PT Interventions 5

Question 1

1 MET =

Answer 1

Energy expended while sitting quietly

3.5 mLO2/kg/min OR 1kcal/kg/hr

Question 2

A RPE of 12-16 is

Answer 2

Somewhat hard to hard

40-85% maximal capacity

Question 3

RPE 11-13 =

Answer 3

Fairly light to somewhat hard

*Appropriate upper limit during initial phases of OP cardiac rehab

Question 4

RPE of 14-16 appropriate for

Answer 4

Appropriate for higher intensity training later in cardiac rehab if there are no s/s of ischemia or dysrhythmias

Question 5

Phase II cardiac rehab: duration

Answer 5

• initially 15-20 mins during first month (initial training stage)
• 25-30 mins during next 3-4 months (improvement stage)
• 40 mins or longer after 6 months (maintenance phase)

Question 6

METs: light

Answer 6

Less than 3 METs

Question 7

METs: moderate

Answer 7

3-6 METs

Question 8

METs: vigorous

Answer 8

Greater than 6 METs

Question 9

METs: walking slowly at home or office

Answer 9

2 METs

Question 10

METs: walking 3 mph

Answer 10

3-4 METs

Question 11

METs: walking 4 mph

Answer 11

4.5-7 METs

Question 12

METs: walking 4.5 mph

Answer 12

6.3 METs

Question 13

METs: jogging 5 mph

Answer 13

8 METs

Question 14

METs: running 7 mph

Answer 14

11.5 METs

Question 15

METs: bicycling (flat) 10-12 mph

Answer 15

6 METs

Question 16

METs: bicycling (flat) 12-14 mph

Answer 16

8 METs

Question 17

METs: bicycling (flat) 14-16 mph

Answer 17

10 METs

Question 18

Phase II OP cardiac rehab: expected outcomes

Answer 18

• promote active lifestyle
• improved functional capacity
• lower cardiovascular risk factors
• improve sx and physiological responses to physical challenges
• modification of unhealthy behaviors and psychosocial characteristics
• improve pt understanding of safety

Question 19

What may be happening (exercise in hot environments)?

Disorientation, dizziness, apathy, HA, N/V, hyperventilation, dry skin

Answer 19

Heat stroke

Question 20

What may be happening (exercise in hot environments)?

Low BP, elevated HR and RR, wet and pale skin, weakness, dizziness

Answer 20

Heat exhaustion

Question 21

What may be happening (exercise in hot environments)?

Decreased HR and RR, pale skin, weakness, vertigo, nausea

Answer 21

Heat syncope

Question 22

What may be happening (exercise in hot environments)?

Localized mm spasms progressing to debilitating muscle cramps

Answer 22

Heat cramps

Question 23

Exercise in cold may _____ angina threshold and increase risk of death or individuals with heart disease

Answer 23

Lower

Question 24

What may be happening (exercise in cold environments)?

Loss of feeling and a while or pale appearance in finger, toes, ear lobes, and tip of nose

Answer 24

Frostbite

Question 25

What may be happening (exercise in cold environments)? Body temp under 97˚ F, shivering, confusion, disorientation, incoherence, poor coordination, slurred speech

Answer 25

Hypothermia

Question 26

When does hypothermia develop?

Answer 26

heat loss exceeds heat production

Question 27

Factors that increase risk of hypothermia include:

Answer 27

- water immersion - rain - wet clothing - low body fat - age ≥ 60 - hypoglycemia

Question 28

Decreased atmospheric pressure at ≥ 5000 ft and oxygen

Answer 28

Causes decrease in partial pressure of oxygen in the air Reduced arterial oxygen levels

Question 29

What may be happening (altitude)? Headache, nausea, fatigue, poor appetite and sleep, mild swelling in hands, feet, or face

Answer 29

Acute mountain sickness

Question 30

What may be happening (altitude)? Crackles/rales in the lungs, cyanosis of lips and nail beds

Answer 30

High altitude pulmonary edema

Question 31

RPE for pulmonary rehab (aerobic)

Answer 31

4-6 on the 0-10 scale | 12-16 on the 6-20 scale

Question 32

PT role in pulmonary rehab

Answer 32

- administer 6MWT or other appropriate tests - develop exercise prescription considering mode, intensity, duration, frequency - monitor vitals - supervise and promote proper technique/breathing patterns - airway clearance and breathing exercises as needed - instruct in energy conservation techniques

Question 33

Contraindications for pulmonary rehab

Answer 33

- ischemic cardiac disease - CHF - acute cor pulmonale - severe pulmonary HTN - significan hepatic dysfunction - metastatic cancer - renal failure - severe congestive deficit - visual, hearing, or ortho impairments may require modification of program

Question 34

Indications for pulmonary rehab

Answer 34

- chronic bronchitis - emphysema - asthma - interstitial lung disease - bronchiectasis - CF - lung cancer - chest wall disease - NM disease - preoperative and postoperative lung resection, transplantation, or volume reduction - ventilator dependency