8) Exercise Guidelines (Cardiac Rehab) Flashcards Preview

2) Cardiopulm > 8) Exercise Guidelines (Cardiac Rehab) > Flashcards

Flashcards in 8) Exercise Guidelines (Cardiac Rehab) Deck (26):
1

Cardiac Rehab

Enables pt's to resume active & productive luves w/in imposed limitations

2

What are the goals of cardiac rehab?

*Restore optimal physiological, & vocational status
*Alleviate sx's
*Prevents progression of disease
*Reduce risks of SD & reinfarct

3

What pt's are candidates for cardiac rehab?

*MI
*CABG
*PTCA/Stents
*Valve Replacement
*Heart/Lung Transplant
*Stable Angina
*Silent Ischemia
*High Risk for CHD
*Congenital heart defect correction
*CHF
*Arrythmias
*PAD
*2° & 3° prevention

4

What does cardiac rehab consist of?

*Exercise Therapy
*Risk Factor Management
*Psychological changes
*Behavioral Changes
*Lifestyle Changes
*Education

5

What can a pt do if they can climb 2 flights of stairs?

Have sex w/their normal partner

6

What does phase 1 rehab involve?

Low-level fxnl activities such as PROM, AROM, & amb

7

Phase 1 Rehab

In-pt lasting about 3 days (until d/c) to counteract the deleterious physiological effects of bed rest & prevent a "cardiac cripple" from emerging

8

What needs to be evaluated in phase 1 rehab?

*Contraindications
*MD Clearance

9

Frequency of phase 1 cardiac rehab

5-7days/wk, 15min bid

10

Intensity of phase 1 cardiac rehab

20 BAR for MI; 30BAR for CABG

11

What is the pt told to do when they get home from phase 1 cardiac rehab?

To walk

12

Phase 2 Cardiac Rehab

Out-pt phase focused on incr pt's fxnl & CV efficiency; Lasts about 3 months

13

What is used to eval a pt in phase 2 cardiac rehab?

*Cardiac stress test
*Lab studies
*PFT if pt has pulmonary involvement
*Repeat stress test at end

14

Frequency of phase 2 cardiac rehab

*3-5x/wk of 20-45min of aerobic activity

*Evening walks are encouraged

15

What is the intensity of phase 2 cardiac rehab?

*50-70% of karvonen HR-->Incr monthly by 5% to a max of 80%
*BORG

16

Exercise prescription implications for phase 2 cardiac rehab

Intermittent Training
*Warm-up for 5min w/low level amb
*Rest for <1min in between devices
*Alternate leg & arm exercises
*

17

Resistance training implications for phase 2 cardiac rehab

*Wait until 5wks post-MI or CABG; Pt should be supervised for at least 4wks
*Wait until 3wks post-PTCA & other procedures; Pt should be supervised for at least 2wks
*No evidence of problems w/CHF, severe valve disease, uncontrolled HTN, or unstable sx's

18

Phase 3 Cardiac Rehab

Supervised phase lasting 4-6wks to decr supervision of exercise program & to promote self-regulation of the program

19

How are pt's monitored during phase 3 cardiac rehab?

HR

20

Intensity of phase 3 cardiac rehab

70-80% of Karvonen HR

21

Phase 4 Cardiac Rehab

Unsupervised phase lasting forever to maintain lifestyle changes acquired in cardiac rehab

22

What are the benefits of exercise?

*

23

What measures are used to monitor a pt's progress?

*VO2max
*Lipid profile
*Vitals
*ECG Changes
*THR
*Psychosocial
*Alcohol
*Daily ECG, RGR, RBP, peak BP, & adverse rxn's
*Duration, intensity, & adjusted work load

24

Why are stress tests done?

*Determine max capacity for physical work
*Detect/confirm ischemic heart disease in apparently healthy pt's
*Assess pt's w/cardiac pathologies
*Exercise prescription

25

What is important to know about a pt's status?

*Hyperventilation prior to the test
*Resting vitals
*ECG Changes
*BP response
*HR max prior to any sx's
*Meds
*MHx
*Length of test
*Reason for termination

26

Considerations for cardiac rehab

*UBE makes BP spike
*Aquatic Therapy-->Temperature indications but generally not good to do
*Sternal pxns-->Don't pick up >5lbs & no driving
*DM