Physiologic Norms and Exercise Safety Flashcards

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1
Q

Is recent MI a contraindication or precaution

A

yes contraindication recent MI within 3-6 weeks

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2
Q

Is a PE a contraindication or precaution

A

contraindication less than 6 weeks

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3
Q

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

A

do not complete high intensity training on that limb

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4
Q

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

A

yes you can do it on the uninvolved limb

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5
Q

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

A

no HIIT on the involved limb

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6
Q

what are the surgical precautions for craniotomy

A

no bending over
no lifting >10 lbs
no valsalva

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7
Q

what are the surgical abdominal precautions <6 weeks

A

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

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8
Q

what are the sternal precautions <8 weeks

A

no UE high intensity
no valsalva
no lifting >10lbs

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9
Q

What are side effects of steroids

A

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

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10
Q

what are the side effects of beta-blockers

A

hypotension
bradycardia
drowsiness

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11
Q

Exercise Max BP with monitoring and clinically

A

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

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12
Q

1 MET= _____ mlO2 consumed/kg of body weight

A

3.5

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13
Q

What are the values for Arterial blood gases?

A

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

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14
Q

what are the classification of Heart failure

A

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

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15
Q

BMI of <18.5

A

underweight

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16
Q

BMI 18.5-24.9

A

normal

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17
Q

BMI 25.0-29.9

A

overweight

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18
Q

BMI 30.0-34.9

A

obesity class I

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19
Q

BMI 35.0-39.9

A

obesity class II

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20
Q

what is normal fasting blood glucose level

A

60-100

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21
Q

what is prediabetic fasting blood glucose

A

100-125

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22
Q

what is diabetic fasting blood glucose

A

126+

23
Q

what is normal oral glucose tolerance test

A

less than <140 mg/DL

24
Q

what is pre-diabetic oral glucose tolerance test

A

140-200 mg/DL

25
Q

what is diabetic oral glucose tolerance test

A

over >200 mg/dl

26
Q

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

A

runs the risk of hypoglycemia
exercise is unsafe

27
Q

blood glucose level pre exercise 100-250 mg/dl

A

able to exercise

28
Q

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

A

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

29
Q

what are the red blood cell norms for men and women

A

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

30
Q

norm lab value for white blood cells

A

3,900-11,000 mm3
exercise as tolerated

31
Q

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

A

no exercise

32
Q

norm lab value for hemoglobin

A

males 14.4-16.6
female- 12.2-14.7

33
Q

what if a patients hemoglobin is <8

A

discuss with md

34
Q

what if a patients hemoglobin is 8-10

A

decrease exercise tolerance

fatigue, DOE, tachycardia, angina

35
Q

what if a patients hemoglobin is 10-12

A

low impact, low intensity resistance exercise

36
Q

norm value for hematocrit (%) of red blood cells

A

males: 43-49
females: 38-44

37
Q

what if a patients hematocrit is 30%

A

reduced capacity for exercise begins

38
Q

what if a patients hematocrit is 25-30%

A

marked reduced exercise tolerance

39
Q

what if a patients hematocrit is <20 %

A

no exercise

40
Q

norm lab value for platelet count

A

150,000- 400,000 mm3

41
Q

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

A

no exercise

42
Q

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

A

no resistance non impact

43
Q

if a patients platelet count is >20,000

A

low impact, resistance

44
Q

what is a normal INR

A

0.9-1.1 normal

45
Q

what is a normal INR if they are on anticoagulation therapy

A

2-3

46
Q

what if a patients INR is >5

A

evaluate mobility and assess safety for discharge planning

47
Q

what if a patients INR is >6

A

discuss with MD

48
Q

In a normal response to exercise
RR-
SBP
HR-

A

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

49
Q

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

A

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

50
Q

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

A

stop exercise

51
Q

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

A

stop exercise

52
Q

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

A

stop exercise

53
Q

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

A

stop