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RCP 228 Fall 2011

RCP 228 TEST # 1

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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