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524 > pulmonary rehab > Flashcards

pulmonary rehab Flashcards

1
Q

goal of pulmonary rehab

A

improve quality of life and physical function using exercise education and behaviour therapy

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2
Q

benefits of pulmonary rehab in COPD

A

training benefits
(aoerbic, endurnace, resistance)
quality of life
reduced dyspnea symptoms

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3
Q

training benefits in COPD

A

aerobic:
v02 peak imporved
6min walk proved

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4
Q

why aerobe benefits in COPD

A 
improved mm function 
increase in fat free mass
decrease in mm fatigue
desensitization to dyspnea
motivation 
technique
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5
Q

training benefits in pulmonary fibrosis

A

improved 6MW test

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6
Q

training benefits in asthma

A

not well researched

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7
Q

training benefits cystic fibrosis

A

recommend training, but research not really done

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8
Q

indicators to be referred to PT

A

dyspnea that interferes with life

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9
Q

types of exercise testing in pulmonary rehab

A 
max exercise test
sub max test
strength test
balance test
physical performance test
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10
Q

example exercise test maximal

A

cardiopulmonary test
stress test
incremental walking test

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11
Q

sub max test example

A

6 minute walk

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12
Q

strength test examples in pulmonary rehab

A

peripheral mm testing

respiratory mm test

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13
Q

physical performance test examples pulmonary rehab

A

gait veloicty

30 s sit to stand

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14
Q

data collected on cardiopulmonary exercise test

A 
HR
RR
BP
sp02
ECG
vo2 max
vo2 peak 
max Watters
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15
Q

cardiopulmonary test usually done on what

A

bike

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16
Q

maximal stress test done on

A

treadmill

17
Q

data from max stress test

A

HR, intensity, BP ECG

18
Q

whats a field test

A

no modialiteis
minimal equipment
inexpensive

19
Q

T/F incremental shuttle walk correlated with v02

A

true

20
Q

T/f 6 minute walk is good predictor of v02

A

no

21
Q

components of subjective assessment pulmonary rehab

A 
diagnosis 
exacerbations 
PMH
meds
social historay
education needs (smoking cessation)
22
Q

whats exacerbation

A

how many times in hospital in last 12 months

how many ER visits

23
Q

why ask meds on pulmonary rehab subjective

A

fall risk and if they have inhaler if you need etc.. what your options rare

24
Q

objective assessment pulmonary rehab

A 
health related quality of life
dyspnea
resting measurments
IPPA
exrcise testing
25
Q

quesstionare you can use

A

Dyspnea scale
Clincal COPD
Modified Borg
RPE

26
Q

objective measurements

A 
HR
BP
RR
02 saturation / supplental 02
height/wieght
pulmonary function tests
27
Q

6MWT absolute contraindications

A

unstable angine

MI within last 30 days

28
Q

6 mwt relative contraindications

A

resting HR > 120

systolic BP >180 mmHG

Diastoal BP >100mmHg

29
Q

how to prescirbe aerobic exercise to pulmonary patients

A

50-80% of cardio test
50-80 of 6MWT helps determine speed
Symtoms driven

30
Q

FITT for aerobic training pulmonary patients

A 
F - 3-5/week
I- depends on symptoms
T- 30-40 min contious
intervall 5-10 min , 2-5 rest
T: large mm groups , lower extremities
31
Q

FITT for strength in pulmonary

A

F: 3/week
I: 8-12 reps
T: varies
T: free weights, resistance bands, body weight

32
Q

how to progress exercise

A

5-10% on treadmill / bike and in resistance

33
Q

absolute lists for exercise in Pulmonary rehab

A

Sp02 below 88%
BORG +5
Abnormal cardiac response
pain, nauseas, dizzy, headache

34
Q

where can pulmonary rehab happen

A

home exericse
community programming
maintenance classes

35
Q

Pulmonary Rehab / Lung Tranplant goals

A 
improve physical function 
improve resp mechanics
facility secretion clearnace
prevent commorbities
educate
36
Q

post transplant exercise limits

A

Spo02 <92%
abnormal cardiac response
pain, naseau, dizzzy, headache

37
Q

T/F post lung transplant dyspnea reliable for measuring exercise tolerance

A

no

38
Q

considerations of exercise in post transplant

A

higher HR
weak resp mm’s
delayed healing
meds w side effects

524 (25 decks)

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