Cardiac Rehab 101 Flashcards
(17 cards)
What is cardiac rehabilitation?
The sum of activities required to influence favorably the underlying cause of the disease.
How many stages of cardiac rehabilitation are there?
4 phases.
What is phase 1 of cardiac rehabilitation?
Inpatient Period
What is phase 2 of cardiac rehabilitation?
Early Post-Discharge Period
What is phase 3 of cardiac rehabilitation?
Supervised outpatient program, including structured exercise.
What is phase 4 of cardiac rehabilitation?
Long-term follow-up/maintenance of primary care.
What are 5 patient groups of cardiac rehab?
Post-Revascularization, Stable Angina, Chronic Heart Failure, Other Groups, Special Needs Groups.
For Phase 1: Inpatient Period of cardiac rehab, what aspect of planning begins on Day 1?
Discharge Planning begins on Day 1
What are Sternal Precautions after Cardiac Surgery?
No Push/Pull
No lifting more than 5lbs
No Overhead Lifting
No Reaching Behind Back
How long are Sternal Precautions followed for after Cardiac Surgery?
6-10 weeks
What are Ancillary Sternal Precautions after Cardiac Surgery?
1.) Patient paces themselves
2.) Rest 1 hour after meals (or) before strenuous activity
3.) Avoid excessive heat or cold.
How long can it take for a sternum to heal, following CABG?
Up to 12 weeks (sometimes longer)
What is an educational focus of cardiac rehab for the patient?
Medications, Home activities, and follow-up appointments.
When does cardiac rehab begin following surgery?
As soon as possible.
CABG: 2-5d
PTCA-stent: 1-2d
What is the demand of a cardiac rehab patient navigating up 1 flight of stairs (met & bpm increase)?
5 Mets / Up 10-25 beats from resting
What is unstable angina (SBP / DBP)?
Uncontrolled hypertension at rest
SBP: >180
DBP: >110
An orthostatic BP drop of how much is considered unstable angina?
BP drop > 20 mmHg with symptoms.
