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EXSC 460 CH 8 EXERCISE RX FOR INDIVIDUALS WITH
CARDIOVASCULAR AND PULMONARY DISEASE QUESTIONS AND
CORRECT ANSWERS!!
commonly used to deliver exercise and other lifestyle interventions to individuals with cardiovascular disease - ANSWER cardiac rehab
often provided for those with various COPD including emphysema and bronchitis - ANSWER pulmonary rehab
- current clinical status assessment
- mobilization
- ID and provision of information regarding modifiable risk factors and self care
- discharge planning with a home PA and ADL
- referral to outpatient CR - ANSWER guidelines for inpatient CR program
intermittent sitting or standing within 12-24 hours of MI prevent - ANSWER exercise performance decrements
until evaluated with an exercise test or entry into a clinically supervised outpatient CR program what should not be exceeded during the inpatient program - ANSWER upper limit of HR or RPE
- no new or recurrent chest pain in previous 8 hours
- stable or falling creatine kinase and troponin values
- no indication of decompensated heart failure
- normal cardiac rhythm and stable ECG for previous 8 hours - ANSWER AACVPR for inpatient cardiac rehab
- develop and assist individual to implement a safe and effective formal exercise and lifestyle PA program
- provide appropriate supervision and monitoring to detect change in clinical status
- provide ongoing surveillance to the individual's health care providers in order to enhance medical management
- return the individual to vocational and recreational activities or modify these activities based on the individual's clinical status
- provide individual and spouse/family education to optimize secondary prevention through aggressive lifestyle management and use of cardioprotective medications - ANSWER goals for outpatient cardiac rehab
for individuals with limited exercise capacities, what should the starting bout time be - ANSWER <10 min
if ischemic threshold has been found, the exercise intensity should be where - ANSWER 10 bpm below HR where ischemia was found
if peak HR is unknown, RPE should be found - ANSWER <12 (<40% of HRR), 12- (40-59% HRR), 14-16 (60-80 HRR)
individuals on beta blocker therapy may have what type of HR response and max exercise capacity - ANSWER decreased
people on this therapy are at an elevated risk for volume depletion, hypokalemia, or orthostatic hypotension after exercise - ANSWER diuretic
this portion of the exercise should include rhythmic, large muscle group activity with an emphasis on - ANSWER caloric expenditure
characterized by exertional dyspnea and fatigue in the setting of HFrEF, a preserved left ventricular ejection fraction, or a combination of the two - ANSWER chronic HF
transplant - ANSWER 15-30%
in the absence of direct cardiac sympathetic efferent innervation, peak Q is reduced after a cardiac transplant - ANSWER 20-35%
HIIT has been used in individuals with cardiac transplant, with intensities set where - ANSWER 90% of VO2 peak or 91% of HR peak
this disease results in the reduction of blood flow to regions distal to the area of occlusion - ANSWER PAD
the reduction in the blood flow creates a mismatch between O2 supply and demand causing ischemia to develop in the affected areas - ANSWER PAD
- CV risk reduction
- exercise training
- pharmacological therapy
- peripheral revascularization - ANSWER PAD treatments
have individuals with this start by accumulating 15 min daily and increase time 5 min a day biweekly - ANSWER PAD
weight bearing exercise may be supplemented with non weight bearing exercise, such as arm and leg ergometry - ANSWER PAD considerations
cycling or other non weight bearing exercise modalities may be used as a warm up but should not be the primary type of activity - ANSWER PAD considerations
when blood flow to a region of the brain is obstructed, brain function deteriorates quickly and leads to neuronal cell death - ANSWER CVA
causes of CVA - ANSWER ischemic and hemorrhagic
early onset local muscle and general fatigue are common - ANSWER CVA considerations
chronic pulmonary diseases are significant causes of - ANSWER morbidity and mortality
there is strong evidence that pulmonary rehab improves - ANSWER exercise tolerance, reduces symptoms, and improves quality of life
- COPD
- restrictive pulmonary disease
- pulmonary artery hypertension
- lung cancer - ANSWER pulmonary diseases
heterogenous chronic inflammatory disorder of the airways that is characterized by a history of episodes of bronchial hyperresponsiveness, variable airflow limitation, and recurring wheeze/dyspnea/chest tightness/coughing - ANSWER ashtma
airway narrowing that occurs as a result of exercise - ANSWER EIB
exercise in cold environments or those with airborne allergens for those with asthma should be limited avoid triggering - ANSWER bronchoconstriction
what can be triggered by prolonged exercise or high intensity exercise sessions - ANSWER EIB
4th leading cause of death and a major cause of chronic morbidity throughout the world
