final PAD-DB

Question 1

goals for outpatient cardiac rehab

Answer 1

• devlop and assist patient in exercise/lifestyle prog

- provide appropriate supervision

Question 2

considerations for patient with sternotomy

Answer 2

5-10lb limit for 10-12w

-pain free rom

Question 3

Outpatient exercise programs considerations

Answer 3

• <10min bouts (increase 10-20% week)
• Upper limit of HR should be 10 bpm lower than HR that ischemia is identifies
• upper +lower body
• continous ECG monitoring

Question 4

patients w heart failure considerations

Answer 4

• higher intensity may be considered

- frequency and effort increase beforee intensity

Question 5

Pacemaker patients considerations

Answer 5

10-15bpm below HR threshold for defibrillation

-3-4 w after implant vigorous activity should be avoided

Question 6

What is PAD

Answer 6

thickening of artery walls outside of the heart and brain, can cause atherosclerosis

Question 7

who is likely to get PAD

Answer 7

12-20% of adults over 65

-smoking, diabetes, high cholesterol, blood pressure all increase odds

Question 8

what are the signs of PAD

Answer 8

• foot and leg pain at rest
• non healing foot or toe wounds
• discoloration of toes
• leg heavyness

Question 9

Conservative treatment of PVD

Answer 9

-stop smoking
-cholesterol medicine
-glucose management
walking program (3-4x a week)

Question 10

considerations for exercise for patients with CAD

Answer 10

• start 15 min/day

- should have weight bearing exercises

Question 11

exercise prescription for patients with Stroke

Answer 11

• begin treadmill at slow speed

- be attentive to cognitive state

Question 12

special considerations s for asthma

Answer 12

• caution is suggested in using HR target based on prediction
• individuals experiencing exacerbations of their asthma
• exercise in cold should be limited

Question 13

considerations for COPD

Answer 13

• light aerobic activity for severe or >60% normally
• inspiratory muscle weakness is a contributor to exercise intolerance and dyspnea in those with COPD
• supplemental ox used with patients with Pa)2 < 55

Question 14

what often goes undetected in patients with diabetes

Answer 14

silent schema therefore annual CVD risk factor assessments should be conducted

Question 15

acute complications of diabetes

Answer 15

hypoglycaemia (low blood sugar)

diabetes ketoacidosis (buildup of veto acids in blood due to absence/ near absence of insulin)

Question 16

special considerations for those with diabetes

Answer 16

• watch for hypoglycaemia (shakiness, weakness)
• Early morning better
• monitor glucose levels
• workout with a partner or under supervision

Question 17

prinicipal finding of lifestyle interventions in diabetes

Answer 17

• reduced development of diabetes by more than half
• almost twice as effective as medications at reducing diabetes
• effects perss up to 4 years

Question 18

what does exercise reduce in diabetes

Answer 18

HbA1c

• increases glucose uptake
• increases insulin sensitivity
• potentially reducing body weight

Question 19

CDA recommendations for exercising w diabetes

Answer 19

150 mins of mod to vigorous intensity (3 days a week+ resistance training)

Question 20

hyperglycaemia; when is the best to postpone exercise

Answer 20

• if glucose is over 15, w keytones

- if glucose is over 20 with or without keytones

Question 21

current recommendations for eating for diabetes

Answer 21

1. eat 15-25g CHO prior to ex
2. reduce basal insulin 20-35% morning prior to ex
3. reduce meal time bolus