Please enable JavaScript.

Coggle requires JavaScript to display documents.

Cardiac rehab (4. pathology (Hypertension(HTN) (drug (diuretics (fluid랑…

- - - - AT LEAST 5-10 min
      - light-moderate intensity
      - warm up 안하면 heart rate will shoot! gonna HEART ATTACK!
        and increase RPP, narrowing down the blood vessel
      - HR increase gradually, BP narrow gradually
    - - 20-60min
    - - AT LEAST 5-10min
      - light-moderate
      - COOL DOWN 안하면
        
        sudden drop blood pressure! 운동하고 멈추면 muscle tone Dec, muscles relax vessle dialate, BP drop, can lead to HR and gonna bad for HEART
    - - AT LEAST 10 min
  - - - type of exc.
        
        종류 숫자를 외울필요는 없지만 Phase는 인지하고 있어야... 뭔소리야 이게 외우라는거지
        
        aerobic(low /moderate/vigorous intensity)
        
        강도
        
        40-85%
        
        2)40-59%MODERATE
        
        1 more item...
        
        3)60-85%BIGGEREST
        
        1 more item...
        
        85%이상
        Anaerobic/resistance(high/near maximum-maximum intensity)
        
        1day/wk : For maintaining muscles
        
        2-3days(more than these days not safe)
        
        CI(contraindication,금기)
        for pt with Lt. ventricular function probelms
        
        1)0-40%LIGHT
        
        very low intensity acivity
        
        7days/wk
        
        PROGRESS 여기 이해가 잘 안가 55:00-
        
        40% of Target HR
        
        (1)endurance first
        
        (2)increasing intensity
        
        1 more item...
        
        10-15 reps --2 to 3 more reps per set- days?
        
        10 reps 3 sets , 12-13 reps- each set, 2 days
        
        flexibility exc.
        
        4이상 repetitions per muscle group
        
        6 second contraction followed by a 10 to 30 second assisted stretch is recommended for PNF
        
        7days per week (AT LEAST 2-3 days/wk)
      - frequency
        
        얼마나 자주 운동하는가
        
        times/wk
      - intensity
        
        how much stress to HEART
        
        For out patient
        
        [formular1]HR max= 220-age
        
        예를들어, 30살은 HR max가 190dlrh 85% HR max는 0.85X190=161 bpm, 40%는 0,40 X 190=76bpm이다
        
        [formular2] Target HR
        
        [ (HRmax- HR rest)%intensity]+HR rest
        
        예를들어서 HR max 190, HRrest 90일때 60% intensity에서 계산하라
        
        [(190-90)X0.6]+90=150
        
        [formular 3] Vo2 r=Vo2max
        
        Vo2 max is 어떤 활동이나 운동할때 maximum amount of oxygen that taking in 그리고 얼마나 energy를 만들어내는 utilize할수 있는지 )
        
        Vo2r is volume of oxygen
        
        HR이랑 VO2max는 비례함
        
        MET
        
        stage
        
        1 stage
        
        1-5
        
        2 stage
        
        5-9
        
        3 stage
        
        9이상 MET
        
        1 MET=3.5ml O2 per kg per minute
      - duratiom
        
        how long it should be
        
        20-60 mins
    - - aerobic
      - resistance
      - flexibility
  - - - inpaint(입원환자)
      - 수술 6주후 퇴원한 outpatient
    - - indication
        
        +stable
      - contraindication 이게 더 중요해
        
        ★+uncompensated/ unstable/ uncontrolled/significant/ severe
        
        Orthostatic BP<20 mm Hg
        
        active pericaditis or myocarditis
        
        BP>180
- - - - exc. large group
        
        arm armergometer<walking on tredmill
        
        we prefer large muscle gruop
  - - - diuretics
        
        fluid랑 연결해서 하라고?
    - - longer cool down for pt's on antihypertensive
        as it causes vasodilation quickly
  - - - phase2
        
        6wk
        
        subacute or outpaitnet- cardiac monitoring during exc. not at rest
        
        FITT
        
        F: at lest 5day/wk
        
        I:40-59%
        
        duration: 30-60min
        
        ratio= 2:1
      - phase1
        
        6wk
    - - 좁아진 관상동맥을 대체할 수 있는 혈관을 연결하여 심장에 혈류를 공급하는 우회로를 만들어주는 수술.
  - - - Max ETT
      - submax ETT
        
        continous
        
        Discontinous
  - - - immunosuppression therapy
      - higher intensity interval training(than low intensity)
  - - - 체내삽입형자동심율동전환제세동기