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Applied Ex Sci > Safety and physio norms > Flashcards

Safety and physio norms Flashcards

1
Q

CV contraindications

A
  1. recent MI within 3-6 weeks
  2. PE or pulm infarction <6 weeks
  3. recent DVT
  4. myocarditis, endocarditis, pericarditis
  5. recent cerebral shunting or aneurysm coil
  6. resting HR <50 or > 100
  7. unstable angina
  8. severe pulm hypertension
  9. severe and symptomatic aortic or valvular stenosis
  10. fistula on UE for dialyiss
  11. uncontrolled hypertension
  12. decompensated CHF
  13. absent pulses
  14. suspected or known dissecting aneurysm
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2
Q

what are the guidelines for a recent DVT

A

-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

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3
Q

what are the guidelines for unstable angina

A

-occurs at rest and medication does not relieve

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4
Q

what are the cancer contraindications

A
  • bone metastisis sites
    -tumors in targeted area
    -medication effects
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5
Q

MSK contraindications

A
  • recent fractures <6 weeks
  • unstable fractures
    -osteomyletitis
    -avascular necrosis
    -wounds exposed tendon or muscle on involved joint
  • compression fractures
  • WB restrictions
    -marfan syndrome
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6
Q

surgical contraindications

A

-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

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7
Q

other contraindications

A

-acute infection
-chornic infectious disease like hepatitis or AIDS

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8
Q

adult resting HR norms

A

60-100

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9
Q

pediatric resitng HR norms

A

76-85

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10
Q

resting BP women norms

A

110/70

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11
Q

resting BP men norms

A

120/80

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12
Q

exercise max BP norms

A

max with monitoring: 250/115
clinical: 200/100 - 220/110

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13
Q

men body fat norms

A

15-18%

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14
Q

women body fat norms

A

22-25%

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15
Q

normal fasting blood glucose

A

60-100

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16
Q

pre-diabetic fasting blood glucose

A

100-125

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17
Q

diabetic fasting blood glucose

A

126+

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18
Q

oral glucose normal levels

A

> 140

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19
Q

oral glucose pre-diabetic levels

A

140-200

20
Q

oral glucose diabetic levels

A

> 200

21
Q

blood glucose levels with risk of hypoglycemia

A

<100

22
Q

blood glucose levels with ability to exercise

A

100-250

23
Q

blood glucose levels that warrant caution with exercise

A

> 250-300

24
Q

blood glucose levels that say no exercise

A

ketones in urine

25
Q

RBC norms women

A

4.1-4.9

26
Q

RBC norms men

A

4.7-5.5

27
Q

WBC norms to caution with exercise

A

<3,900 w feber

28
Q

WBC norms to exercise as tolerated

A

3900-11000

29
Q

hemoglobin norms

A

around 14

30
Q

hemoglobin values to discuss with MD

A

<8

31
Q

hemoglobin values to decreased exericse tolerance

A

8-10

32
Q

hemoglobin values for low impact, low intensity resistance exercise

A

10-12

33
Q

hematocrit norms

A

M: 43-49
F: 38-44

34
Q

hematocfrit for reduced capacity for exercise

A

30

35
Q

hematocrit for reduced exercise tolerane

A

25-30

36
Q

hematocrit for no exercise

A

<20

37
Q

platelet values for no exercise

A

<10,000 or temp >100.5

38
Q

platelet values for no resistance, non impact

A

10,000-20,000

39
Q

platelets for low impact, resistance

A

> 20,000

40
Q

normal INR

A

0.9-1.1

41
Q

normal INR if on anticoag

A

2-3

42
Q

INR to eval mobility and assess safety for d/c

A

> 5

43
Q

INR to discuss with MD

A

> 6

44
Q

normal responses to exercise

A
  1. increase RR
  2. increase SBP
  3. increase HR
  4. minimal/no change in DBP
45
Q

following exericse, after 5 minutes of rest, waht happens to BP and HR

A

BP returns to within 10 mm HG
HR to w/in 10 BPM of resting value

46
Q

when to stop exercising? hard stop

A

-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

Applied Ex Sci (11 decks)

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