Exercise/Cardiac Rehab

Question 1

power = ______ x _______
- What are examples of power tests?

Answer 1

force x velocity

• TUG
• 5x sit to stand
• 2 and 6 min walk test

Question 2

3 red flags during exercise that require stopping exercise

Answer 2

• If systolic BP fails to increase or drops below resting level
• If diastolic BP increases more than 10 mmHg during the session
• BP should start to fall immediately after exercise stops and return to normal within 8-10 min.

Question 3

Recommended exercise guidelines

Answer 3

150 minutes to 300 minutes a week of moderate intensity
OR
75 minutes to 150 minutes of vigorous aerobic

muscle strengthening moderate intensity of all muscle groups 2 or more days a week

Question 4

What is a rule of thumb with moderate intensity aerobic activity?

Answer 4

they can talk but they can’t sing

Question 5

What is a rule of tumb with vigorous intensity activity?

Answer 5

they cannot say more than a few words without pausing for a breath

Question 6

What are signs of poor tissue perfusion and require stoppage of exercise?

Answer 6

• pallor
• cyanosis
• cold and clammy skin

Question 7

When does phase 1 of cardiac rehab start?

Answer 7

immediately upon the patient becoming medically stable
- ECG monitored

Question 8

When does phase 2 of cardiac rehab start?

Answer 8

immediately or shortly after discharge from the hospital, lasts for 8-12 weeks
- ECG for part of this phase
- 3x6 weeks

Question 9

What is done during phase 3 of cardiac rehab?

Answer 9

training or intensive rehab
- outpatient
- rarely monitored

Question 10

What is done during phase 4 of cardiac rehab?

Answer 10

Maintenance
- = to a fitness membership
- no monitoring or staff oversight

Question 11

intensity of phase 1 cardiac rehab

Answer 11

< 120 BPM or < 20-30 BPM increase during exertion
- symptoms limited

Question 12

When should treatment be stopped during phase 1 cardiac rehab?

Answer 12

• unusual HR increase
• Inappropriate BP response
  SP > 210, DP > 110
  10 mmHg or more drop in SP with exercise

Question 13

goals for cardiac rehab phase 1

Answer 13

• initiate return to independence in ADLs
• counteract the effects of bed rest
• provide medical surveillance during ADLs

Question 14

goals for cardiac rehab phase 2

Answer 14

• improve exercise tolerance and functionality
• provide patient and family education
• risk factor reduction/secondary prevention strategies
• prepare for return to work
• promote psychological, behavioral and educational improvement

Question 15

How to determine HRR

Answer 15

HRR = estimated HRmax - HRrest

HRmax = 220 - age
HRmax = 207 - (0.7 x age)