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Pulmonary Rehabilitation > Rehab two jongs > Flashcards

Rehab two jongs Flashcards

1
Q

It is a program of education and exercise that focuses on restoring ________ patients to the highest functional capacity possible

A

Pulmonary rehabilitation, chronic respiratory

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2
Q

It is a comprehensive education and exercise program designed to
improve the ______ of patients with known cardiac dysfunction

A

Cardiac rehabilitation, cardiovascular fitness

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3
Q

Both pulmonary and cardiac rehabilitation requires a _______ to evaluate the patient’s condition and status. Both programs are _______ in approach; both incorporate_______ and ________; and
both are ______ by insurance.

A

stress test, multidisciplinary, patient education, physical exercise. reimbursable

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4
Q

The basic equipment used during exercise sessions—__________—and the space requirements of the two types of rehab are essentially the same

A

treadmills, exercycles, and arm ergometers

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5
Q

Pulmonary rehabilitation differs from cardiac rehabilitation with respect to the ______ affected and hence to the _______implemented. Pulmonary patients have exercise limitations due to ______ resulting from primary pulmonary impairment and dysfunction

A

organ, type of program, dyspnea

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6
Q

Cardiac programs are more concerned with a _________ via telemetry during exercise sessions.

A

patient’s pulse, blood pressure, and electrocardiogram

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7
Q

Pulmonary patients are monitored for ______ during exercise.

A

pulse rate, respiratory rate, oxygen saturation, and peak flow rates

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8
Q

In ______, the ______ defined rehabilitation as “the restoration of the individual to the fullest medical, mental, emotional, social, and vocational potential of which he/she is capable.

A

1942, Council on Rehabilitation of the American College of Chest Physicians (ACCP)

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9
Q

In ______, the ACCP became more specific and formed the ________, which specified a medical practice that was intended to help pulmonary patients attain their optimum state of health.

A

1974, Committee on Pulmonary Rehabilitation

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10
Q

The ACCP definition of pulmonary rehabilitation formed the basis for an official statement on pulmonary rehabilitation that was adopted by the American Thoracic Society (ATS) Executive Committee in _____

A

1981

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11
Q

In most instances, pulmonary rehabilitation is aimed at _______, in particular, those with ______and _______, but it is also a viable option for ventilator-dependent and quadriplegic patients

A

chronic lung patients, asthma, chronic obstructive pulmonary disease (COPD)

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12
Q

In ___, the ________ formed its specialty sections, including one for rehabilitation and continuing care, now referred to as the Continuing Care/Rehabilitation section

A

1977, American Association for Respiratory Care (AARC)

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13
Q

The __________ was incorporated in_____ to continue the advancement of pulmonary rehabilitation in terms of programs, services, professional practice, networking, and continuing education.

A

American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR), 1983

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14
Q

In ___, the_______ conducted the first joint national survey to ascertain the extent of pulmonary rehabilitation programs in the United States in terms of numbers, design, and scope.

A

1987, AACVPR and AARC

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15
Q

In _____, the _______ released new evidence-based guidelines recommending pulmonary rehabilitation for patients with COPD

A

2007, American College of Chest Physicians (ACCP) and the AACVPR

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16
Q

Council on Rehabilitation of the American College of Chest Physicians (ACCP) presents general definition of rehabilitation.

A

1942

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17
Q

Barach and associates comments on need for training programs for chronic lung patients.

A

1951

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18
Q

Pierce and associates publishes study that demonstrated Barach’s insight into the value of pulmonary reconditioning

A

1962

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19
Q

Paez and associates indicate that reconditioning techniques using both activity and oxygen benefited patients with chronic lung disease.

A

1964

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20
Q

Christie demonstrates that rehabilitative benefits could be offered on an outpatient basis with minimal supervision

A

1968

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21
Q

ACCP forms the Committee on Pulmonary Rehabilitation.

