Pulmonary Rehab

Question 1

what is the primary goal of pulmonary rehab?

Answer 1

restore the chronic lung disease pt to the highest possible level of independent function

Question 2

T/F: pulmonary rehab can reverse the disease process

Answer 2

False! It simply allows the pt to better live with the disease

Question 3

what are 3 conditions that place pt at undue risk and could stop them from being able to do pulmonary rehab?

Answer 3

Unstable angina
Uncontrolled pulmonary HTN
Recent MI

Question 4

what are 4 conditions that could make participation in pulmonary rehab impossible? (“SLAC”)

Answer 4

Severe arthritis or other joint problems
Lack of motivation
Accelerated progression of disease
Continued cigarette smoking

Question 5

conditions that cause reduced DLCO (“CAL’S PIPE”)

Answer 5

CF
Asthma
Lung hemorrhage
Sarcoidosis
PE
Interstitial fibrosis
Pulmonary HTN
Emphysema

Question 6

basics of aerobic training

Answer 6

-Reach 20-30 min of continuous activity
-3-4 or 11-14 RPE (assess dyspnea too)
-50% VO2 max
-HR may not reflect workload
-Monitor SaO2
-Perceived LE training
-May have limited central effects

Question 7

Strength training/UE activities

Answer 7

-UBE
-True resistance exercises (AROM, light weights, cane exercises, TB)
-Duration: 5-15 min
-Frequency: 3x/wk
-Intensity: 1 x 8-12

Question 8

what muscles are really important to work on flexibility?

Answer 8

upper body/accessory muscles