VIVA Peter (55) Flashcards
Explain to the examiner the criteria for stopping an exercise with Peter.
- Some - Stopping request by patient
- Patients - Poor perfusion
- Don’t - Dizziness (lightheaded, confusion, ataxia)
- Show - Skin changes (pallor, cyanosis)
- New - Nausea
- Angina - Angina-like symptoms (chest pain)
- But - Breathing issues (wheezing)
- May - Muscle pain (leg cramps, claudication)
- Have - Haemodynamics (drop in HR)
- Fatigue - Fatigue (severe physical/verbal signs)
Explain to the examiner how you would risk stratify Peter to determine his entry point for aerobic exercise
- Par-Q (physical activity readiness quesionnaire)
- Preparticipation health screening
e.g., peter has known metabolic syndrome and doesn’t currently exercise so needs medical clearance by a doctor - Predicted HR max and make sure he stays under it
- Medical history
- Medications - no puffy no lifty
Explain to Peter the health benefits of a physically active lifestyle
- Cool - Cardiovascular
- Guys - Glucose
- Have - Hypertension
- Muscles - Muscles
- So - Sarcopenia
- Rest - Respiratory
- Before - BMI
- All - ADLs
- Stress - Stress
- Accumulates - Anxiety
Peter, adding a bit of physical activity into your routine can really make a difference in how you feel day-to-day. It can help you breathe easier, boost your energy, and even improve your mood. Plus, it can reduce the chance of future health problems, like heart issues or diabetes, and help you sleep better. You don’t have to do anything extreme—just starting with something simple, like short walks, can have big benefits over time
Explain to the examiner the most suitable initial loading parameters (reps, sets, loading RPE, reps in reserve, frequency) for resistance exercises for Peter (ie safety, competency, novice, intermediate, experienced) and the blood pressure and heart rate responses Peter will experience with resistance exercises. Base this on his clinical presentation and the effects of some of his medications.
Based on 410 met score. Max HR 220-age(55)=165
Warm-up
8-12 reps
2-3 sets
RPE 3-4
5-7 RIR
2 - 3 times a week
BP and HR response would increase during the effort phase.
ARBs and Diuretic medication lowers BP, therefore HR may overcompensate to match effort.
Teach an appropriate squat pattern resistance exercise to Peter. (hint: there are many options here so learn a handful)
- BW squat (with or without chair)
- Feet stay flat, even pressure
- Hips back
- Knees over toes
- Back straight but not over extended.
- Lower until comfortable (touch chair)
- Come back up
Are there any medications that Peter takes that may cause an increased painful response to resistance exercise? How would you monitor this?
- Lipitor (statins) could cause muscle pain or weakness during exercise.
- Olmesartan (reduces BP) - dizziness fatigue and hypotension
- Furosemide (diuretic) might cause muscle cramps due to dehydration or electrolyte imbalances.
- Nexium long term use can cause
Subjective, checking in, non verbal cues