A

1974

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22
Q

American Association for Respiratory Care (AARC) forms its specialty sections, including the Continuing Care/Rehabilitation section.

A

1977

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23
Q

American Thoracic Society (ATS) Executive Committee ACCP releases an official statement on pulmonary rehabilitation (based on the ACCP definition).

A

1981

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24
Q

American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) is incorporated to continue the advancement of pulmonary rehabilitation.

A

1983

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25
Q

AACVPR and AARC conduct the first joint national survey to ascertain the extent of pulmonary rehabilitation programs in the United States

A

1987

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26
Q

Medicare approves a national coverage policy for beneficiaries enrolled in pulmonary rehabilitation programs [Medicare Improvements for Patients and Providers Act (MIPPA)].

A

2008

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27
Q

The overall rationale for pulmonary rehabilitation is to ________ some of these processes, which lead to decreased physical activity

A

control and perhaps reverse

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28
Q

what is the major goal of pulmo rehab

A

The major goal of pulmonary rehabilitation is to restore the patient to the highest possible functional capacity, given the patient’s degree of pulmonary impairment and overall life situation

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29
Q

What are the two principal objectives of pulmo rehab

A

To control and alleviate as much as possible the symptoms and pathophysiologic complications of respiratory impairment
To teach patients how to achieve optimal capability for carrying out their activities of daily living (ADLs)

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30
Q

What are the four pillars of pulmo rehab

A

Education, breathing techniques, physical reconditioning, strategies to conserve energy and pacing activities.

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31
Q

What are the basis for patients selection

A
  • Abnormal pulmonary mechanics—namely, changes in compliance and airway resistance.
  • Abnormal gas exchange resulting in hypoxemia and arterial desaturation.
  • Impaired cardiac output.
  • Sensation or perception of dyspnea.
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32
Q

Abnormal pulmonary mechanics often results in _______ for a set level of ventilation. This increase in the work of breathing may be due to ____________.

A

increased respiratory muscle work, increased airway resistance (Raw), to hyperinflation, or to decreases in lung or chest wall compliance

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33
Q

Gas exchange abnormalities are manifested in hypoxemia with ____________

A

arterial desaturation, reduced delivery of oxygen to the tissues, and lactic acidosis

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34
Q

Cardiac dysfunction frequently follows chronic lung disease as a result of the effects of hypoxemia on the cardiovascular system. COPD patients with normal cardiac function at rest may develop ______ and _________ during exercise.

A

pulmonary hypertension, cor pulmonale (elevated right atrial
pressures)

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35
Q

An elevated right atrial pressure can produce a drop in the gradient for ________ to the heart, which diminishes cardiac output

A

venous return

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36
Q

In addition, if right ventricular hypertrophy is present, __________ are evident, resulting in __________ and interference with cardiac output.

A

elevations in left ventricular filling pressure, pulmonary vascular congestion

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37
Q

Finally, in patients with increased airway resistance, decreased compliance, or hyperinflation, ________ can become more negative. This more negative pleural pressure, in turn, increases
the pressure gradient against which the heart must pump, limiting the amount of blood ejected from the left ventricle. ___________ follow, resulting in dyspnea and tightness in the chest.

A

pleural pressure, Pulmonary vascular congestion, and trans-vascular fluid filtration

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38
Q

What are the different testing regimens?

A

Chest X-ray, ABG analysis, Pulmonary Function Test, CPX Test

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39
Q

Before any testing is performed, a _________ should be completed. This includes:

A

complete patient workup

A complete patient history consisting of medical/surgical, occupational, family, and social (outside activities plus any smoking and alcohol consumption) components.
• Physical examination.
• Laboratory testing (complete blood count, blood chemistry, theophylline level, and alpha-1 antitrypsin titer).
• Electrocardiogram and chest X-ray.

