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8 Cards in this Set

  • Front
  • Back

Inpatient Phase 1


*hospital stay usually 3-5 days for an uncomplicated MI


*vital signs before, during and after tx


*goal is to teach pt to self monitor


* pta monitors activity tolerance


* intensity kept low-level


* and you judge intensity by percieved exertion

Inpatient phase 1 cont:


tx wouldnt start until pt has been stable for at least 24 hours


activity appropraite if before the 24 hrs


ankle pumps


breathing techniques


using the commode if hemodynamically


stable


performance of limited personal care

hemodynamic


The study of the movements of the blood and the forces concerned therein


Therfore if a pt is hemodynamically stable then their blood is circulating adequately

Inpatient Phase 1 cont


This phase has 6 levels


Level 1- the exercises in the bed within the first 24 hours


Level 2- after 24 hrs pt may get OOB


be aware of orthostatic hypotension


Pt feet should touch floor when on edge of bed to allow proper venous return. Pt walks to a chair and sits up for about 30 min

Inpatient Phase 1 cont

Level 2- Seated exercises such as


Ankle pumps


Marching in place


Knee extensions


*must keep check on vitals and pace activities


Level 3- Pt's are taught to increase their ambulation


pt's taught to judge the time they walk not the distance

Inpatient Phase 1 cont


Level 4-6


Pt's gradually increase the time and the frequency that they walk


Goal is to increase walks from 2 min, 5 min, to 10 min

Outpatient Phase 2


Strength training introduced


Light bands and light weights at first


teach pt to breathe out during insertion


aerobic exercise may be introduced


usally done at approx ~ 4 wks

Outpatient Phase 3

Endurance training and risk factor modification continue to occur