NPTE: Cardiac (scorebuilders 2008)
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| show | • Consists of pt/family education, self-care eval, continuous monitoring of vitals, low-level exercise: AROM, amb, and self-care.
• Ends with: low-level exercise test.
• Lasts 3-5 days.
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| Phase II cardiac rehab program | show 🗑
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| show | • Lasts 6-8 wk.
• Frequency: 1x/wk
• Includes exercise, education, and counseling.
• Max symptom-limited exercise test is required.
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| Phase IV cardiac rehab program | show 🗑
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| show | 1
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| show | 1-2
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| show | 1-2
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| show | 2
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| MET level? • Walking (2 mph) | show 🗑
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| MET level? • Bathing | show 🗑
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| show | 2-3
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| show | 2-4
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| MET level? • Light gardening | show 🗑
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| show | 3.5-4
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| show | 4-5
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| show | 4-5
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| show | 4.5-5.5
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| MET level? • Swimming | show 🗑
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| show | 6-7
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| show | 6-7
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| Hypertension in: • Infant | show 🗑
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| show | >120/80 mmHg
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| show | >140-159/90-99 mmHg
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| show | >160-179/100-109 mmHg
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| show | >180/110 mmHg
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| Hypotension exists if: | show 🗑
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| Pathological Changes in ECG: • Depressed QRS | show 🗑
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| show | A location where abnormal myocardial depolarization originates. Occurs if the rhythm of the ectopic pacemaker increases, the rhythm of normal pacemakers is inhibited, or if the conduction path from the normal pacemaker to the ectopic foci is blocked.
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| Pathological Changes in ECG: • Elevated QRS | show 🗑
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| Pathological Changes in ECG: • Q wave | show 🗑
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| Pathological Changes in ECG: • ST segment elevation | show 🗑
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| show | hypertension, CHF, CAD, rheumatic heart disease, cor pulmonale, pericarditis, illegal drug use
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| show | mitral valve prolapse, core pulmonale, digitalis toxicity, rheumatic heart disease
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| show | intake of caffeine, emotion stress, smoking, pathologies like CAD, electrolyte imbalance, infection, CHF
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| show | post myocardial infarction, rheumatic heart disease, CAD, cardiomyopathy
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| Pathological Changes in ECG: • Ventricular fibrillation | show 🗑
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| Pathological Changes in ECG: • Multifocal ventricular tachycardia | show 🗑
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| Pathological Changes in ECG: • Premature ventricular contractions | show 🗑
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| Pathological Changes in ECG: • Complete heart block (3rd degree) | show 🗑
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| Pathological Changes in ECG: • Asystole | show 🗑
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| show | CK/CK-MB, Trop I, Trop II, Myoglobin, LDH-I
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| Blood test for CHF | show 🗑
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| show | <200
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| Triglyceride levels | show 🗑
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| show | 60-160
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| HDL level | show 🗑
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| PT level | show 🗑
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| show | partial thromboplastin time. 60-70. Assesses clotting ability of all factors except vii, xiii. More sensitive than PT in detecting minor deficiencies. Monitors oral anticoagulants.
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| Hematocrit | show 🗑
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| Hemoglobin | show 🗑
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| show | Pulmonary artery catheterization. Immediate cardiopulmonary pressure measurements: pulmonary artery pressure.
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| show | indwelling right atrial catheter: inserts into the right atrium, allows removal of blood samples, administration of medication, and monitoring of central venous pressure.
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| Normal HCO3 level | show 🗑
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| show | 35-45mmHg.
• Below 35 is resp alkalotic, above 45 is resp acidotic.
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| Auscultation of: • Aortic valve | show 🗑
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| Auscultation of: • Pulmonic valve | show 🗑
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| Auscultation of: • Tricuspid | show 🗑
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| show | under 5th rib on left midclavicular line.
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