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What presenting symptoms are relevant during cardiopulmonary assessment?
Pain, Dyspnea, Fatigue, Palpitations, Dizziness, Edema
Normal Adult HR?
60-80 BPM

Elders up to 100
Normal adult BP?
120/80 mm/HG
Normal adult respiratory rate?
12-18 breaths/min
restriction in blood supply
Chronic Obstructive Pulmonary Disease is characterized by poor expiratory flow rates: emphysema, asthma, bronchitis, cystic fibrosis, peripheral airways disease
Peripheral Vascular Disease comprises Arterial and venous diseases
Arteriosclerosis Obliterans
Pain, aching, fatigue that affects lower extremities; Onset with exercise; Associated with DM, hypertension, CAD
Thromboangiitis Obliterans
Common in young men who smoke; Distal to proximal in L & UEs; Diminished temp sensation
Deep Vein Thrombosis: usually LEs; warm, tender, swollen, red; requires immediate medical attention
Diabetic angiopathy
Sign: Neuropathy; Danger of ulcers
disease of arteries/veins
CAD and list its main syndromes
Coronary Artery Disease: Angina pectoris (transient ischemia), Myocardial infarction  (prlonged ischemia with necrosis of heart tissue)
When to monitor BP?
At rest, during activity, post activity
Congestive Heart Failure: heart unable to maintain adequate circulation of the blood
Hypertension BP
Excessive sweating associated with decreased cardiac output
Environmental considerations
Fall risk, environmental barriers and physical demands
Circulation problem that causes pain in legs
OT Rehab Phase 1
Inpatient rehab/hospital
Increase knowledge of work simplification, energy conservation, metabolic cost of activities
Decrease anxiety
Improve self care
When to initiate activity program c cardiopulmonary pt?
Pain free, no arrhythmia, pulse <100
MET 1.5
discomfort with physical activities cardiac insuffiency at rest
Generalprinciples of energy conservation (4)
Pace oneself
Monitor body position
Organize work areas
When are vital signs monitored?
Prior to, at peak, and 4-5 min post activity
What is low-end O2 Sat for pulmonary pts? Cardiac pts?
comfort at rest less than ordinary activities
MET 4.5
ordinary activities result in fatigue, pain, dyspnea
Isometric exercise, UEs over head, exercises that stretch chest and pull incision, exercise contraindicated for unstable angina
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