A New Heart to Exercise With
LVAD
Setting the Pace...maker
Risk Stratification
All about angina
Exercise Considerations
200
The heart rate doesn’t have a normal physiological response because it has undergone this
Denervation
200
Stay out of the pool with most brands of an LVAD to prevent getting an _______
Infection
200
It’s the lines shown here:
Pacemaker spikes / discharge
200
No more than 1 major risk factor is ______ risk according to the ACSM Guidelines
Low
200
This is chest pain that occurs with activity and recovers with rest
Stable angina
200
Keep your patient at least _____ bpm below their angina threshold
10
400
To prevent transplant rejection, folks take these types of medications
Immunosuppressants
400
This special cable shown here:
Driveline
400
Leave these people alone when they have this emergently anchored pacing method
Transvenous pacing
400
Any cardiopulmonary signs or symptoms immediate qualifies as ______ risk in the ACSM Guidelines
High
400
The ischemic threshold is expected to ______ with progression in an exercise plan
Rise, Increase, OR Improve
400
It’s important to know whether your post-sternotomy patient has _______ precautions or strict sternal precautions
Move in the tube OR Clamshell
600
Prolong the ______ and ______, done at the start and end of exercise, due to their heart’s slow adaptive response
Warm-up & cool-down
600
The LVAD is ______ dependent & ______ sensitive
Preload & afterload
600
In a freshly placed pacemaker, we’ll want to teach patients these movement precautions
Pacemaker precautions
600
You’ll want to perform continuous monitoring of ______ when working with cardiopulmonary patients
ECG
Will accept vitals / hemodynamics
600
You should call 911 if you must take up to ______ doses of your nitroglycerin to relieve your resting chest pain
Three
600
Avoid solely relying on _______ to guide exercise intensities when working with aggressive personalities
RPE
800
This tends to be the resting heart rate for an acutely transplanted heart
100+ bpm
800
These are a new set of their ADLs. They need to do it every day to stay alive!
General LVAD management; battery exchange, routine dressings, driveline protection, etc.
800
The ICD discharge rate should be kept below ______ bpm… Otherwise, zap!
10
800
Patients with complex dysrhythmias at rest are ______ risk in the AACVPR Guidelines
High
800
Vasospastic angina is also referred to as ______ angina
Prinzmetal OR variant angina
800
This method of training intensity will improve insulin sensitivity, body composition, VO2max, and lower BP faster
HIIT OR vigorous intensity training
1000
This describes a heart rate’s failure to rise with an increase in workload
Chronotropic incompetence
1000
The first sound you hear when taking a BP with Doppler US in an LVAD patient
Mean Arterial Pressure (MAP)
1000
This type of pacing is commonly seen post cardiac surgery, and you’ll want to ask the RN extra questions and take a backup during mobility
Epicardial pacing
1000
You’ll want to monitor ECG continuously for at least ______ sessions when working with cardiopulmonary patients
It depends...
1000
This type of angina is not relieved with rest and requires immediate medical evaluation
Unstable angina
1000
HR x SBP, or the _______, can also be used as a means of measuring someone’s angina threshold
Rate Pressure Product (RPP) OR double product