Phase 2 Cardiac Rehab (pt. 3)

Question 1

HEP modified program

Answer 1

start after 4 weeks of monitored program

2 days/week consisting of walking or stationary bike

Question 2

when can someone in a modified program join a gym

Answer 2

by week 10

Question 3

HEP unmodified program

Answer 3

start after 2 weeks of monitored program

2-3 days/week consisting of walking or stationary bike to start

can add weights after 6 weeks

Question 4

when can someone in an unmodified program join a gym

Answer 4

by week 8

Question 5

special exercise considerations include exercising how many times per week

Answer 5

3-5

Question 6

HTN protocol for phase II training

Answer 6

exercise capacity is reduced by 15-30%

avoid isometric exercises

3-5x/wk

20-60 min

40-65% of HR max

Meds that limit HR –> monitor with RPE

Question 7

HTN special considerations –> stroke volume

Answer 7

increased subnormally

Question 8

HTN special considerations –> peak HR

Answer 8

lower

Question 9

HTN special considerations –> associated w/

Answer 9

L ventricular dysfxn which will decrease CO

Question 10

CHF protocol

Answer 10

avoid isometric exercises

start exercise program in semi-fowler position

3-5x/week

2-6 min exercises w/ 1-2 min of rest (gradually increase to 20-40 min)

40-60% of predicted HR

Question 11

semi fowler position

Answer 11

seated w/ 30 degree tilt

Question 12

CHF special considerations –> exercise capacity

Answer 12

reduced d/t poor ventricular fxn

Question 13

CHF special considerations –> stroke volume

Answer 13

decreases

Question 14

CHF special considerations –> cardiac output

Answer 14

reduced

Question 15

DM protocol

Answer 15

no exercise at peak insulin (@ 1/2 life)

glucose > 70 T1 or < 300 T2

hypoglycemia from exs can occur 4-6 hours later

monitor BP, HR, RPE

cannot exceed 180 SBP

Question 16

type 1 DM protocol

Answer 16

40-60% of HR max

15-30 min

Question 17

prescription of type 2

Answer 17

50-80% of HR max

20-60 min

Question 18

in a cardiac transplant, what is the primary mediator of hemodynamic responses

Answer 18

catecholamines

Question 19

The surgically denervated transplanted heart becomes supersensitive to catecholamines, and the RHR…

Answer 19

increases

Question 20

The surgically denervated transplanted heart becomes supersensitive to catecholamines, and will have lower

Answer 20

CO, O2 consumtopn and physical work capacity

Question 21

how does peak HR present –> cardiac transplant

Answer 21

pts do not reach the same peak exercise HR

HR slows more gradually once exercise is stopped

Question 22

when should you initiate anaerobic exercise –> cardiac transplant

Answer 22

earlier

Question 23

at risk for…?–> cardiac transplant

Answer 23

HTN

d/t cyclosprine –> monitor BP

Question 24

when can rejections occur –> cardiac transplant

Answer 24

first 3 motnhs

Question 25

symptoms of rejection

Answer 25

Malaise SOB Edema Fever Nausea/vomit ECG voltage drop Atrial arrhythmia

Question 26

exercise prescription for cardiac transplant

Answer 26

30-45 min 60-70% for max METs Longer warmup and cool down Weight training at week 4 CR

Question 27

PVD protocols

Answer 27

Monitor HR Frequent rest due to claudication Interval training 20 min 40-60% of HR max 4-6 weeks