Safety and physio norms

Question 1

CV contraindications

Answer 1

1. recent MI within 3-6 weeks
2. PE or pulm infarction <6 weeks
3. recent DVT
4. myocarditis, endocarditis, pericarditis
5. recent cerebral shunting or aneurysm coil
6. resting HR <50 or > 100
7. unstable angina
8. severe pulm hypertension
9. severe and symptomatic aortic or valvular stenosis
10. fistula on UE for dialyiss
11. uncontrolled hypertension
12. decompensated CHF
13. absent pulses
14. suspected or known dissecting aneurysm

Question 2

what are the guidelines for a recent DVT

Answer 2

-if recent DVT detected and pt on anti-coagulation therapy, dont do high intesnity on that limb

appropriate on other limbs if 1 criteria are met:
- using herpain, PTT 2-3x normal for 24-48 hours
- IVC filter placed
- 3-5 hours after first low molecular weight heprain
-coumadin, if PTT 2-3x normal and INR 2-3

Question 3

what are the guidelines for unstable angina

Answer 3

-occurs at rest and medication does not relieve

Question 4

what are the cancer contraindications

Answer 4

• bone metastisis sites
  -tumors in targeted area
  -medication effects

Question 5

MSK contraindications

Answer 5

• recent fractures <6 weeks
• unstable fractures
  -osteomyletitis
  -avascular necrosis
  -wounds exposed tendon or muscle on involved joint
• compression fractures
• WB restrictions
  -marfan syndrome

Question 6

surgical contraindications

Answer 6

-craniotomy <6 weeks
no bending over, no lifting >10 lbs, no valsalva

-abdominal <6 weeks
no situps, no lifting >10 lbs, no valsalva

-sternal <8 weeks
no UE high intensity, no lifting >10 lbs, no valsalva

Question 7

other contraindications

Answer 7

-acute infection
-chornic infectious disease like hepatitis or AIDS

Question 8

adult resting HR norms

Answer 8

60-100

Question 9

pediatric resitng HR norms

Answer 9

76-85

Question 10

resting BP women norms

Answer 10

110/70

Question 11

resting BP men norms

Answer 11

120/80

Question 12

exercise max BP norms

Answer 12

max with monitoring: 250/115
clinical: 200/100 - 220/110

Question 13

men body fat norms

Answer 13

15-18%

Question 14

women body fat norms

Answer 14

22-25%

Question 15

normal fasting blood glucose

Answer 15

60-100

Question 16

pre-diabetic fasting blood glucose

Answer 16

100-125

Question 17

diabetic fasting blood glucose

Answer 17

126+

Question 18

oral glucose normal levels

Answer 18

> 140

Question 19

oral glucose pre-diabetic levels

Answer 19

140-200

Question 20

oral glucose diabetic levels

Answer 20

> 200

Question 21

blood glucose levels with risk of hypoglycemia

Answer 21

<100

Question 22

blood glucose levels with ability to exercise

Answer 22

100-250

Question 23

blood glucose levels that warrant caution with exercise

Answer 23

> 250-300

Question 24

blood glucose levels that say no exercise

Answer 24

ketones in urine

Question 25

RBC norms women

Answer 25

4.1-4.9

Question 26

RBC norms men

Answer 26

4.7-5.5

Question 27

WBC norms to caution with exercise

Answer 27

<3,900 w feber

Question 28

WBC norms to exercise as tolerated

Answer 28

3900-11000

Question 29

hemoglobin norms

Answer 29

around 14

Question 30

hemoglobin values to discuss with MD

Answer 30

<8

Question 31

hemoglobin values to decreased exericse tolerance

Answer 31

8-10

Question 32

hemoglobin values for low impact, low intensity resistance exercise

Answer 32

10-12

Question 33

hematocrit norms

Answer 33

M: 43-49 F: 38-44

Question 34

hematocfrit for reduced capacity for exercise

Answer 34

30

Question 35

hematocrit for reduced exercise tolerane

Answer 35

25-30

Question 36

hematocrit for no exercise

Answer 36

<20

Question 37

platelet values for no exercise

Answer 37

<10,000 or temp >100.5

Question 38

platelet values for no resistance, non impact

Answer 38

10,000-20,000

Question 39

platelets for low impact, resistance

Answer 39

>20,000

Question 40

normal INR

Answer 40

0.9-1.1

Question 41

normal INR if on anticoag

Answer 41

2-3

Question 42

INR to eval mobility and assess safety for d/c

Answer 42

>5

Question 43

INR to discuss with MD

Answer 43

>6

Question 44

normal responses to exercise

Answer 44

1. increase RR 2. increase SBP 3. increase HR 4. minimal/no change in DBP

Question 45

following exericse, after 5 minutes of rest, waht happens to BP and HR

Answer 45

BP returns to within 10 mm HG HR to w/in 10 BPM of resting value

Question 46

when to stop exercising? hard stop

Answer 46

-SBP > 250 WITH EKG - SBP 200-220 WITHOUT EKG - drop in SBP >10 suddenly -failure of SBP to rise -DBP >115 WTIH EKG - DBP 100-110 WITHOUT EKG - decrease in HR below resting