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applied exercise science > vitals and values > Flashcards

vitals and values Flashcards

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1
Q

heart rate

A
  • RHR: adults 60-100, peds 76-85
  • resting BP: women 110/70, men 120/80
  • exercise max BP: with full monitoring 250/115. clinical 200/100-220/110
  • resting RR 12-18
  • distresting RR 20+
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2
Q

BP ranges

A
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3
Q

VO2 max (mL/min/kg)

A
  • deconditioned middle age adults: 30-40
  • conditioning (months): 45-55
  • high level endurance athletes: 70
  • high level cross country skiers: 80
  • sedentary young adults: 45
  • sedentary middle age adults: 35
  • post MI: 22 (up ~20% with training)
  • severe pulmonary disease: 13
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4
Q

METS: metabolic equivalent

measure of efficiency: increase VO2 to be more efficient

A
  • 1 MET = 3.5 ml O2 consumed/kg body weight/min (VO2)
  • moderate exercise METS:
  • vacuuming: 3.5 METs
  • dancing: 6.5 METs
  • jogging: 7.0 METs
  • bicycling: 8 METs
  • running a 7 min mile: 14 METs
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5
Q

pulmonary function testing norms

A
  • tidal volume: 0.5L at rest
  • forced vital capacity (FVC): 3-5L
  • forced expiratory volume (FEV1): 2.5-4:
  • FEV1/FVC: > 80% in health adults
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6
Q

cardiopulmonary norms

A
  • arterial blood gases (ABG)
  • pH: 7.40 (7.2-7.6)
  • pCO2: 35-455 mmHg
  • pO2: 80-100 mmHg
  • O2 saturation: 95-100%
  • ejection fraction: > 55%
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7
Q

new york heart association (NYHA) classificaiton of heart failure

A
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8
Q

BMI and % body fat

A
  • men percent body fat: 15-18%
  • women percent body fat: 22-25%
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9
Q

blood glucose levels

A
  • normal: 60-100 mg/dL
  • pre-diabetic: 100-125 mg/dL
  • diabetic: 126+ mg/dL
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10
Q

oral glucose tolerance test

A
  • normal: >140 mg/dL
  • pre-diabetic: 120-200 mg/dL
  • diabetic: > 200 mg/dL
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11
Q

blood glucose and exercise risk

A
  • risk of hypoglycemia: < 100 mg/dL
  • able to exercise: 100-250
  • warrants caution: > 250-300 mg/dL
  • no exercise: ketones in the urine
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12
Q

red blood cell count (mm^3)

A
  • men: 4.7-5.5 10^6 mm3
  • women: 4.1-4.9 10^6
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13
Q

white blood cell count (mm^3)

A
  • exercise as tolerated: 3,900-11,000
  • caution with exercise: < 3,900 with fever
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14
Q

hemoglobin (gm/dL)

A
  • men: 14.4-16.6
  • women: 12.2-14.7
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15
Q

hematocrit

% RBC

A
  • males: 43-49%
  • females: 38-44%
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16
Q

platelet counts (mm^3)

A
  • normal: 150,000-400,000
  • no exercise: < 10,000 and/or temp > 100.5
  • no resistance, non-impact: 10,000-20,000
  • low impact, resistance: >20,000
17
Q

international normalized ratio (INR)

INR in seconds

A
  • 0.9-1.1: normal
  • 2-3: normal if on anticoagulation therapy
  • > 5: evaluation mobility and assess safety for discharge planning
  • > 6: discuss with MD
18
Q

normal responses in vitals to exercise

A
  • increased respiratory rate
  • rise in SBP
  • minimal or no change in DBP: up or down 10 mmHg
  • rise in heart rate: blunted by beta-blocker meds and age
  • following exercises: BP returns to within 10 mmHg and HR to within 10 BPM of resting
19
Q

when to stop exercise with CV concerns

A
  • SBP > 250 mmHg with EKG monitoring
  • SBP 200-220 mmHg without EKG monitoring
  • sudden drop in SBP > 10 mmHg
  • failure of SBP to rise
  • DBP > 115 mmHg with EKG monitoring
  • DBP 100-110 without EKG monitroing
  • decrease in HR below baseline
20
Q

when to stop exercise with neurological concerns

A
  • dizziness/lightheadedness
  • confusion
  • ataxia
  • shaking/tremors
21
Q

when to stop exercise with integument concerns

A
  • cyanosis or pallor
  • diaphoresis or cold/clammy skin
22
Q

when to stop exercise with pain concerns

A
  • leg cramps or severe claudication
  • chest/arm/jaw pain
  • moderate to severe angina
23
Q

when to stop exercise with respiratory concerns

A
  • moderate to severe dyspnea: unable to say 5 words
  • abnormal breathing pattern: wheezing, wet, stridor
  • drop in O2 sats > 10% below baseline or at < 88%: does not recover within 5 mins of rest
24
Q

when to stop exercise with endocrine/GI concerns

A
  • suspected hypoglycemic response
  • nausea or vomiting

applied exercise science (7 decks)

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