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40
Q 
Pulmonary Function Test. The standard pulmonary 
function test (PFT) consists of:
A
  • Pre- and postbronchodilator spirometry with a timed forced vital capacity (FVC) and flow-volume loop.
  • Maximum voluntary ventilation (MVV) maneuver.
  • Lung volume and capacity determination using a helium equilibration or nitrogen washout technique.
  • Diffusing capacity of the lung (DLCO) using the single-breath method.
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41
Q

PFTs:
• Allow for the differentiation between __________
• Establish a _____ for the patient.
• Determine the extent of _______ present.
• Identify the degree of reversal _________

A

obstructive and restrictive disease, baseline, pulmonary impairment, produced by bronchodilator therapy

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42
Q

Arterial Blood Gas Analysis. Arterial blood gas (ABG) analysis, commonly performed during the PFT, identifies any __________

A

hypoxemia, carbon dioxide retention, and acid-base imbalance

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43
Q

________ is also used to determine a patient’s level of oxygenation. However, this technique is more useful in serial determinations to determine the degree of arterial desaturation with physical activities, such as walking or stair climbing.

A

Pulse oximetry (SpO2)

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44
Q

The most important aspect of patient evaluation and testing before any pulmonary rehabilitation effort is the cardiopulmonary exercise (stress, or CPX) test. This is the most complex test but the most important in terms of the patient data and information it provides.

A

Cardiopulmonary Exercise Testing

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45
Q
  • Allows for the differentiation between _________ of dyspnea.
  • Determines the degree of _______ that occurs with physical exertion.
  • Establishes a baseline for each patient’s___________
  • Determines each patient’s ________, which is used in the exercise prescription (amount and intensity of exercise recommended) and physical reconditioning program. A target heart rate approximates the actual heart rate at _______. It is the heart rate at which the patient achieves maximum physical and cardiovascular conditioning with exercise.
  • Enables physicians and practitioners to ______
  • May be used to _____ patients from pulmonary rehabilitation.
A

pulmonary and cardiac causes, oxygen desaturation and hypoxemia, level of physical conditioning, target heart rate, 65–75% of the maximum oxygen consumption, track and document patient progress, exclude

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46
Q

Major indication of CPX testing

A
  • Patient assessment and evaluation.

* Differentiating between pulmonary or cardiac dysfunction and overall poor physical conditioning.

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47
Q

The main contraindications involve a_______ associated with serious ________and _______

A

cute electrocardiographic changes, cardiac dysrhythmias and angina.

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48
Q

A CPX test should last about _______or ______if the patient is elderly.

A

10–12 minutes or 6 minutes

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49
Q

CRITERIA FOR PATIENT INCLUSION
• Demonstrate a respiratory limitation to exercise that results in termination of exercise stress testing at a level of _______
• Demonstrate significant, irreversible airway obstruction with an FEV1 ______ or an FEV1/FVC (FEV1%)__
• Show significant restrictive lung disease with a total lung capacity (TLC) ____ of predicted value and a single-breath carbon monoxide
diffusing capacity (DLCO) of ____ of predicted
• Show pulmonary vascular disease where the DLCO using the single-breath method is ____ of predicted value or exercise is limited to _____ of the predicted VO2max

A

<75% of the predicted VO2max, <2.0 L, < 60%, <80%, <80%, <80%, <75%

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50
Q

CRITERIA FOR PATIENT EXCLUSION
• Does not fulfill the criteria for inclusion.
• Has a significant _____ component to exercise limitation (excluding patients with pulmonary vascular disease)
• Demonstrates an adverse cardiovascular response to exercise, such as _______ and requires cardiovascular monitoring during rehabilitation

A

cardiovascular, major arrhythmia or significant change in blood pressure

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51
Q

Examples of Chronic obstructive pulmonary diseases.

