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Final Exam - Cardiac Rehab
Final Exam - Cardiac interpretation and interventions
62
Health Care
Graduate
04/28/2013

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Cards

Term
Normal post-ex recovery: HR
Definition
5 min return to normal
Term
Normal post-ex recovery: BP
Definition
10 min return to normal
Term
Exercise Prescription: Preventive
Definition
mod-vigorous aerobic activity 5-7x/wk
HTN, wt control
smoking cessation
Term
Exercise Prescription: Known cardiac disease
Definition
20-30 min aerobic activity 3-5x/wk
60-80% HRR (initial 40-50%)
Term
formula for HRR
Definition
MaxHR-RHR
Term
Karvonen formula
Definition
(HRR x intensity) + RHR = THR
Term
Exercise Prescription: resistance training
Definition
8-12 reps, 2-3 days/wk
Term
Phases of cardiac rehab (4)
Definition
1. Inpatient/acute
2. Transitional
3. Outpatient
4. Maintenance
Term
Reasons to stop exercise (inpatient) (6)
Definition
HR>130bpm
DBP>110mmHg
SBP drop >10mmHg
arrhythmias
2º/3º ht block
angina/dyspnea
Term
Cardiac rehab - inpt/acute
Definition
continuous monitoring
education
activity assessment
Term
Cardiac rehab - transitional
Definition
monitoring based on risk status
continuing education
mobility training
Term
Cardiac rehab - outpatient
Definition
monitoring based on risk (3 levels)
nutrition
activity ed
Term
3 levels of risk in outpatient setting: lowest
Definition
monitored 6-18 sessions
direct supervision 30d p event
Term
3 levels of risk in outpatient setting: moderate
Definition
monitored 12-24 sessions
direct supervision 60-90d p event
Term
3 levels of risk in outpatient setting: highest
Definition
monitored 188-24 sessions
direct supervision 90+ days post event
Term
Cardiac rehab - maintenance
Definition
no monitoring
community programs
Term
Exercise guidelines: inpatient - frequency
Definition
3-4x/day
Term
Exercise guidelines: inpatient - intensity
Definition
RPE<13
<120bpm (post-MI)
RHR+30 (post-sx)
Term
Exercise guidelines: inpatient - duration
Definition
intermittent bouts of 3-5 min
20 min total
Term
Exercise guidelines: inpatient - progression
Definition
incr duration to continuous 10-15 min
Term
Exercise guidelines: outpatient - frequency
Definition
3-5 d/wk
Term
Exercise guidelines: outpatient - intensity
Definition
RPE<13
<120bpm (post-MI)
RHR+30 (post-sx)
40-50% HRR
Term
Exercise guidelines: outpatient - duration
Definition
20-60 min
Term
Exercise guidelines: maintenance - frequency
Definition
3-5x/wk
Term
Exercise guidelines: maintenance - intensity
Definition
60-80% HRR
Term
Exercise guidelines: maintenance - duration
Definition
30-60 min
Term
_____% of cardiac arrests while in rehab during warm-up/cool-down
Definition
40-50%
Term
Safety considerations in cardiac rehab exercise (6)
Definition
gradual warm-up/cool-down
all staff CPR trained
regular emergency training
telemetry monitoring
knowledge of environmental factors affecting CV system
risk stratification (assign/monitor appropriate ex program)
Term
ST segment depr
signifies...
Definition
myocardial ischemia
Term
ST segment elev
signifies...
Definition
c Q-wave: aneurysm

s Q-wave: coronary stenosis
Term
supraventricular dysrhythmias
signify...
Definition
no dx/px significance for CVD
Term
ventricular ectopy during recovery v.
ectopy occurring only during ex
Definition
ectopy during recovery is a better predictor of mortality
Term
slowed heart rate recovery
signifies...
Definition
poor prognosis
Term
angina level at which to terminate ex testing
Definition
3 (moderately severe)
Term
ex to avoid in HTN pts
Definition
straining or isometrics
Term
medically stable post-MI
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
stable angina
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
CABG
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
PTCA
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
compensated CHF
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
cardiomyopathy
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
ht/organ transplant
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
PAD
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
high-risk CVD ineligible for sx
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
sudden cardiac death syndrome
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
end-stage renal disease
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
at-risk for CAD, c dx of metabolic syndrome type conditions
Cardiac Rehab Indication or Contraindication?
Definition
indication
Term
USA
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
BP >200/110
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
BP drop of >10mmHg c symptoms
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
critical aortic stenosis
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
acute systemic illness/fever
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
uncontrolled atrial/ventricular dysrhythmias
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
uncontrolled sinus tach
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
uncompensated CHF
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
3º AV block s pacemaker
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
active pericarditis or myocarditis
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
recent embolism
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
thrombophlebitis
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
resting ST-segment depr/elev
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
uncontrolled diabetes mellitus
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
Term
metabolic conditions (thyroiditis, hypokalemia, hyperkalemia, hypovolemia)
Cardiac Rehab Indication or Contraindication?
Definition
contraindication
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