Cardiac Rehab 101 Flashcards

1
Q

What is cardiac rehabilitation?

A

The sum of activities required to influence favorably the underlying cause of the disease.

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2
Q

How many stages of cardiac rehabilitation are there?

A

4 phases.

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3
Q

What is phase 1 of cardiac rehabilitation?

A

Inpatient Period

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4
Q

What is phase 2 of cardiac rehabilitation?

A

Early Post-Discharge Period

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5
Q

What is phase 3 of cardiac rehabilitation?

A

Supervised outpatient program, including structured exercise.

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6
Q

What is phase 4 of cardiac rehabilitation?

A

Long-term follow-up/maintenance of primary care.

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7
Q

What are 5 patient groups of cardiac rehab?

A

Post-Revascularization, Stable Angina, Chronic Heart Failure, Other Groups, Special Needs Groups.

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8
Q

For Phase 1: Inpatient Period of cardiac rehab, what aspect of planning begins on Day 1?

A

Discharge Planning begins on Day 1

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9
Q

What are Sternal Precautions after Cardiac Surgery?

A

No Push/Pull
No lifting more than 5lbs
No Overhead Lifting
No Reaching Behind Back

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10
Q

How long are Sternal Precautions followed for after Cardiac Surgery?

A

6-10 weeks

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11
Q

What are Ancillary Sternal Precautions after Cardiac Surgery?

A

1.) Patient paces themselves
2.) Rest 1 hour after meals (or) before strenuous activity
3.) Avoid excessive heat or cold.

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12
Q

How long can it take for a sternum to heal, following CABG?

A

Up to 12 weeks (sometimes longer)

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13
Q

What is an educational focus of cardiac rehab for the patient?

A

Medications, Home activities, and follow-up appointments.

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14
Q

When does cardiac rehab begin following surgery?

A

As soon as possible.

CABG: 2-5d
PTCA-stent: 1-2d

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15
Q

What is the demand of a cardiac rehab patient navigating up 1 flight of stairs (met & bpm increase)?

A

5 Mets / Up 10-25 beats from resting

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16
Q

What is unstable angina (SBP / DBP)?

A

Uncontrolled hypertension at rest
SBP: >180
DBP: >110

17
Q

An orthostatic BP drop of how much is considered unstable angina?

A

BP drop > 20 mmHg with symptoms.