CPG's key points

Question 1

Which sounds during heart auscultation are:
SBP
DBP

Answer 1

SBP: 1st korotkoff sound
DBP: 2nd korotkoff sound

Question 2

Pulse Pressure formula

Answer 2

SBP - DBP

Question 3

Mean arterial pressure formula

Answer 3

DBP plus 1/3 pulse pressure

Question 4

Mid-BP

Answer 4

(SBP + DBP) / 2

Question 5

Common Modifiable CVD risk factors in those with hypertension

Answer 5

Smoking, 1st and 2nd hand
DM
Obesity
Phys. inactivity
Unhealthy diet

Question 6

Normal BP

Answer 6

SBP < 120
DBP < 80

Question 7

Elevated BP

Answer 7

SBP = 120-129
DBP < 80

Question 8

Stage I HTN

Answer 8

SBP = 130-139
DBP = 80-89

Question 9

Stage II HTN

Answer 9

SBP < 140+
DBP < 90+

Question 10

Meds that may cause elevated BP

Answer 10

Alcohol
Amphetamines
Antidepressants
Caffeine
NSAIDs
Recreational Drugs

Question 11

PT’s should ID Pt’s at risk for VTE, and M.A.M.E. their pt’s to prevent 1st or recurring VTE. Define M.A.M.E.

Answer 11

M: referral for medication
A: initiate activity
M: initiate mobilization
E: Education

Question 12

When symptoms of VTE present:

Answer 12

Determine likelihood of VTE
Share results with interprofessional team

Question 13

Well’s Criteria determines what?

Answer 13

RISK of DVT, not Dx

Question 14

What are the Well’s Criteria

Answer 14

Active Cancer

Paralysis, paresis, or recent plaster cast

Recently bedridden 3+ days, or maj. surgery within 12 weeks

Entire leg swollen

Calf swelling 3 cm, unilaterally

Tenderness along deep vein sys.

Pitting edema unilaterally

Collateral superficial veins

Prev. DVT
Alternative Dx at least as likely as DVT -2

Question 15

Well’s Criteria Score

Answer 15

DVT likely 2+ points
DVT unlikely <2 points

Question 16

When do you mobilize a Pt w/ Dx of UE/LE DVT?

Answer 16

Once therapeutic levels of Rx are achieved

Question 17

How long should complications of DVT last, how can they be reduced?

Answer 17

Complications can be lifelong
Mitigate through:
Education
Exercise
Mechanical Compression

Question 18

HF CPG: What should PT’s Educate and Advocate for?

Answer 18

Advocate for increased total daily physical activity.

Educate on and facilitate chronic disease mgmt. behaviors

Question 19

What types of exercise should PT’s prescribe for HF??

Answer 19

Rx:
Aerobic
HIIT
Upper/lower extremity resistance
Aero- & resistance
Inspiratory muscle training
Inspiratory m. & aerobic
Neuromuscular electrical stimulation

Question 20

COPDX stands for:

Answer 20

C: Case finding Dx confirmation
O: Optimise function
P: Prevent deterioration
D: Develop Plan of Care
X: Mng. Exacerbations

Question 21

Case finding, Dx confirmation example (COPD):

Answer 21

-smoking is greatest risk factor
-smoking cessation reduced mortality
-COPD Dx confirmed by persistent airflow limitation = FEV1/FVC < 0.7

Question 22

Optimise function example (COPD):

Answer 22

Pulm rehab improves Q of L, Ex. capacity, and reduces COPD exacerb.

Check adherence and inhaler technique

Question 23

Prevent deterioration example (COPD):

Answer 23

smoking cessation is more important intervention

prevent exacerb. is key to prevent deterioration

flu & pneumococcal vaccines reduce exacerb.

Long term O2 therapy has survival benefits.

Question 24

Develop a plan of care example (COPD):

Answer 24

Pts may benefit from self-mgmt support

COPD exacerb. action plans may reduce ER visits and hospital admissions

Question 25

Manage Exacerbations example (COPD):

Answer 25

Early dx and tx may reduce Hospital admissions and delay COPD progression When using Suppl. O2 for COPD, SpO2 of 88-92 improves survival Non-invasive O2 improves survival Consider pulm. rehab at any time after an exacerbation

Question 26

Plumonary Rehab--Strong Recommendations

Answer 26

Ppl w/ COPD should do pulm rehab to improve Q of L, and exercise capacity to reduce hospital admissions Pulm Rehab should commence btwn 2-4 weeks after discharge from a COPD exacerbation