Flashcards in 8) Exercise Guidelines (Cardiac Rehab) Deck (26):
Enables pt's to resume active & productive luves w/in imposed limitations
What are the goals of cardiac rehab?
*Restore optimal physiological, & vocational status
*Prevents progression of disease
*Reduce risks of SD & reinfarct
What pt's are candidates for cardiac rehab?
*High Risk for CHD
*Congenital heart defect correction
*2° & 3° prevention
What does cardiac rehab consist of?
*Risk Factor Management
What can a pt do if they can climb 2 flights of stairs?
Have sex w/their normal partner
What does phase 1 rehab involve?
Low-level fxnl activities such as PROM, AROM, & amb
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
What needs to be evaluated in phase 1 rehab?
Frequency of phase 1 cardiac rehab
5-7days/wk, 15min bid
Intensity of phase 1 cardiac rehab
20 BAR for MI; 30BAR for CABG
What is the pt told to do when they get home from phase 1 cardiac rehab?
Phase 2 Cardiac Rehab
Out-pt phase focused on incr pt's fxnl & CV efficiency; Lasts about 3 months
What is used to eval a pt in phase 2 cardiac rehab?
*Cardiac stress test
*PFT if pt has pulmonary involvement
*Repeat stress test at end
Frequency of phase 2 cardiac rehab
*3-5x/wk of 20-45min of aerobic activity
*Evening walks are encouraged
What is the intensity of phase 2 cardiac rehab?
*50-70% of karvonen HR-->Incr monthly by 5% to a max of 80%
Exercise prescription implications for phase 2 cardiac rehab
*Warm-up for 5min w/low level amb
*Rest for <1min in between devices
*Alternate leg & arm exercises
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
Phase 3 Cardiac Rehab
Supervised phase lasting 4-6wks to decr supervision of exercise program & to promote self-regulation of the program
How are pt's monitored during phase 3 cardiac rehab?
Intensity of phase 3 cardiac rehab
70-80% of Karvonen HR
Phase 4 Cardiac Rehab
Unsupervised phase lasting forever to maintain lifestyle changes acquired in cardiac rehab
What are the benefits of exercise?
What measures are used to monitor a pt's progress?
*Daily ECG, RGR, RBP, peak BP, & adverse rxn's
*Duration, intensity, & adjusted work load
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
What is important to know about a pt's status?
*Hyperventilation prior to the test
*HR max prior to any sx's
*Length of test
*Reason for termination