Term
| Coronary Artery Disease (CAD) |
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Definition
Angina Pectoris, Myocardial infarction, CHF
Heart Disease Levels
Class 1 Max MET 6.5
Class 2 Max MET 4.5
Class 3 Max Met 3.0
Class 4 Max Met 1.5
PVD - Arterial disease and Venous disease |
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Term
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Definition
Pneumonias (Bacterial, Viral, Aspiration), Tuberculosis, Pneumocystis
COPD, Chronic Restrictive Diseases, Asthma, Carcinomas, Pulmonary Edema |
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Term
| Cardiopulmonary Assessment |
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Definition
Review med. record
Interview
Symptoms - pain, dyspnea, fatigue (perceived exertion, Palpitations, dizziness, edema.
PMH - onset, testing, social history, d/c environment, Vital signs, Condition of extremities - sweating, pulses, skin color, vascular status.
Mobility Assessment
Cognition Assessment
ADL
Activity Tolerance - Graded exercise test (6 min walk test, observation of symptoms, MET levels,
Psychosocial Assessment
Environmental Assessment |
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Term
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Definition
Vitals Infant Adult
heart rate 120 60-80
blood pressure 75/50 120/80
respiratory rate 40 12-18 |
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Term
| OT Intervention Stage 1 1-1.4 MET |
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Definition
Sitting, transfers, sitting tolerance,
Exercise sitting or supine
Reading, table games |
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Term
| OT intervention Stage 2 1.4-2 MET |
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Definition
ADLs sitting, Ambulation at slow pace in room
Exercise in sitting, NO ISOMETRICS
Sitting crafts, etc. |
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Term
| OT intervention Stage 3 2-3 MET |
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Definition
Showering sitting, brief standing for tasks, walk with items briefly
Exercise sitting, standing for balance without resistance, progress amb.
Performing activities in sitting. |
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Term
| OT intervention Stage 4 3-3.5 MET |
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Definition
ADLs in standing, housework, unlimited ambulation
Exercise in standing increase remititions with resistance, do stairs
Bowling and golf and light gardening. |
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Term
| OT intervention Stage 5 3.5 - 4 MET |
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Definition
ADL standing, making beds
Exercise increase workload to 4.0 met
Treadmill 7-10 pds per weight
Swimming, carpentry |
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Term
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Definition
ADLs standing, raking
Exercise in standing stairs, treadmill, cycling 10 miles per hour 10-15 pds per weight
Dancing, vollyball, calisthentics |
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Term
| METabolic Cost to activities |
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Definition
1.5-2 desk work, standing, walking, motorcycling
2-3 auto repair, bartending, bicycling, billiards, golf
3-4 bricklaying, cleaning, welding, walking horseback riding, volleyball, golf archery,
4-5 Painting, light carpentry, table tennis, dancing, raking leaves, hoeing
5-6 Digging, shoveling, canoeing, ice skating
6-7 - shoveling 10 minutes, walking, manual lawn mowing, water skiing
7-8 - digging ditches, sawing hardwood, jogging, mountain climbing
8-9 - Shoveling 10 minutes, running, squash, fencing, basketball
10+ Shoveling 10 min. 35 min. plus, running, ski touring, squash |
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Term
| Cardiopulmonary Rehabilitation up to |
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Definition
Pt. education: Energy conservation, metabolic cost, decrease anxiety smoking cessation, dietary efforts, d/c planning
Evaluation and intervention - Initiated at bedside - needs to have pulse of 100 of less, begin MET 1-2 activities, use energy conservation techniques, breathing exercised, vital signs monitored prior, at peak, and 4-5 min. post activity, exertion scales are monitored before, at peak, 30 sec. before stopping, immediately upon stopping and 3-5 min. post activity, Observe for SOB, pain, nausea vomiting, dizziness, decrease in systolic BP greater than 20, facial changes, O2 sat. levels, MAX BP 200/120,, MAX HR 100 w/ very light activity, 120 less than 6 weeks after MI surgery, 130 recent bypass, CHF,
Avoid isometric, breath holding and straining, overhead exercises, overhead UE, lateral arm movements.
Therapy should be stopped for symptoms.
D/C'd to Phase 2 when they are at MET level 3.5
Phase 2 outpatients begins with MET level 4-5, resume sexual activity at 5-6 MET level, Phase 3 - Maintenance |
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Term
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Definition
Genetically inherited
Chronic progressive lung disease of normal mucus
Failure to grow properly
expectancy up to 26 years
Cardiac, diabetes, chirrhosis are complications
exercise intolerance
OT: assess for developmental delays, environmental concerns, psychosocial status, stress, school absences, social isolation, fatigue, emotional stress,
OT: energy conservation, environmental, postural, NDT, phys. and psych. development, parent, pt. education, medical precautions |
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Term
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Definition
Premature birth, alveoli do not stay open lack of surfactant,
lungs collapse, also called HMD
Steroid medication before birth, oxygen, CPAP, intubation, ventialtion, PEEP, surfactant replacement
Complications - intracranial hemorrhage, bronchopulmonary dysplasia, developmental delay, intellectual development, normal physical, psych. development
OT: Assess environment and developmental delays, monitor, facilitate sensori-motor and cognitive development, psychosocial issues, parent education, environment, medical precautions, opthalmologist. |
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Term
| Bronchopulmonary Dysplasia |
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Definition
Barotrauma - high pressures, infection, meconium aspiration, asphyxia, prematurity, immature lung thickening, mucus lining thick, feeding problems, fragile bones, nervous system problems, cognition, spech, motor sensory. decreased social exercise tolerance, attachment disorder
OT: assess developmental delays, environment, Facilitate sensori-motor and cognitive development, psychosoial issues, parent education, parent advocacy, medical precautions. |
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