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19 Cards in this Set
- Front
- Back
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Phase I of Cardiac Rehab is....
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inpatient rehab, delivered when patient is still in the hospital. After MI, Angioplasty, Bypass, etc.
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Phase II of Cardiac Rehab is....
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Outpatient with in the next month of leaving hospital. Lasts 3 months long.
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Phase III of Cardiac Rehab is....
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Ending Phase II maintenance stage, which is self-monitored.
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Orthostatic Stress....
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positional stresses, which are subject to gravity
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Phase I exercise prescription
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Intensity HR<120 or rest +20, RPE <13 or by tolerance. Duration is intermittent/multiple until they can go continous/single
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CMS indications....
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MI within past 12 months
CABG Stable angina pectoris Heart Valve repair/replacement PTCA or Coronary Stenting Heart/Lung Transplant |
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Why is Heart failure not included in CMS?
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insurance purposes
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4 markers of prognosis
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Ischemia, Arrythmia, Ventricular Function, Fuctional Capacity
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How do you deal with the level of risks differently?
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Level of supervision, number of sessions, speed of progression
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What is the 75/25 idea
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percentages in programs, 25% is high risk where close monitoring is important/careful approach. 75% is an aggressive approach where risk is low to moderate
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What guidelines does a low to moderate patient have?
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same as healthy subject
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Exercise Intensity for a cardiac patient is.....
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The prescribed exercise intensity for a cardiac patient should be above a minimal level required to induce a "training effect" yet below the metabolic load that evokes abnormal clinical signs or symptoms
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What should the max HR be for a patient with Ischemia
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10 beats below first sign/symptom of ischemia
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Signs and Symptoms of Ischemia...
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Onset of angina, decrease in systolic blood pressure, 1 or more mm ST depression, significant ECG disturbances
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main sign/sympton
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onset of angina, 1 mm ST depression
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When is ischemia usually present for Cardiac Patients within the RPE scale....
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When patient begins getting into the "hard" levels
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Heart Rate rule for exercise w/o stress test...
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Rest plus 20 or max of 120
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Caloric expenditure for cardiac patients
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min. 1000kcal/week Strive for 2000 kcal/week
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What is valsalva?
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Holding your breath, bad to do, puts pressure on the heart.
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