A

Pulmonary emphysema, chronic bronchitis, bronchial

asthma, bronchiectasis, cystic fibrosis

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52
Q

Examples of Restrictive lung diseases

A

Sarcoidosis, pulmonary fibrosis, kyphoscoliosis, occupational lung
diseases (pneumoconioses), adult respiratory distress syndrome (ARDS), obesity, poliomyelitis

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53
Q

Examples of Atypical conditions

A

Lung resection, lung transplantation, pulmonary vascular disease, obstructive sleep apnea (OSA)

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54
Q

It is believed that ______may be more beneficial to the patient with pump failure than exercise

A

ventilatory assistance and rest

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55
Q

The closed format is more ______ than the open format. It uses a set period of time with a designated _______. Sessions may be conducted once, twice, or three times a week for anywhere from ______. Closed-format programs are usually_____ in nature

A

traditional, number of class sessions and a specific end date, 6 to 16 weeks, introductory

56
Q

At the ________, patients are instructed to continue individually the breathing and exercise routines they learned in the program.

A

program’s conclusion

57
Q

Open-format programs, on the other hand, have _______. Patients continue in the program and progress at their own pace until they achieve specific objectives and attain prescribed performance levels. These programs are ____, and participants meet ______.

A

no designated number of class sessions or specific end dates, ongoing, regularly

58
Q

Individual sessions, which may be conducted in the hospital, at the patient’s home, or at the rehab facility, requires _______ and ______ than do group sessions

A

less equipment, personnel

59
Q

Individual programs are especially effective for _______ who are being weaned from ventilatory support or for those with ________. This type of program is also helpful to patients with _____ injuries who are learning to breathe on their own

A

ventilator-dependent patients, neurological disorders, spinal cord

60
Q

This technique enables patients to remain off ventilatory support for
minutes to hours at a time

A

glossopharyngeal breathing

61
Q

Glossopharyngeal breathing also allows for some increase in _____ and a more forceful cough, resulting in more effective removal of secretions and less frequent infections

A

vital capacity

62
Q

Patients who live in a rural area or who have _____ difficulties can also benefit from_______

A

transportation, individual programs

63
Q

Group sessions involve classes of ____ patients, depending on space, equipment, personnel, and the number of patients who qualify. Group programs are more______ than individual sessions. Many patients attend rehabilitation programs more for ______ than for physical reasons.

A

4–12, cost-effective, psychosocial

64
Q

The key elements of designing a pulmonary rehabilitation program are:

A
  • Location.
  • Space.
  • Equipment.
  • Supplies.
  • Personnel.
  • Resources
65
Q

Location is the first concern. Pulmonary rehabilitation can be conducted on either an ______ basis

A

inpatient or an outpatient

66
Q

The amount of actual space, in terms of square footage, depends on available ______

A

space, projected class size, and budgetary and financial considerations.

67
Q

For an average class of 8–12 patients, a classroom that is ______is adequate, and an exercise area approximately twice that size (_____) should suffice.

A

12 feet by 16 feet (192 square feet), up to 400 square feet

68
Q

Besides a respiratory therapist and a physician, other personnel who may be involved with the implementation of pulmonary rehabilitation are:

A
  • A nurse with rehab experience.
  • A physical therapist.
  • An occupational therapist.
  • A dietitian.
  • A pharmacist.
  • A clinical psychologist.
  • An office manager.
69
Q

A pulmonary rehabilitation session can follow any effective format. A typical group session should be approximately _______, whereas individual sessions can range from a ______

A

2 hours long, half-hour to an hour

70
Q

Normally, _____ of each session can be devoted to patient education

A

30–60 minutes

71
Q

Structure of the heart and lungs and how they work in supplying the body with oxygen and removing carbon dioxide

A

Cardiopulmonary anatomy and physiology

72
Q

Major differences between obstructive and restrictive lung diseases, with specific examples; an explanation of how chronic lung disease can bring about cardiac dysfunction

A

Cardiopulmonary pathophysiology

73
Q

Diaphragmatic and pursed-lip breathing techniques, inspiratory resistance breathing, basal expansion exercises, and sustained maximal inhalation through incentive spirometry for patients with restrictive lung disease

