Week 7 - Inpatient Cardiac Rehab Flashcards
Phase 1 cardiac rehab goal
Make sure patient is safe/stable to go home
Intensity
Limit HR increase to +20 if medical tx and +30 if surgical
Or when </= 120 = RPE </= 13
Rest when gets close
What do you use when HR isn’t a reliable indicator
RPE
Time for exercise plan
Begin w 3-5 min bouts
Rest Ratio - 1:2 —> 2:1
Progress to 10-15 min continuous walking
Type of exercise for exercise plan
Endurance: walking or bicycle
Flexibility/stretching
Education: self monitoring
Carotid or radial pulse for HR and rhythm
Borg RPE
Dyspnea scale
Angina scale? NO ANGINA
Healing myocardium - importance of rest and activity
PT intervention post CABG -Bed mobility and transfers
Rolling
Sidelying <> sitting EOB
Sit <> stand
Goals of bed mobility and transfers
Independence w bed mobility and transfers
Upright tolerance/OOB to chair for 2 hours
Airway clearance
Upright positioning
Huff coughing/splinting to cough
Inspiratory muscle training - improved functional capacity and QOL
Goals of airway clearance
Adequate airway clearance to prevent pulmonary complications
Functional mobility and endurance
Ambulation
Stairs
Squat <> stand for low item retrieval
Functional mobility and endurance goals
Independence w all functional mobility
Gradually increase endurance/tolerance to 40-80% HRR
Home: Exercise plan - Symptom recognition and action plan
Nitroglycerin
911
Home: Exercise plan - appropriate activity guidelines
Same type and level of exercise done in hospital
Environmental temp and good air quality
Goal of 20-30 min 1-2x/day by 4-6 wks
Activity interspersed with rest
What temperatures cause the least stress on CVP system
40 to 80 degrees
