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14 Cards in this Set
- Front
- Back
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Mnemonic for respiratory alkalosis |
NO CARDS (numbness, orthostatic hypotension, anxiety, rapid breathing, dizziness, seizures) |
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Lung lobes |
Right: right upper, right middle, right lower Left: left upper, left lower |
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Postural drainage of apical segment of upper lobe |
Posterior apical: Sitting, leaning forward over pillow Anterior apical: Sitting, leaning backwards over pillow Anterior segment: supine lying, pillows under knees |
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Postural drainage of lower lobes |
Superior segments: prone lying, two pillows under pelvis Basal segments: bed elevated 20 inches, side lying, head down, pillows under knees |
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To keep in mind for postural drainage |
Bad lung up (higher than level of the nose) |
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Postural drainage precautions |
Pulmonary edema, hemoptysis, massive obesity, large pleural effusion, massive ascites |
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Postural drainage relative contraindications |
Increased intracranial pressure, hemodynamically unstable, recent esophageal anastomosis, recent spinal fusion or injury, recent head trauma, diaphragmatic hernia |
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Cardiac rehab phase I |
Acute phase or monitoring phase. Begins when patient is stable following MI, CHF, valve repair, heart transplant. FITT (frequency, intensity, time, type) F: short session 2-3 times a day I: 50-7% HR max T: 10-15 mins per session T: ADLs, supervised ambulation |
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Cardiac rehab phase II |
Subacute or conditioning phase. Begins as early as 24 hours after discharge and lasts up to 6 weeks. Commonly undergo a -limited maximal stress test at 4 to 6 week after MI F: 2-3 sessions/week I: 70-85% of the peak achieved on the test T: 30-60 minutes with 5-10 minutes of warm up and cool down T: single mode of training (walking) or multiple modes using treadmill, cycle, ergometer |
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Cardiac rehab phase III |
Training phase. Begins at the end of phase II and extends indefinitely. Patient exercises in large groups and continue to progress in their exercise program. Resistance training begins. Use of elastic band weights (1-3 pounds) or 50% of max weight used to complete 1RM, progress to moderate loads (12-15 reps). Avoid UE resistance as soft tissue is still healing |
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Cardiac rehab phase IV |
The maintenance period. Candidates are individuals who are at high risk for infarction because of their risk factor profile, as well as those who want to continue to be followed by supervision of trained personnel. 50-85% of functional capacity, 3-4/week, 45 minutes or more/session. Discharge typically in 6-12 months |
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When documenting RPE |
We must document distance and time along with score |
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Red flags |
Onset of diaphoresis for someone recovering from CHF while working out |
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Weight reduction guidelines for obese |
Minimum of 250-300 min/week Frequency 3-5 days/week to maximize caloric expenditure Intensity initially moderate (40-60%) the progress to 50-75% Time from 45-60 minutes/day Type is moderate exercise |