A

Breathing techniques and

retraining

74
Q

Ways to cope with stress, proper breathing techniques, avoidance of panic breathing, and relaxation methods

A

Stress management and relaxation

75
Q

Ways to exercise properly to promote agility, strength, and endurance using aerobic and isokinetic techniques and calisthenics

A

Physical reconditioning

76
Q

Major cardiopulmonary medications and their effects on the body; proper use of metered-dose and dry powder inhalers

A

Pharmacology

77
Q

Use of oxygen in the home; use of other respiratory care devices including small-volume nebulizers and patient monitoring systems

A

Respiratory home care

78
Q

Postural drainage positions and techniques for percussion, vibration, coughing, and bronchial hygiene, including the use of a Flutter device and other similar breathing adjuncts

A

Chest physiotherapy

79
Q

Key elements of good nutrition and weight control with a focus on ways of avoiding dyspnea after eating, the right food groups to eat, and trouble foods to avoid

A

Nutrition and diet

80
Q

Vocational counseling focuses on activities that promote a more active, productive life

A

Activities of daily living

ADLs

81
Q

Each session should begin with a ______ followed by the patients’ ______ on their progress. The formal presentation can then be delivered and followed by_______.

A

welcoming remark, comments, patient questions and discussion

82
Q

To physically recondition patients and increase their exercise tolerance, the following goals need to be accomplished:

A

• Overall oxygen utilization must be improved.
• Essential muscle groups must be strengthened.
• The cardiovascular response to exercise must be
enhanced.

83
Q

What are the three principles of exercise training

A

specificity of training, overload, and reversibility

84
Q

The ______ is founded on observations that programs can be designed to achieve specific goals and objectives and that exercising muscles is beneficial only to the targeted group. In other
words, specific muscles, or groups of muscles must be targeted to achieve beneficial result.

A

specificity of training

85
Q

The principle of ____ contends that muscles must be forced or pushed beyond a certain level of activity to produce a ____

A

overload, training effect

86
Q

The principle of reversibility, or _____ implies that the benefits of exercise are transient and persist only as long as exercise is continued. Patients who stop exercising quickly lose any exercise-induced changes or benefits

A

detraining effect

87
Q

Specific exercises used in pulmonary rehabilitation can be grouped into two major categories: _____

A

breathing retraining and physical reconditioning.

87
Q

Specific exercises used in pulmonary rehabilitation can be grouped into two major categories: _____

A

breathing retraining and physical reconditioning.

88
Q

Breathing Retraining. Breathing retraining techniques for both chronic obstructive and restrictive lung patients include specific methods, such as:

A
  • Diaphragmatic breathing with pursed lips.
  • Incentive spirometry.
  • Inspiratory or flow-resistive breathing.
  • Threshold loading
89
Q

_________ is considered to be the cornerstone of breathing retraining for COPD patients in pulmonary rehabilitation.

A

Diaphragmatic breathing with pursed lips

90
Q

_______ comes naturally to many patients. By adjusting the size of the orifice created by their lips, patients can vary the degree to which they can retard expiration.

A

Pursed-lip breathing (PLB)

91
Q 
Retarding expiration:
• Slows their \_\_\_\_\_\_.
• Reduces the \_\_\_\_\_.
• Creates\_\_\_\_\_\_ that prevents collapse of the smaller airways.
• Lessens the probability of \_\_\_\_\_\_.
• Promotes more effective \_\_\_\_\_\_.
A

respiratory rate, work of breathing, backpressure, air trapping, ventilation

92
Q

The time spent on diaphragmatic breathing depends on the patient’s available time. Practice time can range from _____ a day and, in most instances, can be performed in conjunction with other types of breathing exercises. It may take_____ before some patients breathe diaphragmatically

A

15 to 30 minutes, 6–8 weeks

93
Q

_______using any currently available disposable device, is far more beneficial in treating restrictive lung disease than COPD

A

Incentive spirometry

94
Q

Breathing retraining employing sustained maximal inspiration with an incentive spirometer should be performed for up to _______ a day on a regular basis to be effective.

