Cardiac

Question 1

Stemi vs Nstemi

Answer 1

Stemi - elevation of ST

Nstemi - depression of ST

Question 2

hypercapnia
hypocapnia
pH levels

Answer 2

hyper 7.0

hypo - 7.8

Question 3

agonal rhythm

Answer 3

< 20 bpm

Question 4

cardiac PT interventions

3

Answer 4

1) Assess hemodynamic response during self-care and functional mobility
2) Maximize activity tolerance
3) Pt/caregiver edu for activity/behavior modification

Question 5

unstable cardiac response

Answer 5

a) Pt cannot meet physiologic demands due to patho

i) Hemodynamically unstable

Question 6

stable cardiac response

Answer 6

a) Pt can perform function Indi without over exertion

i) Hemodynamically stable

Question 7

cardiac absolute indications

Answer 7

i) Decompensated CHF
ii) Second-degree heart block with PVCs
iii) Third-degree heart block
iv) >10 PVCs/min at rest
v) Chest pain with new ST segment changes
vi) New onset A-fib with rapid ventricular response at rest (HR > 100 bpm)

Question 8

cardiac relative indications

Answer 8

i) Resting HR > 100 bpm
ii) Resting HTN > 160 systolic and > 90 diastolic
iii) Hypotension at rest (< 80 systolic)
iv) Ventricular ectopy(PVC) at rest
v) A-fib with rapid ventricular response at rest (HR > 100 bpm)
vi) Psychosis/unstable psych condition

Question 9

HR increase with exercise
norm
beta blockers

Answer 9

20-30 safe norm

do not exceed 20 beta blockers

Question 10

bpm cool down

Answer 10

greater than 12 bpm - more than resting?

Question 11

norm BP response to exercise

Answer 11

5-12 more for each MET

Question 12

Phase 1 cardiac

Answer 12

i) Started once  pt is stable
ii) Tolerate ADL’s waling climbing stairs – 1-4 METS
iii) Edu essential

Question 13

phase 2

Answer 13

i) 2 weeks out

ii) Progresses exercises

Question 14

phase 3

Answer 14

i) Maintain

ii) 2-3 months after