Is a PE a contraindication or precaution

Answer 2

contraindication less than 6 weeks

Question 3

if a recent DVT is detected and the patient is on an anti-coagulant what do you do about high intensity training?

Answer 3

do not complete high intensity training on that limb

Question 4

can you to HIIT on the uninvolved limb if a patient is properly anti-coagulated

Answer 4

yes you can do it on the uninvolved limb

Question 5

In what is the rule on HIIT with the following conditions:
-recent fractures
-unstable fractures
-osteomyelitis
-avascular necrosis

Answer 5

no HIIT on the involved limb

Question 6

what are the surgical precautions for craniotomy

Answer 6

no bending over
no lifting >10 lbs
no valsalva

Question 7

what are the surgical abdominal precautions <6 weeks

Answer 7

no sit up/crunches
no valsalva
no lifting >10lbs

Question 8

what are the sternal precautions <8 weeks

Answer 8

no UE high intensity
no valsalva
no lifting >10lbs

Question 9

What are side effects of steroids

Answer 9

-hypertension
-immunosuppression
-osteoporosis
- muscle weakness and myopathy
-thin skin and poor wound healing

Question 10

what are the side effects of beta-blockers

Answer 10

hypotension
bradycardia
drowsiness

Question 11

Exercise Max BP with monitoring and clinically

Answer 11

max with monitoring: 250/115 mmhg
clinical 200/100-220/110 mmhg

Question 12

1 MET= _____ mlO2 consumed/kg of body weight

Answer 12

3.5

Question 13

What are the values for Arterial blood gases?

Answer 13

PH 7.40
pCO2: 35-45 mmhg
PO2: 80-100 mmhg

Question 14

what are the classification of Heart failure

Answer 14

class 1- mild no limitation of physical activity
class 2- mild slight limitation of physical activity
class 3- moderate marked limitation of physical activity
class 4- severe unable to carry out all physical activity

Question 15

BMI of <18.5

Answer 15

underweight

Question 16

BMI 18.5-24.9

Answer 16

normal

Question 17

BMI 25.0-29.9

Answer 17

overweight

Question 18

BMI 30.0-34.9

Answer 18

obesity class I

Question 19

BMI 35.0-39.9

Answer 19

obesity class II

Question 20

what is normal fasting blood glucose level

Answer 20

60-100

Question 21

what is prediabetic fasting blood glucose

Answer 21

100-125

Question 22

what is diabetic fasting blood glucose

Answer 22

126+

Question 23

what is normal oral glucose tolerance test

Answer 23

less than <140 mg/DL

Question 24

what is pre-diabetic oral glucose tolerance test

Answer 24

140-200 mg/DL

Question 25

what is diabetic oral glucose tolerance test

Answer 25

over >200 mg/dl

Question 26

Blood glucose level of <100 means in terms of exercise risk

Answer 26

runs the risk of hypoglycemia exercise is unsafe

Question 27

blood glucose level pre exercise 100-250 mg/dl

Answer 27

able to exercise

Question 28

blood glucose levels >250-300 in terms of exercise risk

Answer 28

warrants caution ask permission from MD too much production of ketones may indicate severe shortage of insulin to break down sugar

Question 29

what are the red blood cell norms for men and women

Answer 29

men 4.7-5.5 10^6 women 4.1-4.9 10^6

Question 30

norm lab value for white blood cells

Answer 30

3,900-11,000 mm3 exercise as tolerated

Question 31

what is a patients wbc are below <3,900 with a fever

Answer 31

no exercise

Question 32

norm lab value for hemoglobin

Answer 32

males 14.4-16.6 female- 12.2-14.7

Question 33

what if a patients hemoglobin is <8

Answer 33

discuss with md

Question 34

what if a patients hemoglobin is 8-10

Answer 34

decrease exercise tolerance fatigue, DOE, tachycardia, angina

Question 35

what if a patients hemoglobin is 10-12

Answer 35

low impact, low intensity resistance exercise

Question 36

norm value for hematocrit (%) of red blood cells

Answer 36

males: 43-49 females: 38-44

Question 37

what if a patients hematocrit is 30%

Answer 37

reduced capacity for exercise begins

Question 38

what if a patients hematocrit is 25-30%

Answer 38

marked reduced exercise tolerance

Question 39

what if a patients hematocrit is <20 %

Answer 39

no exercise

Question 40

norm lab value for platelet count

Answer 40

150,000- 400,000 mm3

Question 41

if a patients platelets are <10,000 and/or temp >100.5

Answer 41

no exercise

Question 42

if a patient platelet count is 10,000-20,000

Answer 42

no resistance non impact

Question 43

if a patients platelet count is >20,000

Answer 43

low impact, resistance

Question 44

what is a normal INR

Answer 44

0.9-1.1 normal

Question 45

what is a normal INR if they are on anticoagulation therapy

Answer 45

2-3

Question 46

what if a patients INR is >5

Answer 46

evaluate mobility and assess safety for discharge planning

Question 47

what if a patients INR is >6

Answer 47

discuss with MD

Question 48

In a normal response to exercise RR- SBP HR-

Answer 48

RR- increases SBP-increases DBP-stays the same <10mmhg HR- increases

Question 49

Following exercise and 5 min of rest what should the vitals do?

Answer 49

BP returns to within 10 mmhg of resting HR to within 10 BPM of resting value

Question 50

SBP >250 mmhg with EKG monitoring SBP 200-220 mmhg without EKG monitoring

Answer 50

stop exercise

Question 51

Sudden drop in SBP >10 mmhg Failure of SBP to rise

Answer 51

stop exercise

Question 52

DBP >115 mmhg with EKG monitoring DBP 100-110 without EKG monitoring

Answer 52

stop exercise

Question 53

if a patient experiences during exercise dizziness/lightheadeness confusion ataxia shaking/tremors

Answer 53

stop