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cardio
phases of rehab
4
Other
Graduate
07/12/2014

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Cards

Term
phase 1
Definition
inpatient acute
lowlevel activity if stable
monitor pulse and BP
educate,self care I, prevent deconditioning
ADLs require 5 METS, UE/LE ROM, very light weights, I transfers, sitting>supervised amb>stairs at DC
initial 2-3 METS>3-5 METS at DC
short sessions 2-3 times a day
Term
phase II
Definition
outpatient Home health subacute
up to 3 month post DC, 1-2 weeks post MI
I self care, inmprove func capacity, return to work, modify lifestyle to reduce risk, low-level conditioning
walk/jog/step to tolerance
4-9 MET range
3-4 times a week
30-60 minutes w/ 5-10 min warmup-cool down
DC at 9 METS functionally
Term
phase III
Definition
post acute community exercise
3-6 months post MI lasts 12+ weeks
cardio team monitors vitals
promote long term fitness
life long commitment and risk factor modification
pt must function above 5METS to begin
aerobic large muscle group activity
lew level resistance training
supervised>self requlated
50-85% of functinal capacity 3-4 times a week 45+ minutes a session
Term
when to terminate inpatient
Definition
fatigue, light headed, confusion, ataxia, pallot, cyanosis, dyspnea, nausea, angina
ST displaced 2mm or more/downsloping ST
ventricular tachycardia or 3+ PVCs in a row
drop of systolic BP greater than 20 mmhg during activity
rise in systolic BP above 220 or dyastolic above 110
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