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What MET range is desk work, standing, and light house work
What MET level is walking
What MET level is jogging
How to calculate target HR
Phase 1 IP Cardiac Rehab goals
- Initiate early return to I
- typically after 24hours of incidence when stable
- counteracts deleterious affects of bed rest
Phase 2 OP Rehab
- Improve functional capacity
- progress toward full resumption of ADLS
- encourage activity pacing, energy conservation
Phase 3 Community Exercise Programs
Improve/maintain fxnal capacity
General info on CHF Levels 1-4; whats worse?
- 1 is mild, no limitation in activity (6.5)
- 2 mild, slight limitation (4.5)
- 3 mod, marked limitation of physical activity (3 mets)
- 4 severe, unable to carry out any physical activity (1.5 mets)
What MET level intolerance is a contra for resistance training?
Pt unable to tol 6 and above mets.
HR alone is not appropriate way to monitor majority of cardiac pt, what else do you use?
- RPE= aka BORG, 6-20, 6 no exertion 20 is max also in a 0-11 scale, 11 being max
- METS (1-10+ range)
- dyspnea scale
Ace inhibitors are used for what, and what are treatment considerations?
- Decreases BP
- Watch for dizziness, orthostatic HTN
Use of antiadrenergics
Decreased BP without a selective receptor blockage
Use and tx consideration of calcium channel blockers
- promote vasodilation, decreased BP and HR at rest and during ex. Also help relieve anginal pain and coronary artery spasms
- Need to use RPE to monitor response to EX, may reduce blood flow to heart muscle and create ischemic responses
Use of alpha blockers and tx consideration
- Decrease BP
- Monitor for hypotension and reflex tachcardia
Use of beta-blockers and tx consideration
- decrease force of the cardiac contraction thereby decreasing the HR and create decreased demands on the heart and decrease BP
- Use RPE for response to ex, can worsen asthma sns, and watch for bradycardia and hypotn