Cardiopulmonary Flashcards
What are the heart disease risk factors? (Name 5)
non-controllable - age, sex, family history
controllable - smoking, high lipids, high cholesterol, hypertension, obesity, diabetes, mental stress, lack of exercise
Name 4 heart diagnoses
- Myocardial infarction
- Coronary artery disease and angina pectoris
Occupational therapy intervention: sternal precautions and home program guidelines - Congestive heart failure
- Cardiomyopathies
Name 3 medical treatments for heart conditions
1. Surgery Open heart surgery: types include coronary artery bypass graft and valve replacement Angioplasty Atherectomy 2. Medication 3. Lifestyle change
What happens during cardiac rehabilitation - inpatient?
monitor EKG, blood pressure, pulse; progression of ALDS according to METS; monitor activity tolerance; develop a home program
What happens during phase 2 cardiac rehab - outpatient?
OT 3 days/week for 4-8 weeks; progress METS levels; weight training;
What happens during phase. 3 - community ?
physician referral; stress test; continue phase 2
What are the pulmonary diagnoses?
COPD (emphysema and chronic bronchitis)
What is emphysema?
alveoli rupture or enlarge - lose elasticity
What is chronic bronchitis?
long-term inflammation of the bronchioles with dyspnea
What does OT eval look like?
- ADL assessment, noting ROM, muscle strength, sensation, cognition, and psychosocial status
- Monitoring of heart rate, blood pressure, and oxygen saturation
- Daily activity interview
- Evaluation of the need for adaptive equipment
What does OT intervention look like for pulmonary?
rest breaks; keeping up O2 saturation; pursed lip breathing and diagraphagmtic breathing; EU strengthening; community adaptation; stress management; energy conservation; increasing endurance
