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CCRP AACVPR Pulmonary Rehab Exam 1 | 151 Questions and Answers 100% correct
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CCRP AACVPR Pulmonary Rehab Exam 1 | 151 Questions and Answers 100% correct
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CCRP AACVPR Pulmonary Rehab Exam 1 | 151Questions and Answers 100% correct
Pulmonary rehabilitation: - Answer evidence based, multidisciplinary &
comprehensive intervention for pts w/ chronic resp diseases who are symptomatic
& often have decreased daily life activities.
COPD is ____ leading cause of death in U.S. - Answer 3rd
COPD costs U.S. economy? - Answer 32.1 billion/year -18 direct & 14 indirect
(*NHLBI)
How many people have impaired lung function & are undiagnosed? - Answer
24 million
What % of COPD is caused by cig arette smoking? - Answer 85%
What % of COPD is caused by factors such as occupational & environmental
exposures, previous lung infections, or genetic abnormalities? - Answer 15%
What % of smokers develop COPD? - Answer 15-20%
COPD can lay dormant for how many yrs before pt becomes symptomatic? -
Answer 20 years
Around what % do pts die within 10 yrs of a diagnosis of COPD? - Answer 50%
Essential components of pulmonary rehab: - Answer -promotion of long -term
adherence
-education & training
-assessment
-psychosocial intervention
-exercise
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PT goals & program goals - Answer =staff should be consistent in their
understanding of goals
-pt goals need to be established & reviewed w/ the pt/significant other at the
beginning of program
-goals should be realistic & readily achievable
-goals may be altered as program progresses
Patient goals: - Answer breathe better, more active, improve QOL, improve
ADL, be able to tra vel w/ greater ease, increase strength & endurance
Program goals: - Answer increase exercise tolerance & pt compliance,
decrease psychological symptoms, education, infection control, tx plan, return pt
to gainful employment (active retirement)
Demonst rated outcomes of pulm rehab: - Answer -reduced resp symptoms
-increased exercise tolerance & endurance
-increased knowledge of pulm disease
-enhanced ability to perform ADL
-improved health -related QOL
-improved psychosocial symptoms
-reduced hospital izations
-return to work for some pts
Traditional primary selection criterion is based on? - Answer physiologic
impairment
Physiologic impairment: - Answer -abnormal PFTs
-FEV1/FVC < 70% of predicted
-FEV1 < 80% of predicted
-DLco ≤ 65% of predicted
-Resting hypoxemia: SpO2 < 90%
-Oxygen desaturation w/ exercise: SpO2 < 90%
Selection criterion may also be based on - Answer functional impairment
Functional impairment: - Answer dyspnea, occupational performance,
increas ed use of medical resources, reduction in ADL, reduction in physical activity
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The chronic lung conditions appropriate for pulmonary rehab: (OBSTRUCTIVE) -
Answer -emphysema
-persistent asthma
-bronchiectasis
-chronic bronchitis
-CF
-bronchiolitis oblit erans
The chronic lung conditions appropriate for pulmonary rehab: (RESTRICTIVE) -
Answer -interstitial fibrosis
-sarcoidosis
-occupational lung disease: asbestosis;silicosis
The chronic lung conditions appropriate for pulmonary rehab:
(NEUROMUSCULAR) - Answer -ALS
-diaphragmatic dysfunction
-postpolio syndrome
The chronic lung conditions appropriate for pulmonary rehab: (CHEST WALL
DISEASES) - Answer -kyphoscoliosis
-ankylosing spondylitis
The chronic lung conditions appropriate for pulmonary rehab: (OTHER LUNG
CONDITIONS) - Answer -lung cancer
-pre/post lung transplantation
-pre/post lung volume reduction surgery
-primary pulmonary hypertension
Exclusion criteria for pulmonary rehab: - Answer -unstable cardiac disease
-severe pulm hypertension
-metastatic cancer
-severe cognitive defect
-severe psychiatric disease
-significant orthopedic impairment
**asess comorbid conditions prior to initiating pulm rehabilitation
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