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Cardiopulmonary > Pulmonary Rehab > Flashcards

Pulmonary Rehab Flashcards

(53 cards)

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1
Q

What does pulmonary rehab combine?

A

Exercise training and behavioral and educational programs

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2
Q

What are the objectives of pulmonary rehab?

A

Control and alleviate symptoms and optimize functional capacity and independence

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3
Q

What increases independent function in pulmonary diseases?

A

More physical activity

Learn about the disease

Treatment options

Coping strategies

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4
Q

Can you reverse pulmonary diseases?

A

No but you can decrease symptoms

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5
Q

What are the components of pulmonary rehab?

A

Assessment

Exercise training

Education

Nutritional intervention

Psychosocial support

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6
Q

Who is appropriate for pulmonary rehab?

A

Any stable patient with a chronic lung disease who is disabled by respiratory symptoms (must have had PFTs within 1 year)

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7
Q

What does the plan of care durations range from in pulmonary rehab?

A

4-12 weeks (2-3 times a week)

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8
Q

What is ideal in pulmonary rehab?

A

For the clinic to have their own oxygen (often hospital setting)

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9
Q

How long do sessions of pulmonary rehab typically last?

A

75-90 min

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10
Q

What is the work to rest ratio in pulmonary rehab?

A

1:3

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11
Q

What does SpO2 need to be maintained at during pulmonary rehab?

A

Greater than 90%

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12
Q

Why do a lot of patients have respiratory muscle weakness but not very many are treated for it?

A

Lack of referral

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13
Q

What does evidence say that supports pulmonary rehab?

A

It is safe and effective

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14
Q

What did pulmonary rehab result in greater improvements over?

A

Inhaled bronchodilators

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15
Q

What disease has pulmonary rehab as an essential component of management?

A

Interstitial pulmonary fibrosis

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16
Q

Why is respiratory muscle testing done in the clinical assessment?

A

To see if respiratory muscles are contributing to Dyspnea

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17
Q

What tests assesses exercise capacity?

A

6 MWT and incremental shuttle walk test

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18
Q

How long should endurance training be in pulmonary rehab?

A

20-40 min

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19
Q

How long should resistance training be in pulmonary rehab?

A

10-15 min

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20
Q

How long should balance training be in pulmonary rehab?

A

10-15 min

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21
Q

How long should respiratory muscle training be in pulmonary rehab?

A

5-10 min

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22
Q

What needs to be provided in patients who desaturate?

Study These Flashcards
A

Oxygen supplementation

23
Q

What do intervals between exercises allow?

Study These Flashcards
A

Better oxygenation

24
Q

When should a patient be reassessed in pulmonary rehab?

Study These Flashcards
A

At the end of 6 weeks

25
What intensity of aerobic training should those in pulmonary rehab train at?
40-60% VO2 max (talk test or 80% of average 6MWT)
26
How long should aerobic training be in pulmonary rehab?
30 minutes continuously or 10 minute intervals
27
What percentage of people with chronic lung disease have reductions in skeletal muscle strength?
30-70%
28
Why is it better to sometimes do strength training over aerobic training?
Strength training has lower ventilatory demands
29
How many reps should be performed in strength training?
Higher reps
30
What can taking intervals during exercise do for pulmonary rehab patients?
Allow them to triple their exercise duration
31
What do patients with COPD have a high susceptibility of?
Falls
32
How often should inspiratory muscle training take place?
10-15 minutes, 2-3 times per day (5 days a week)
33
What is the biggest improvement with inspiratory muscle training?
Decreases Dyspnea
34
How much more is pain reported in COPD patients compared to normal patients?
2.5 times
35
Where is pain most common in COPD patients?
Neck and trunk
36
What role does the diaphragm play other than respiratory function?
Stabilizes the spine during balancing and loading tasks unconsciously
37
How does diaphragm weakness result in pain?
Because the diaphragm will prioritize breathing over stabilization and so if it is weak stabilization is not performed
38
What is the most commonly used respiratory assessment?
Maximal inspiratory pressure (MIP)
39
What is the maximal inspiratory pressure (MIP) test?
Patient fully expires to RV and then performs a maximum inspire (peak negative pressure)
40
What is a maximal expiratory test?
Patient inspires fully to TLC and then performs a maximum expire (peak positive pressure)
41
When would sniff pressure be used over the mouth?
For those who have facial weakness or kids
42
What is true about normal MIP?
Decreases with age and women are lower than men
43
What is the most common breathing endurance test?
Constant/fixed loading protocol
44
What is the load set at in the constant/fixed loading protocol?
50% of MIP (pace set with metronome and go til failure)
45
What is the maximal incremental threshold loading protocol?
Patients breathe against resistive lead that is increased at regular intervals by 10% of baseline MIP until failure
46
What is hyperpnoea test?
Patient breathes at a constant ventilation to failure
47
What is inspiratory duration?
Duration of maximal breath in measured in seconds
48
How does the respiratory muscle metaboreflex work?
Blood shunts to tired respiratory muscles because it prioritizes breathing the most (this leads to less blood flow to legs causing muscle fatigue)
49
What percentage of MIP does endurance inspiratory muscle training start at?
15-20%
50
What percentage of MIP does strength inspiratory muscle training start at?
50-60%
51
What is the TIRE IMT (isokinetic training) test?
Patients inspire to match on screen target that is set at 60-80% of MIP until failure
52
What did IMT training show a decrease in?
LBP
53
BODE scoring
0-2 (80% survival rate) 3-4 (67% survival rate) 5-6 (57% survival rate) 7-10 (18% survival rate)

Cardiopulmonary (20 decks)

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