A

15 minutes, three or four times

95
Q

Respiratory dysfunction associated with COPD can be managed with _______, using either inspiratory or flow resistive breathing or threshold loading.

A

inspiratory muscle training (IMT)

96
Q

_______ breathing is accomplished with a device such as the PFlex. This device uses decreasing hole sizes numbered 1–6. These hole sizes set the _______ as long as rate, tidal volume, and inspiratory time remain constant. Training begins at hole size number 1 for up to 30 minutes a day

A

Inspiratory or flow-resistive, inspiratory training load

97
Q

Threshold loading is achieved with the Threshold IMT device. This apparatus uses a spring-loaded valve mechanism to provide a consistent _______, independent of inspiratory flow rate.

A

inspiratory pressure training load

98
Q

The manufacturer recommends that the training load be set at approximately _____ of the patient’s _____ and that training sessions increase gradually from ______ to ______

A

30%, maximal inspiratory pressure (PImax), 10–15 minutes a day, 20–30 minutes a day

99
Q

To slow the rate of breathing while creating backpressure to maintain airway patency, thereby preventing airway collapse and air trapping.
It can be used to retard expiratory airflow

A

Pursed-lip breathing

100
Q

Abdominal muscles promote diaphragmatic excursions, resulting in more effective ventilation and reducing use of accessory muscles.

A

Diaphragmatic breathing (abdominal breathing)

101
Q

Promotes and maintains chest wall mobility by having patients breathe against hand pressure applied over localized areas of the chest wall.

A

Segmental breathing

102
Q

A flow-resistive device uses inspiratory load to strengthen ventilatory muscles, promoting ventilatory muscle endurance.

A

Inspiratory resistance (flow resistance)

103
Q

A ________ device uses inspiratory pressure as a prescribed load to strengthen ventilatory muscles, promoting ventilatory
muscle endurance

A

Threshold loading

104
Q

Inspiratory capacity maneuver with breath-hold at the end of inspiration (sustained maximum inspiration) promotes lung expansion.

A

Incentive spirometry (sustained maximal inspiration or SMI)

105
Q

Use of glossopharyngeal muscles promotes capture and swallowing of air, resulting in some increase in vital capacity.

A

Glossopharyngeal breathing (frog breathing)

106
Q

Useful for ventilator-dependent or spinal cord injury patients who are able to come off ventilatory support for brief periods. This is both an exercise and a breathing technique.

A

Glossopharyngeal breathing (frog breathing)

107
Q

useful after thoracic or abdominal surgery, and for neurological and musculoskeletal conditions, asthma, and COPD.

A

segmental breathing

108
Q

Exercises that combine low resistance or low tension with movement or repetition over a long duration overload enzymes of the tricarboxylic acid cycle (TCA, or Krebs, cycle) and electron transport system, resulting in increased ________. Walking on level ground and cycling without tension are an excellent way to achieve this type of conditioning

A

aerobic/isotonic exercise, endurance and stamina

109
Q

exercises that combine high resistance or high tension with movement or repetition over a short duration are____ and produce increased ______. Cycling with tension applied is one example of an isokinetic activity.

A

isokinetic, muscle tone and strength

110
Q

______ exercises employ tension with muscle contraction but without any movement of joints or limbs. Pressing two hands together with periods of rest produce the_____effect, resulting in an increase in ________

A

Isometric, isometric, muscle tone and strength

111
Q

______, which encompass stretching and bending exercises, enable patients to develop _______ in movement

A

Calisthenics, flexibility and gracefulness

112
Q

______ of the VO2maxto be a safe and effective target because it reflects two-thirds to three-fourths of a patient’s maximum capability

A

65%–75%

113
Q
  • ___ minutes of warm-up calisthenics.
  • ____ minutes of breathing exercises using an inspiratory resistive device or incentive spirometer.
  • ___ minutes of walking and cycling with gradual increases in duration and tension
A

3–5, 15–30, 6–12

114
Q

____ is recognized as a safe and effective physical conditioning technique requiring only a measured indoor area (outdoor if weather conditions allow)

A

Walking

115
Q

The ____ is a standard in many rehabilitation programs. It represents a _______ that most chronic pulmonary patients should be able to perform.

