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RCP 228 Fall 2011
RCP 228 TEST # 1
| Question | Answer |
|---|---|
| The practice wherein an individually tailored, multidisciplinary program is formulated which through accurate diagnosis, therapy, emotional support, and education, stabilizes or reverses both the physio-and psychopathology of pulmonary diseases is? | Cardiopulmonary Rehabilitation |
| What is the Goal of Cardio Rehap? | Achieving and maintaining the individual’s maximum level of independence and functioning in the community. |
| Name the four Progressive downward Spiral factors of People with COPD that decrease activity. | 1. Increase Level of Dyspnea 2. Bed Rest 3. Skeletal Muscle Deterioration 4. Progress Weakness - which cycles back to # 1. |
| Name the three results of these decrease activity factors as given to us by the diagram in class? | HomeBound -> to Roombound -> to Bedbound |
| The History of Cardio Rehab was suggested in what year? | 1951 |
| In 1962 a study was conducted that showed the results and value of reconditioning. What were those results? | Lower pulse rates Lower respiratory rates Lower minute volumes (bpm) Lower CO2 production Improved efficiency of movement (muscles are more efficient, utilize less oxygen) Improved oxygen utilization |
| What are the two Scientific Bases or aspects of Cardiopulmonary Rehabilitation? | 1. Physical reconditioning 2. Psychosocial support |
| Under the Physical Reconditioning Aspect of Cardiopulmonary Rehab? One of the goals is to increase these two factors to keep Homeostasis (Normal) in the cells or the body. | 1. Ventilation 2. Circulation |
| RQ (or Repiratory Quotient) is also referred to as? | Ventilation Perfusion Ratio |
| What is normal at rest ventilation perfusion ratio or RQ | 0.8 or 80%. We normally produce 200 units of C02 and consume 250 units of Oxygen per minute. 200 Co2 produced divided by 250 O2 consumed is 80% |
| If the body is unable to get enough O2 to meet energy metabolism this condition can result? | OBLA (Onset of Blood Lactate Accumulation) |
| If the body can’t get enough oxygen to meet it's energy metabolism and OBLA results the body also switches to this type of metabolism? | anaerobic |
| This term is known as how much air you can move when you are trying real hard , the most you can move) – good indicator of the ability to handle increased ↑ physical activity | MVV (Maximum Voluntary Ventilation |
| MVV = FEV1 (Forced expiratory volume at 1 second)X 35. Normal patients can achieve & maintain what percentage of MVV during exercise? | 60 to 70% of MVV |
| FEV1 (forced expiratory volume at 1 second) x 35 = ?? | MVV (Maximum Voluntary Ventilation) |
| Under the Psychosocial support component of Cardio Rehab, these two factors are common with patients who have chronic pulmonary diseases? | Depression and hostility |
| This can cause or aggravate physical problems associated with cardiopulmonary rehab? | Stress |
| Psychosocial problems may be a cause of this type of asthma? | intrinsic |
| If a patient is is admitted to a facility with the same diagnosis within a 30 day period. It WILL NOT be covered by this insurance program? | Medicare |
| What are the common Goals of Cardiopulmonary Rehabilitation (what do we as therapists want to accomplish?) | Too many to put in this field (read note) Starts with Control of Respiratory Infections, ends with Patient Education, Counseling and support |
| What are the common objectives of the patient at the completion of rehab? | Too many for Field (read Notes) starts with development of diaphragmatic breathing skills ends with Provision for individual and family counseling |
| If we were to sum up all the goals into two. What would be the two major aims of Cardio Pulmonary Rehab? | 1)To control and alleviate disease symptoms 2) To help patient achieve optimal levels of activity. |
| What are the Basic Components of a cardiopulmonary rehabilitation program? | Patient Selection Patient evaluation Determine individualized short and long-term goals Chest physical therapy Exercise conditioning Respiratory therapy Patient and family education General health care Assessment of patient progress Follow- |
Created by:
jlsteely
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