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29 Cards in this Set
- Front
- Back
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Components of cardiac rehab?
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medical eval
Rx exercise plan education- family and pt counsel pt |
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What is the short term goal and long term goal of cardiac rehab?
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STG- reconditon to prior level of activity
LTG- deal with RF and stabalize |
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T/F:
Depression is not common among people post MI? |
F-40-65% suffer from it
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What are the phases of cardiac rehab?
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Inpatient
Immediate out pt Intermediate/maintenance Monitoring |
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What is the in pt phase?
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1-14 day
monitor, 1-4 METS -light isotonic (<2 METS) |
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What is the goals of in pt phase?
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Prevent inactivity and focus on education
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What is the pt educated about in the in pt phase?
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Dz
medications program smoking cessation diet |
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What is the Immediate out-pt phase?
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Post discharge
-regular EKG, RF modification, low to moderate activity (4-5 METS), functional stress test at end |
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What are the phases of cardiac rehab?
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Inpatient
Immediate out pt Intermediate/maintenance Monitoring |
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What is the Naughton/Balke protocol for stress testing?
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low initial intensity, increase gradually, <7 METS total
-for high risk pts |
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What is the in pt phase?
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1-14 day
monitor, 1-4 METS -light isotonic (<2 METS) |
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What is the Bruce/Kattus protocol for stress testing?
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Low risk pts, stable BP
>7 METS MC type |
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What is the goals of in pt phase?
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Prevent inactivity and focus on education
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CI to stress testing?
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Illness, acute MI, unstable angina, disection, myo/peri-carditis, sever AS, CA lesion, acute/unstable CHF, HTN, uncontrolled arrythmia, >1 block
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What is the pt educated about in the in pt phase?
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Dz
medications program smoking cessation diet |
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What are the reasons to stop a stress test?
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Changes
progressive angina dyspnea BP decreasing >20 fatigue chest pain |
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What is the Immediate out-pt phase?
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Post discharge
-regular EKG, RF modification, low to moderate activity (4-5 METS), functional stress test at end |
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What is the Naughton/Balke protocol for stress testing?
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low initial intensity, increase gradually, <7 METS total
-for high risk pts |
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What is the intermediate/maintenance phase?
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EKG prn, exercise, RF modification, usual physical activity
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What is the Bruce/Kattus protocol for stress testing?
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Low risk pts, stable BP
>7 METS MC type |
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CI to stress testing?
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Illness, acute MI, unstable angina, disection, myo/peri-carditis, sever AS, CA lesion, acute/unstable CHF, HTN, uncontrolled arrythmia, >1 block
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What are the reasons to stop a stress test?
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Changes
progressive angina dyspnea BP decreasing >20 fatigue chest pain |
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What is the intermediate/maintenance phase?
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EKG prn, exercise, RF modification, usual physical activity
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How is target HR determined?
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0.7 (220-age) to 0.85 (22-age)
OR clearance HR x0.7 to clerance HR x0.85 |
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What is the Karvonen formula and when is it used?
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THR if high resting HR or on BB
0.7 (HR max-HR rest)+HR rest to 0.85(HR max-HR rest)+HR rest |
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What is the monitoring phase?
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pt independent and doing approved activities
address psych, pain, prevent deconditioning |
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What are characteristics of orthoptic transplant?
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higher resting HR, delayed increase, delayed decrease to resting,
Use borg RPE, follow with EKG, accel. atherosclerosis |
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What are characteristics of heterotropic transplant?
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dissimilar resting, HR increases in unison, dis-similar in resting resturn
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What are the ratings for the NY HAFC?
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1=No limits, 7+ METS
2=slight limits, 5-6 METS 3=Marked limits, 3-4 METS 4= complete disability, 0-2 METS |