A

12- minute walk, finite parcel of activity

116
Q

In addition, patients who have a stationary bicycle or a floor pedal unit are prescribed daily _____, which is also possible for most rehab patients.

A

cycling

117
Q

Patients should exercise no more than__ days each week, including group and home exercise sessions. ___ nonconsecutive days of rest each week allow muscles to repair and provide each patient with a
respite from the daily physical routine

A

5, Two

118
Q

Positive results can be lost in a_____. To regain what was

lost will take almost _____ through gradual increases in exercise duration and progressive resistance

A

few weeks, 2 months

119
Q

Patient treatment plan
• Aids in monitoring patient _____ and confirms that ____ and _____ have been met.
• Identifies which patient education topics must be covered, which breathing retraining techniques and exercises are best suited for each
patient, and what physical exercises should be promoted in the form of an ______

A

progress, goals and objectives, exercise prescription

120
Q

A key component of any patient treatment plan is the _______. The physician or health care practitioner overseeing the medical aspects of the the program must complete this plan for each patient before the start of rehabilitation

A

exercise prescription

121
Q

What are the elements of exercise prescription

A

Mode, duration, frequency, intensity

122
Q

_____ is the type of physical activity performed by the patient, such as walking, stair climbing, cycling, or weight lifting to increase upper body
strength

A

Mode

123
Q

______depends on a patient’s level of fitness. Very deconditioned patients should start with _____ intervals of exercise, according to their tolerance, with brief rest periods as needed. As conditioning increases, the duration of exercise should be increased by _____ a day with a goal of having patients perform ____ minutes
of continuous exercise daily

A

Duration, short,1–2 minutes, 20–30

124
Q

_____if continuous exercise is less than 15 minutes a day, should be _______ a day, _ days a week. If continuous exercise is greater than 20 minutes a day, frequency should be ____ a day, ___days a week

A

Frequency, two or three times, 5, once, 3–7

125
Q

______ depends on a patient’s fitness level, health status, and _____. The ______ of exercise is usually based on the results of the _____ and is increased gradually according to a patient’s tolerance

A

Intensity, program goals, intensity, CPX test

125
Q

______ depends on a patient’s fitness level, health status, and _____. The ______ of exercise is usually based on the results of the _____ and is increased gradually according to a patient’s tolerance

A

Intensity, program goals, intensity, CPX test

126
Q

Intensity may be determined on the basis of the ______, as previously discussed, or on the basis of _______

A

target heart rate, metabolic equivalents of energy expenditure or oxygen consumption (METs)

127
Q

therapist must determine the desired range of energy expenditure
(usually ____ of maximal functional capacity), expressed in METs.

A

60–85%

128
Q

Absolute contraindication of walk test

A

Unstable angina for the previous month

Myocardial infarction during the previous month

129
Q

Reasons for stopping the walk test

A

Chest pain, intolerance dyspnea, leg cramps, staggering, diaphoresis

130
Q

Patient O2 sat. less than 88% perform the 6mwt with the patient on

A

continuous oxygen at 2L/min via nasal cannula

131
Q

Wait for ____mins. after any change in oxygen delivery to start the walk test.

A

10

132
Q

Don’t titrate the oxygen during the walk test. T/F

A

T

133
Q

Don’t use pulsed oxygen for the 6mwt. T/F

A

T

Pulmonary Rehabilitation (2 decks)

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