Safety and physio norms Flashcards
CV contraindications
- recent MI within 3-6 weeks
- PE or pulm infarction <6 weeks
- recent DVT
- myocarditis, endocarditis, pericarditis
- recent cerebral shunting or aneurysm coil
- resting HR <50 or > 100
- unstable angina
- severe pulm hypertension
- severe and symptomatic aortic or valvular stenosis
- fistula on UE for dialyiss
- uncontrolled hypertension
- decompensated CHF
- absent pulses
- suspected or known dissecting aneurysm
what are the guidelines for a recent DVT
-if recent DVT detected and pt on anti-coagulation therapy, dont do high intesnity on that limb
appropriate on other limbs if 1 criteria are met:
- using herpain, PTT 2-3x normal for 24-48 hours
- IVC filter placed
- 3-5 hours after first low molecular weight heprain
-coumadin, if PTT 2-3x normal and INR 2-3
what are the guidelines for unstable angina
-occurs at rest and medication does not relieve
what are the cancer contraindications
- bone metastisis sites
-tumors in targeted area
-medication effects
MSK contraindications
- recent fractures <6 weeks
- unstable fractures
-osteomyletitis
-avascular necrosis
-wounds exposed tendon or muscle on involved joint - compression fractures
- WB restrictions
-marfan syndrome
surgical contraindications
-craniotomy <6 weeks
no bending over, no lifting >10 lbs, no valsalva
-abdominal <6 weeks
no situps, no lifting >10 lbs, no valsalva
-sternal <8 weeks
no UE high intensity, no lifting >10 lbs, no valsalva
other contraindications
-acute infection
-chornic infectious disease like hepatitis or AIDS
adult resting HR norms
60-100
pediatric resitng HR norms
76-85
resting BP women norms
110/70
resting BP men norms
120/80
exercise max BP norms
max with monitoring: 250/115
clinical: 200/100 - 220/110
men body fat norms
15-18%
women body fat norms
22-25%
normal fasting blood glucose
60-100
pre-diabetic fasting blood glucose
100-125
diabetic fasting blood glucose
126+
oral glucose normal levels
> 140
oral glucose pre-diabetic levels
140-200
oral glucose diabetic levels
> 200
blood glucose levels with risk of hypoglycemia
<100
blood glucose levels with ability to exercise
100-250
blood glucose levels that warrant caution with exercise
> 250-300
blood glucose levels that say no exercise
ketones in urine
RBC norms women
4.1-4.9
RBC norms men
4.7-5.5
WBC norms to caution with exercise
<3,900 w feber
WBC norms to exercise as tolerated
3900-11000
hemoglobin norms
around 14
hemoglobin values to discuss with MD
<8
hemoglobin values to decreased exericse tolerance
8-10
hemoglobin values for low impact, low intensity resistance exercise
10-12
hematocrit norms
M: 43-49
F: 38-44
hematocfrit for reduced capacity for exercise
30
hematocrit for reduced exercise tolerane
25-30
hematocrit for no exercise
<20
platelet values for no exercise
<10,000 or temp >100.5
platelet values for no resistance, non impact
10,000-20,000
platelets for low impact, resistance
> 20,000
normal INR
0.9-1.1
normal INR if on anticoag
2-3
INR to eval mobility and assess safety for d/c
> 5
INR to discuss with MD
> 6
normal responses to exercise
- increase RR
- increase SBP
- increase HR
- minimal/no change in DBP
following exericse, after 5 minutes of rest, waht happens to BP and HR
BP returns to within 10 mm HG
HR to w/in 10 BPM of resting value
when to stop exercising? hard stop
-SBP > 250 WITH EKG
- SBP 200-220 WITHOUT EKG
- drop in SBP >10 suddenly
-failure of SBP to rise
-DBP >115 WTIH EKG
- DBP 100-110 WITHOUT EKG
- decrease in HR below resting
