Rx Prescription

Question 1

What should the exercise Rx look like for HR?

Answer 1

1. Low intensity aerobic training (40-60%)
2. Strength training
3. Ventilator Muscle Training (IMT-20% of max inspiratory pressure; 3x/day 5-15 minutes)
4. Activity pacing and energy conservation (explain in terms of money)

Question 2

What positions should be used with caution during exercise in patients with heart failure?

Answer 2

Prone and supine positions due to orthopnea

Question 3

In later stages of HF, post exercise what is patient at risk for?

Answer 3

Hypotension d/t persistent vasodilation after exercises

Question 4

A patient presents with a demand pacemaker (increase with workload demand) what does the therapist need to ask patient?

Answer 4

What is the upper limit set at and what is the lower limit of the pacemaker

*rarely have an upper HR limit set

Question 5

What will an automatic implantable carioverter defibrillator due if the upper limit is exceeded?

Answer 5

It will automatically shock heart. Therefore therapist must know the limits of a this pace maker