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245 - Cardiorespiratory and Complex Conditions > Week 5 > Flashcards

Week 5 Flashcards

1
Q

Ontario helps organizations identify and remove barriers to improve
accessibility for people with disabilities in 5 areas of daily life

A
  1. Customer service
  2. Information and communication
  3. Transportation
  4. Employment
  5. Design of public places
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2
Q

Obesity

A

Chronic & Progressive

Similar to diabetes or high bp

Characterized by excess body fat that threatens or affects health

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3
Q

Bariatric

A

Patient who has weight of 250 lb and higher

Body shape is also another consideration

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4
Q

Bariatric hospital bed

A

Spirt one - 1000lb capacity

Bed can low to ground

Widen and lengthen with padding inserts

Air bed mattress

Remote hand control for bed features

Short bed rails for more space and easier transfers

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5
Q

Bariatric Physical environment

A

Transfers equipment:
- Different types of lifts + repositioning sling/transfer sling

Trapeze bar
* Bed trapeze (normally 500 lbs capacity)
* Wheeled trapeze bar (450-1000 capacity)

Transfer boards

Bariatric wheelchairs/geriatric chair
- walkers (4pt, 2ww, 4ww)
- canes (side walker, 4 pt)

ADLS:
- bath chair/stool (built into wall/foldable)
- wheeled stationary over toilet commode

  • sock aids (wider than standard, both hard and soft versions)
  • bath transfer bench (400-500 pounds)
  • bariatric gait belt
  • pericarp aids (easy wipe tongs)
    -ethica pads (toileting in bed)

-bedside chair
- step stool

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6
Q

Important Cardiovascular history to know for exercise

A
  • Coronary Artery Disease
    vs. valve surgery / other
  • Post Myocardial Infarction
  • Intervention vs. medical
    management
  • Congestive Heart Failure
  • Pacemakers / ICD
  • Prevention
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7
Q

Co-morbidities to exercise

A
  • PVD
  • Osteoarthritis
  • Diabetic Neuropathies
  • Osteoporosis
  • Diabetes
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8
Q

Timeline for resuming exercise after cardiac event

A

1) Begin with low intensity, or easy exercise, as
soon as it feels comfortable to do so

2) Progress to moderate intensity once 30
minutes of easy exercise is achievable, but not
before 3 weeks

3) Sternal precautions for 6-8 weeks if necessary

4) Patients with a pacemaker or ICD are advised
not to lift their arm above shoulder height for 2
weeks & not to lift items over 10lbs for 4
weeks.

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9
Q

Goal setting for exercise

A

SMART goals

Specific
Measurable
Achievable
Results focused
Time sensitive

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10
Q

Guide for how long should aerobic exercise

A

30-60 mins of aerobic exercise

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11
Q

Benefits of Warm up and cool down

A

Injury prevention

Cardiovascular optimization

Reduce arrhtyhmias

Retard progression of cad

Steady state and interval training can be effective

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12
Q

Fitt principle

A

Frequency
Intensity
Type
Time

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13
Q

Prescribing intensity

A

20-20 beats above hr
Rpe 3-5 or 12-15 (moderate to somewhat difficult intensity)
Talk test
Stress test

Borg scale
Talk test
Step counts
Heart rate
Exercise test

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14
Q

Low exercise

A

Hr- rest hr +20 bpm
Rpe: 12-13
Talk test - can talk with exercise

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15
Q

Moderate exercise

A

Hr - rest hr + 30 bpm
13-15
Can talk with exercise

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16
Q

Moderate + (vigorous)

A

Hr - rest hr + 30-40 bpm
14-15
Not talking comfortably

17
Q

Signs of over exertion

A

Cant talk and workout

Tired 30-60 mins post workout

Muscle and joint soreness

Lightheaded

Hr 20 above resting bpm

18
Q

Resistance training of each major muscle group

A

2-4 sets

8-12 reps (10-15 older adults

Rest interval 2-23 between sets

FOR OLDER ADULTS:
- Unilateral exercise
- Sitting reduces energy by 25%

19
Q

Pt can safely resume strength training program…

A
  • When aerobic is comfy for 2-4 weeks
  • 6-8 weeks post surgery
  • 5 weeks post heart attack
20
Q

Pain/discomfort is not likely angina if…

A

Localized

No palpation

Worse with deep breathing

21
Q

Myocardial Ischemia

A

Lack of oxygen to the heart muscle

22
Q

STABLE ANGINA

A
  • Occurs with progressive exercise at approximately the
    same exercise heart rate
  • Exercise training is indicated
    as long as the training
    intensity remains below the
    level at which angina occurs
23
Q

STABLE ANGINA SYMPTOMS

A
  • Pain
  • Discomfort
  • Heaviness
  • Squeezing

–> Women often have vague
symptoms which may also occur in
different locations

24
Q

STABLE ANGINA SYMPTOMS are triggered by what?

A
  • Physical activity
  • Emotional stress
  • Exposure to cold
  • Consuming a heavy
    meal
  • Smoking
25
Q

UNSTABLE ANGINA

A

Chest discomfort occurs with
increasing frequency and severity
with progressively less activity
or at rest

  • Contraindication to exercise
    training
  • Requires medical attention

245 - Cardiorespiratory and Complex Conditions (7 decks)

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