Pulmonary Rehab

Question 1

Define: Pulmonary Disease

Answer 1

Pathological limitations of airflow of lungs.

Question 2

T/F: Pulmonary disease is reversible.

Answer 2

False. Its generally not reversible.

Question 3

Components of Pulmonary Rehab (6)

Answer 3

Supervised, Progressive Exercise/Activity
ADL/Fxn'l Training
Energy conservation
Breathing training
Stress mgmt
Med education

Question 4

Dx Covered by Medicare (4)

Answer 4

COPD
Chronic Bronchitis
Asthma
Emphysema

Question 5

Utilization Benefits of Pulmonary Rehab (4)

Answer 5

Decreased severity of dyspnea w/fxn’l activity
Decreased hospitalizations
Decreased cost of physicians office visits/hospitalization
Decreased ER visits

Question 6

Exercise Rx: Angina

Answer 6

Prolonged warm-up/cool down
ROM
Stretching
Low level aerobic activity

Question 7

T/F: UE exercises is less likely to precipitate angina.

Answer 7

False. Higher HR = Lower SV = more angina

Question 8

Exercise Rx: MI

Answer 8

5-10 min warmup (stretching, light aerobic activity)
Aerobic Activity, 20-30 minutes (d/c w/symptoms)
Cool down = As long as it takes for HR to reach resting rate

Question 9

T/F: Following PCI, exercise training should be delayed for 2 weeks.

Answer 9

False. Training can begin almost immediately.

Question 10

Exercise Rx: Post-CABG/Valve Replacement

Answer 10

Start low level, Progress slowly

Beware of sternal precautions, 6-8 wks

Question 11

Exercise Rx: Pulmonary Dx

Answer 11

Watch O2 sats
Intermittent, 5-10 min on/2-3 min rest
UE more beneficial