Exercise for Cardio/ Pulmonary Conditions

Question 1

Primary impairment in CAD

Answer 1

imbalance myocaridal oxygen supply n demand

Question 2

narrowing due to

Answer 2

lumen of coronary artery

Question 3

how does MI happen

Answer 3

blood to part of heart interrupted

Question 4

most common cause of Mi (Heart attach)

Answer 4

occlusion (blockage) following by rupture atherosclerotic plaque

Question 5

atherosclerotic plaque

Answer 5

unstable collection of lipids and WBC in artery

Question 6

LV functions impaired

Answer 6

SV, Q, 02 delivery, v02 peak, WR

Question 7

V02 equation

Answer 7

QxC(a-v)D02

Question 8

what part of equation does CAD effect

Answer 8

Q (HR x SV)

stroke volume

Question 9

RER higher or lower in CAD

Answer 9

higher

Question 10

Why RER higher in CAD

Answer 10

impaired 02 delivery

incase metabolic acidosis

Question 11

T/F Ve / VCo2 ration normal at rest and during exercise in CAD

Answer 11

true

Question 12

when does respiratory compensation for metabolic acidosis happen

Answer 12

heavy exercise

Question 13

T/F At similar in health and CAD

Answer 13

yes

Question 14

Above the ischemic threshold, what happened to Vco2

Answer 14

incase more steeply in CAD

Question 15

onset of myocardial ischemia

Answer 15

Curvilinear HR response

02 pulse below predicted

Question 16

Are CAD patients ventilatory limited

Answer 16

not usually

Question 17

Cardiac rehab

Answer 17

resorting individual with cardiac problem to max activity compatible with heart

Question 18

goals of cardiac rehab

Answer 18

limit psych effect
decrease risk of sudden death
control symptoms
stabilize atherscleorsis 
ADL

Question 19

components of cardiac rehab

Answer 19

lifestyle (PA, Ed, Weight, Smoking)
Psychosocial
long term management

Question 20

Phases of cardiac rehab

Answer 20

1-4

Question 21

phase 1 cardiac rehab

Answer 21

in patient period

Question 22

phase 2 cardiac rehab

Answer 22

early post discharge

up to 12 weeks supervised exercise / education

Question 23

phase 3 cardiac rehab

Answer 23

supervised out patient program
variable leng program
intermittent or no ECG monitoring

Question 24

phase 4 cardiac rehab

Answer 24

long term maintenance
no ECG
limited supervision

Question 25

Met level PT goal for discharge

Answer 25

3-4

Question 26

how to progress MET of cardiac rehab

Answer 26

3-4 MET

Question 27

F FITT Cardiac Patient

Answer 27

Early mobilization 2-4/day for 3 days later mobilization: 2/day on day 4 with exercise bouts increased

Question 28

I FITT cardiac patient

Answer 28

to tolerance RPE <13 Post MI/CHF: HR <120 or 20 of upper limit Poster surgery - Hr rest + 30 of upper limit

Question 29

T FITT cardiac patient

Answer 29

bouts of 3-5 min as tolerated | 2:1 exercise to rest

Question 30

when to progress cardiac patient

Answer 30

when patient can exercise continuously for 10-15 mins

Question 31

Activity classifications for inpatient activities

Answer 31

Class 1-6

Question 32

Class I

Answer 32

sit up with assistance own self care sits 15-30 min, 2-3/day

Question 33

Class II

Answer 33

sits in bed without assistant | walks in room and to bathroom

Question 34

Class III

Answer 34

sit stand indepedpntly | walks short distances , 3/day

Question 35

Class IV

Answer 35

does own self care | walks in halls, 3-4 /day

Question 36

Class V

Answer 36

walks in halls indpendelty (80-150m) 3-4/day

Question 37

Class Vi

Answer 37

independent ambulation 3-6/day

Question 38

goals of outpatient cardiac

Answer 38

return to pre morbid activities establish home exercise program provide education

Question 39

6 principals of out patient cardiac rehab

Answer 39

- total conditioning - health adults prescription adjusted - test w meds - don't use HR, use v02 n RPE - below threshold of angin - warm up

Question 40

Frequency FITT cardiac outpatient

Answer 40

4-7/days | 1-10min/day

Question 41

I FITT cardiac outpatient

Answer 41

RPE 11-16 40-80% of HRR below ischemic threshold

Question 42

T FITT cardiac outpatient

Answer 42

5-10 warm up/cool down aerobic 20-60 add 1-5 min /sessoin individual

Question 43

Type FITT cardiac outpatient

Answer 43

arm ergometer, cycle, elliptical, rower, start climber, treadmill

Question 44

cardiac guidleline to progress to minimal or no supervision

Answer 44

functional capacity >8Met or twice occupation ECG appropriate knowledge of abnormal signs

Question 45

Resistance training in cardiac rehab

Answer 45

technique 12-15 reps RPE 11-13 2/3 days

Question 46

what causes COPD

Answer 46

smoking pollution

Question 47

causes of exercise intolerance in COPD

Answer 47

``` ventilation limit exertional symptoms metabolic gas exchange abnormal cardiac impairment perhiperhal mm dysfunction ```

Question 48

benefits pulmonary rehab

Answer 48

reduce symtoms improve exercise tolderence increase functional abiltiy improve quality of life

Question 49

T/F pulmonary benefits because of reduce air obstruction and decreed hyperinflation

Answer 49

no

Question 50

why benefit of pulmonary rehab

Answer 50

improved secondary morbidities | mm deconditionign, resp mm strengt, desensitzation to dysnpnea

Question 51

COPD intensity

Answer 51

higher intensity better (increase v02 and oxidative enzymes) submax exercse (less lactic n ventilatiON)

Question 52

dual therapies with pulmonary rehab

Answer 52

``` bronchodilators internval training single leg exercises EMS helium ```

Question 53

why single leg exercises

Answer 53

``` half the load same metabolic demands reduce ventilation load increase work capacity improve aerobic capacity ```

Question 54

mechanism for exercise intolerance CAD

Answer 54

impaired LV, mycardial ischemia (angine)

Question 55

what happens to Vo2 and Vc02 in CAD

Answer 55

v02 plates due to dec SV | vo2 continues to increase

Question 56

T/F respiratory compensation normal inCAD

Answer 56

yes

Question 57

calculate HRR

Answer 57

hr max - hr rest (outpatient!!!!)

Question 58

what is emphysema

Answer 58

loss lung recoils, dec surface area