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Final Exam - Special Populations
Special Populations for cardiac care
57
Health Care
Graduate
04/28/2013

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Cards

Term
Osteoporosis: pulmonary Rx
Definition
breathing ex
chest mobility
Term
Correlation btwn ankylosing spondylitis and...
Definition
cardiomyopathy
arrhythmias
pericarditis
aortic valvular disease
Term
Ankylosing spondylitis =
Definition
hyperactive immune respone >> calcium deposits

M>F; 10:1
Term
Ankylosing spondylitis: pulmonary Rx
Definition
chest wall mobility
deep breathing techniques
Term
Scoliosis: angle of curve that begins to affect pulmonary fxn
Definition
>60º
Term
Scoliosis: angle of curve that affects diaphragm/ribs
Definition
90º
Term
Scoliosis: angle of curve that causes symptoms mimicking those of severe COPD
Definition
100-136º
Term
Scoliosis: pulmonary Rx
Definition
surgical
Term
Scoliosis: effectiveness of PT
Definition
slows progression; does not reverse curvature
Term
Pectus Deformitus (excavatum): cause
Definition
overgrowth of costal cartilage >> depressed/right rotated sternum >> L displacement of heart
Term
Pectus Deformitus (excavatum): pulmonary Rx
Definition
surgical
Term
Pectus Deformitus (excavatum): PT Rx
Definition
(sternal precautions)
posture
breathing
rib mobility
Term
S/Sx of SLE
Definition
PNA
pleuritis
hemorrhage
atelectasis
pulmonary HTN
obstructive pulmonary disease
Term
Scleroderma: cause of cardiopulmonary involvement
Definition
capillary damage
Term
Scleroderma: Rx
Definition
meds/sx
Term
CREST syndrome
Definition
calcinosis
Raynaud's
esophageal dysfxn
sclerodactyly
telangiectasia
Term
Mixed tissue Connective Disease =
Definition
rheumatological disease c symptoms of lupus, scleroderma and polymyositosis (esp shld, pelvis)
Term
___% of mixed tissue connective disease pts have pulmonary involvement
Definition
85%
Term
Mixed tissue Connective Disease: Rx
Definition
treat for hypoxemia, pulmonary HTN
Term
Sjogren syndrome =
Definition
exocrinopathy

rheumatic disease >> lymphocytes in lungs & jts
destroys salivary/lacrimal glands
often appears c RA
Term
___% of Sjogren syndrome pts have pulmonary involvement
Definition
9%
(pleuritis & fibrosis)
Term
Sjogren syndrome: Rx
Definition
meds,
restrictive symptoms
Term
Primary cause of long-term disability in US =
Definition
CVA
Term
___% of CVA pts are permanently disabled
Definition
15-30%
Term
____% of CVAs could have been avoided c regular ex & no smoking
Definition
79%
Term
____% of CVA pts also have ht disease
Definition
75%
Term
Primary focus of CVA ex prescription
Definition
cardiopulmonary conditioning
Term
Energy demands for CVA pt are ___% greater due to biomechanical stressors
Definition
50%
Term
issues that affect ability to exercise (in CVA) (3)
Definition
decr # of motor units
decr oxidative capacity
poor endurance
Term
Suggested duration for workloads for CVA pts
Definition
8-12 min, intermittent
Term
General guideline for leg cycle ergometry
Definition
50rpm, start at 20W and go up 20W each stage (each 4-8 min)
Term
Stroke pts can achieve about ___% of peak power compared to normal
Definition
70%
Term
Special consideration for pts on vasodilators
Definition
longer cool-down (prevent hypotension)
Term
# of TBIs per year in US
Definition
500 000
Term
most frequent causes of TBI
Definition
MVA
gunshot
Term
Factors which can influence TBI pt's ability to exercise (7)
Definition
cognitive deficits
emotional lability
communications deficits
dysautonomia
orthopedic deficits
respiratory difficulties
seizure disorder
Term
Dysautonomia >>
Definition
abnormal HR/BP response
Term
meds for TBI pts
Definition
anti-seizure
Term
tracheostomy pt position for ex
Definition
sit EOB
Term
Autonomic dysreflexia in SCI above level...
Definition
T6
Term
UE ex affect on ∆HR
Definition
faster incr in HR
Term
positive responses to exercise in SCI pts
Definition
wt loss
nn regeneration
insulin sensitivity
wound healing
decr spasticity
Term
Most common symptom of MS
Definition
fatigue
Term
Other symptoms of MS
Definition
spasticity
tremor
weakness
bowel/bladder
pain
Term
Focus of treatment for MS pt
Definition
energy conservation
Term
Exercise suggestion for MS pts
Definition
mild to mod activity levels
water ex at ≤90ºF
30 min 3x/wk @ 60-85% HRmax
Term
meds for MS pts >>
Definition
weakness
Term
Population c highest prevalence of PD
Definition
Amish
Term
Bradykinesia in PD pts >> this complication in pulmonary rehab
Definition
difficult to reach appropriate work level
Term
PD pts: interaction btwn meds & exercise
Definition
drug absorption decr by strenuous ex
Term
breakthrough exercise therapy for PD pts:
Definition
"forced exercise" (tandem bike)
Term
What to avoid in Rx of Guillan-Barre pt
Definition
Ø maximal exercise testing
Ø eccentric strengthening
careful about working into SOB
Term
What to avoid in Rx of postpolio syndrome
Definition
"injudicious repeated challenges to weakened musculature"
Term
Suggested ex level for postpolio pts
Definition
moderate levels
Term
Causes of sudden death in athletes (9)
Definition
cardiomyopathy
anatomic defect
Marfan's syndrome
CAD
conduction abnormality
aortic stenosis
myocarditis
drugs
trauma
Term
Screening questions for athletes
Definition
heart murmur?
family member <35yo died suddenly?
chest pain during ex?
fainted during ex?
family member c enlarged heart?
Marfan's?
Term
Summary of interventions for special populations (6)
Definition
exercise
breathing ex
breathing devices
abdominal supports
chest wall mobility
posture training
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