Cardiovascular Conditions pt. 4: PT Interventions Flashcards
goals of cardiac PT
assess hemodynamic response during self care and functional mobility
maximize activity tolerance
pt/caregiver education for activity/behavior modification
if pt is unstable, what are the absolute contraindications
- decompensated CHF
- 2 degree heart block with PVCs
- 3 degree heart block
- > 10 PVCs/min at rest
- chest pain with new ST segment changes
- new onset A-fib with rapid ventricular response at rest (HR >100)
- dissecting aortic aneurysm
- multifocal PVCs
- unstable angina with recent change in symptoms
- ECG changes assoc with ischemia/injury
if pt is unstable, what are some relative contraindications
- resting HR >100
- resting HTN >160/>90
- hypotension at rest (<80 systolic)
- ventricular ectopy at rest
- a-fib with rapid ventricular response at rest (HR >100)
- psychosis/unstable psych condition
what is an appropriate beat increase from resting
20-30 with activity
if a pt is on beta blockers, what is the max HR
do not exceed 20 beats above resting
if a pt has a ACID, target HR should be what
20-30 beats below threshold
if post-heart transplant, what can u not do
use HR to prescribe exercise
normotensive systolic blood respone
increase 5-12 mm Hg per increase in METs
what should you use to gauge activity for pt’s on pacemakers without rate modulation
BP
warm up phase
low level activity
conditioning phase
functional mobility and aerobi conditioning
cool down phase
stretching and deep breathing
pt education
promote self monitoring and symptom recognition
establish safe and sustainable exercise
lifestyle modifications
meds management
phase 1 cardiac rehab
- started when pt is stable
- inpatient setting
goal of phase 1 cardiac rehab
- tolerate ADLs
- walking functional distances
- climbing stairs w/ appropriate VS and no cardiovascular symptoms
- education about risk factors and lifestyle modifications essential
