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Exam 2 - Mobilization & Exercise
Exam 2 - Mobilization & Exercise
35
Health Care
Graduate
03/31/2013

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Term
Mobilization =
Definition
low-intensity exercise;
usually used in "acutely ill" pts
Term
Best position for mobilization
Definition
upright
Term
Exercise = (population)
Definition
management of subacute & chronic dysfxn
Term
Goal of Mobilization/Exercise
Definition
optimize O2 transport
Term
Bed Rest leads to:
Definition
resting tachycardia
decr CO/VO2peak
decr blood volume (10-15% in 24hr)
decr O2 extraction
alteration fo Type I/II fibers (within 4 hr)
Decr metabolic enzyme activity
mm atrophy, contractures
decr endocrine output (growth hormone)
decr insulin sensitivity
decr lung volumes
venous engorgement (pulmonary)
incr blood viscosity, incr DVT
abnormal vascular tone
incr renal load (>>neuropathy, decr bone density)
slowed CNS activity
advanced aging
Term
Faster deterioration 2º to bed rest: cardiopulm or mmsk?
Definition
cardiopulm
Term
Types of beds
Definition
kinetic bed
tilt table
Term
Indications for bed rest
Definition
vv probs
ortho insult
acute back injury
Term
"Conditioning can be maintained with ____ min of ___ intensity _____ exercise"
(daily)
Definition
30 min,
high intensity,
upright exercise
Term
Isotonic v Isometric ex:
better maintenance of VO2/mm integrity
Definition
isometric > isotonic
Term
Items to monitor during mobilization
Definition
VS
RPE
RPP
lab values
Term
RPP =
Definition
HR x SBP
Term
Necessary Pt Condition before mobilizing
Definition
rested
ø eaten heavily
attentive/aroused
minimal pain
timed c meds
equipment situated
assistants positioned
Term
Stages of mobilization (3)
Definition
warm up
steady rate activity
cool down
Term
1 MET =
Definition
3.5 mL/kg•min
Term
Mobilization bouts: longer v. shorter >> prep for D/C?
Definition
shorter, more frequent
Term
1.5-2 METs: example
Definition
playing cards
chair exercises
Term
2-3 METs: example
Definition
bowling
self care
Term
3-4 METs: example
Definition
archery
walking 2mph in hallway
Term
4-5 METs: example
Definition
golfing (carrying clubs)
climbing flight of stairs
Term
**5-6 METs: example

(first endurance promoting level)
Definition
canoeing
Term
6-7 METs: example
Definition
shoveling snow
Term
7-8 METs: example
Definition
sawing hardwood
jogging
Term
8-9 METs: example
Definition
basketball (vigorous)
Term
10+ METs: example
Definition
running (6+mph)
Term
MET target for patients
Definition
5-6 METs for 1 hr/day
Term
Speed of walking necessary to cross street safely
Definition
2 mph
Term
Long-term effects of mobilization/exercise: Cardiopulmonary
Definition
decr minute ventilation
incr respiratory mm strength/endurance
incr collateral ventilation/vascularization
Term
Long-term effects of mobilization/exercise: Cardiovascular
Definition
incr myocardial mm mass
incr myocardial efficiency
ex-induced bradycardia
decr stroke volume
decr submax AND resting HR/BP/RPP
decr RPE
incr thermoregulation
der orthostatic intolerance
Term
Long-term effects of mobilization/exercise: Hematological
Definition
incr blood volume
incr RBCs
optimized Hct, cholesterol
decr blood lipids
Term
Elements of exercise prescription (5)
Definition
frequency
duration
intensity
mode
progression
Term
Field Tests to assess VO2peak
Definition
Rockport 1-mi walking
1.5 mi test
Cooper 12-min

Astrand-Rhyming cycle
YMCA cycle

3-min YMCA step
Term
**Absolute contraind to Ex Testing
Definition
CHF
myocardial ischemia
USA
dissecting aneurysm
v-tach
ectopic acitivity
supraventricular dysrythmia
recent thromboembolus
uncontrolled asthma, ht failure, HTN
pulmonary edema
acute infection
Term
**Relative contraind to Ex Testing
Definition
recent MI (<4wk)
aortic valve dz
cardiomegaly
pulmonary Htn
resting tachycardia
poorly controlled diabetes
electrolyte disturbance
systemic HTN
complete AV block
acute cerebrovascular dz
respiratory failure
L ventricular failure
epilepsy
Term
Descriptors of ex prescription (4)
Definition
individualized
intensity
motivation
monitoring
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