Phase 2 Cardiac Rehab (pt. 2)

Question 1

indication for an unmodified program

Answer 1

uncomplicated MI

uncomplicated surgical procedure

ECG revealing less than 6 PVCs per min, w/o heart block

Question 2

goal of unmodified program

Answer 2

start at 13 RPE and finish at the end of cardiac rehab w/ 15 RPE

advance activity levels from 60% to 85% of predicted max –> 5% every 2 weeks

Question 3

unmodified program warm up

Answer 3

5-10 min of warm and cool down

Question 4

unmodified program exercise

Answer 4

30 min of exercise exclusive of warm up and cool down to start

work up to 50 min of exercise exclusive of warm up and cool down to start

Question 5

how should unmodified program increase exercise intensity

Answer 5

1 MET every week

Question 6

progressing HR% unmodified program

Answer 6

Weeks 1-2 (60%)
Weeks 3-4 (65%)
Weeks 5-6 (70%)
Weeks 7-8 (75%)
Weeks 9-10 (80%)
Weeks 11-12 (85%)

Question 7

how must all cardiac patients exercise

Answer 7

must exercise while upright

combo of UE, LE and both

Question 8

what does phase II cardiac rehab consist of

Answer 8

aerobic exercises

strengthening exercises

flexibility training

pt education

Question 9

pt education –> phase II

Answer 9

diet

smoking

DM

HTN

angina

MI

risk factors

exercises

Question 10

how long is an exercise session

Answer 10

1 hr

Question 11

how are exercise sessions monitored

Answer 11

4 lead ECG

BP: rest, peak exercise

recovery HR

Borg scale

use for documentation

Question 12

what does the exercise session consist of

Answer 12

5-10 min warm up

progression from 31 to 50 minutes of aerobic exercises using UE,LE and both

5-10 min cool down

Question 13

exercise prescription for CHF and PVD

Answer 13

interval training

Question 14

exercise for all other conditions

Answer 14

circuit training

Question 15

abnormal response to exercise (exercise hypertension) –> systolic

Answer 15

non linear response to workload

Question 16

abnormal response to exercise (exercise hypertension) –> diastolic

Answer 16

greater than 20 mmHg increase

Question 17

abnormal response to exercise (exercise hypotension) –> systolic & diastolic

Answer 17

greater than 20 mmHg drop

Question 18

abnormal response to exercise –> HR

Answer 18

non linear response

too rapid response

failure to increase w/ exercise

decrease with exercise

Question 19

abnormal response to exercise symptoms

Answer 19

significant angina

undue dyspnea

excessive fatigue

mental confusion or dizziness

severe leg claudication

Question 20

abnormal response to exercise signs

Answer 20

pallor

cold sweat

ataxia

Question 21

when should you initiate resistance training for MI in phase 2 cardiac rehab

Answer 21

minimum of 5 weeks after date of MI

Question 22

when should you initiate resistance training for cardiac surgery in phase 2 cardiac rehab

Answer 22

4 weeks of consistent participation in a supervised CR program

Question 23

when should you initiate resistance training p transcatheter in phase 2 cardiac rehab

Answer 23

minimum of 3 weeks post procedure

including 2 weeks of consistent participation in a supervised CR program

Question 24

when can someone with sternal precautions initiate resistance training of moderate to heavy weights?

Answer 24

3 months

Question 25

contraindications for resistance training

Answer 25

CHF uncontrolled arrythmias severe valvular dz uncontrolled HTN unstable symptoms

Question 26

severe valvular dz --> contraindication to resistance training

Answer 26

precautions post aortic valve repair/replacement

Question 27

uncontrolled HTN -->contraindication to resistance training

Answer 27

SBP > 160 DBP > 100

Question 28

when can you progress the pts load with resistance training

Answer 28

progress by 5% when pt can comfortably lift 12-15 reps large mm groups before small mm groups

Question 29

what RPE do low risk pts start resistance training at

Answer 29

RPE of 13 @ 40-50% of 1 RM

Question 30

when can you progress a low risk pt --> RPE

Answer 30

after 4-6 weeks progress to RPE of 17 @ 20%

Question 31

moderate risk pt progression --> start

Answer 31

start at 1 set of 8-10 exercises 2-3x a week

Question 32

moderate risk pt progression --> progression

Answer 32

after 4-6 weeks progress to 15% as pt strength increases (8 weeks) progress 2-5 lbs for UE and 5-10 lbs for LE

Question 33

reps UE v. LE

Answer 33

8-12 at 1 RM 30-40% RPE --> UE 50-60% RPE for LE

Question 34

what is the 1 RM

Answer 34

desired number of reps using correct form reaching RPE of 11-13

Question 35

how should you does your number of sets

Answer 35

1 set per exercise with 8-10 exercises incorporating all major mm groups

Question 36

how many times should resistance training be done a week

Answer 36

2-3