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Pulmonary Rehab exam 1 Questions and Answers

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Pulmonary Rehab exam 1 Questions and Answers Pulmonary rehabilitation: 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. 3rd C...

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  • January 3, 2025
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Pulmonary Rehab exam 1 Questions and
Answers
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 cigarette 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

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 travel 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)

Demonstrated 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 hospitalizations
-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, increased use
of medical resources, reduction in ADL, reduction in physical activity

The chronic lung conditions appropriate for pulmonary rehab: (OBSTRUCTIVE) -
answer -emphysema
-persistent asthma
-bronchiectasis
-chronic bronchitis
-CF
-bronchiolitis obliterans

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

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