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KINE 4351 EXAM 3 REVIEW
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KINE 4351 EXAM 3 REVIEWWhat is a cardiovascular disease? - ANSWER diseases that involve the
heart/or blood vessels; including but not limited to hypertension,
coronary heart disease, heart failure, coronary valvular disease,
cerebrovascular disease, etc. it includes but is not limited to
atherosclerotic (ischemic) disease.
What is a Peripheral Arterial Disease? - ANSWER diseases of arterial
blood vessels outside the heart and brain
What is a Cerebrovascular Disease? - ANSWER diseases of the blood
vessels that supply the brain, resulting in stroke
What is a Coronary Heart Disease? - ANSWER disease of the arteries of
the heart (usually atherosclerotic); also known as coronary heart disease
What is a Acute Coronary Syndrome? - ANSWER the acute
manifestation of coronary heart infarction (heart attack), or sudden death
What is a Myocardial Ischemia? - ANSWER temporary lack of adequate
coronary blood flow relative to myocardial oxygen demands; often
manifested as angina pectoris (chest pain)
What is a Myocardial infarction? - ANSWER injury/death of the
muscular tissue of the heart (heart attack)
What is a Pulmonary Disease? - ANSWER diseases that involve the
lungs including but not limited to chronic obstructive pulmonary disease
and asthma. Acute manifestations of pulmonary disease include
shortness of breath or difficult or rapid or labored breathing, chest
tightness, bouts of coughing (with mucus/phlegm), wheezing, and more
frequent colds/flu/pneumonia.
,What are the benefits of Cardiac Rehab? - ANSWER Decrease of LDL
Reduce Obesity
Increase of HDL
Increase Function Capacity ADL'S
Self-Efficiency
Decrease in Sympathetic Drive
What does a decrease in Sympathetic Drive do? - ANSWER Decrease
HL
Decrease BP (Blood Pressure)
Decrease Rate Pressure Product
- HR(heart rate) x SBP(systolic blood pressure) = myocardial work
Decrease Ventricular Irritability (it's a good thing)
- Decrease In Arrhythmias
Do you ask people how they are doing at the hospital after they have
experienced a traumatic event? - ANSWER No. You never do that.
What does phase one mean? - ANSWER Inpatient
What does phase two mean? - ANSWER Outpatient
How long to stay in a hospital room? - ANSWER 3-5 days
What should a Cardiac Rehab Specialist focus on with an impatient
specialist? - ANSWER - Clinical assessment via chart review and
individual interview
- Physical ambulation and mobilization
- Identification and education regarding modifiable risk factors and
, self-care
- Discharge planning for transitional care and a home program for
activities of daily living (ADL)/PA
- Referral to outpatient CR
What are the parameters for inpatient cardiac rehab by the AACVPR? -
ANSWER - No new or recurrent chest pain in the previous 8 hours
- Stable or falling creatine kinase and troponin values
- No indication of decompensated heart failure (e.g. resting dyspnea and
bibasilar rales)
- Normal cardiac rhythm and stable electrocardiogram for various 8
hours
What are the adverse responses in inpatient exercises that can lead to
discontinuation? - ANSWER - Diastolic blood pressure (DBP) >110
mmHG
- Decrease in systolic blood pressure (SBP) >10MMg during exercise
with increasing workload
- Significant ventricular or atrial arrhythmias with or without associated
signs/symptoms
- Second- or third-degree heart block
- Signs/symptoms of exercise intolerance including angina, marked
dyspnea, and electrocardiogram (ECG) changes suggestive of ischemia
What are the Frequency recommendations for Inpatient cardiac rehab
programs? (FITT) - ANSWER Aerobic: 2-4 sessions x d^-1 for the first
3 day of the hospital stay
Flexibility: Minimally once per day but as often as tolerated.
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