Licensure, Cardiac/PAD Rehab and Pharm (O'Sullivan)

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  1. What MET range is desk work, standing, and light house work
    1.5-2
  2. What MET level is walking
    3
  3. What MET level is jogging
    7-8
  4. How to calculate target HR
    (220-age)*70-85%
  5. Phase 1 IP Cardiac Rehab goals
    • Initiate early return to I 
    • typically after 24hours of incidence when stable
    • counteracts deleterious affects of bed rest
  6. Phase 2 OP Rehab
    • Improve functional capacity
    • progress toward full resumption of ADLS
    • encourage activity pacing, energy conservation
  7. Phase 3 Community Exercise Programs
    Improve/maintain fxnal capacity
  8. 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)
  9. What MET level intolerance is a contra for resistance training?
    Pt unable to tol 6 and above mets.
  10. 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
  11. Ace inhibitors are used for what, and what are treatment considerations?
    • Decreases BP
    • Watch for dizziness, orthostatic HTN
  12. Use of antiadrenergics
    Decreased BP without a selective receptor blockage
  13. 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
  14. Use of alpha blockers and tx consideration
    • Decrease BP
    • Monitor for hypotension and reflex tachcardia
  15. 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

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Author:
amills1
ID:
277891
Filename:
Licensure, Cardiac/PAD Rehab and Pharm (O'Sullivan)
Updated:
2014-07-05 17:13:20
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Licensure Cardiac PAD Rehab Pharm Sullivan
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Licensure, Cardiac/PAD Rehab and Pharm (O'Sullivan)
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