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Cardiac Rehab
Cardiovascular & Pulmonary Disease
| Question | Answer |
|---|---|
| What is the focus of education for cardiac rehabilitation? | educate patient and family about recognition, prevention and treatment of CVD |
| What is cardiac rehabilotation? | A secondary prevention program to reduce CV risk, restore function, foster healthy behaviors, reduce disability and promote an active lifestyle |
| What should a person avoid following a cardiac event? | a sedentary lifestyle |
| Early mobilization and return to activity typically leads to ____ outcomes. | better |
| What are the 4 phases of cardiac rehabilitation? | I: acute or hospital phase II: outpatient or intensive monitoring III: home maintenance or OP exercise w/o direct supervision IV: high risk pt with direct supervision |
| What happens during the first phase of cardiac rehabilitation? | offset negative effects of bed rest and cardiac event, provide medical surveillance, identify significant CV, physical or cognitive impairments that may influence prognosis, enable patients to return to ADLs; prepare a support system for the pt |
| When is the first phase of cardiac rehabilitation? | first 24-48 hours after cardiac event |
| How should you progress phase I of cardiac rehabilitation ? | 50-500 feet with a frequency of 3-5 times a day; RPE <13, post MI: HR <120 or resting +20, post surgery resting HR +30 |
| Why would you do low intensity exercise with patient in phase I of cardiac rehab? | minimize risk of re-rupturing unstable plaque, myocardial rupture, transmural MI or reduce ischemia that predisposes to arrythmias |
| Who is not a good candidate for ambulation in phase I of cardiac rehab? | complicated MI or poor response to postural and self care challenges, angina, bed rest for 4 days or more |
| What are the goal for discharge in phase I of cardiac rehab? | understanding of inappropriate activities; plan for progressive exercise including enrollment into cardiac rehab programs and home exercise options; understanding of signs and symptoms of disease; risk factor assessment, education and family counseling |
| When does phase II of cardiac rehab begin? | within a week to several weeks after a cardiac event |
| What are the general goals of phase II cardiac rehab? | increase aerobic and work capacity; secondary prevention; teach pt to monito HR and access symptoms of cardiac dysfunction during exercise; possible increase strength and flexibility |
Created by:
mcush1
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