Temperature
What is the normal range for temperature?
97°-99° F
What is considered the "normal" heart rate range at rest?
60-100 beats/min
What is considered the normal blood pressure at rest?
<120/80 mmHg
What is considered the normal range for respiratory rate?
12–20 breaths/min
What is considered a normal SpO2 range at rest?
95%–100%
Is temperature a relative or absolute contraindication for therapy?
Relative (meaning it is not entirely forbidden, but it would be a good idea to get clearance).
When is a patient's HR considered Tachycardic?
Tachycardia: HR >100 bpm
Bradycardia: HR <60 bpm
Is BP response steeper with UE or LE exercise?
Upper Extremity
How long should RR be measured for?
A full 60 seconds to avoid underscoring of RR (especially for irregular breaths)
*Pt should be unaware that respiratory rate is being examined.
What are at least 3 signs and symptoms of hypoxemia?
dyspnea, labored breathing, tachypnea, tachycardia, headache, and confusion
What is considered severe hypothermia?
Severe hypothermia is a core body temperature of <82.4°F
At what rate should HR increase proportional to intensity? (Answer should be given as bpm per MET).
~10 bpm/MET; plateaus as maximal intensity is approached.
At what rate should systolic blood pressure increase as workload increases? (mmHg per MET)
~10 mmHg per MET
Of the four vital signs, what vital sign is the most frequently missing in the medical record?
Respiratory Rate is most frequently missing in the medical record, even when the patient’s primary diagnosis is respiratory specific
At what rate should SpO2 change during exercise?
SpO2 should not change significantly during exercise
What is considered severe hyperthermia?
Severe is >104°F
In the absence of an exercise test, what should exercise intensity be?
Resting HR plus 20–30 bpm and RPE goal of 11– 14 (on 6-20 scale).
What should happen to Diastolic BP during exercise?
DBP should decrease slightly (<10 mmHg) or remain the same
When should a patient receive medical clearance for therapy?
• RR >24 breaths/min combined with other evidence of physiological instability (e.g., low BP) should receive medical clearance
• Patients with a RR of >27 breaths/min should receive medical clearance
Name at least 2 things that can make SpO2 less accurate?
Poor circulation, skin pigmentation, skin thickness, skin temperature, current tobacco use, motion artifact, and fingernail polish.
What temperature(s) would potentially merit a contraindication?
≥101.3°F or ≤96.8°F
What is considered "best practice" in measuring HR when meeting a patient for the first time?
Best practice has also been to measure for full 60 seconds first time meeting new patient
BP indications to terminate exercise?
• Fall in SBP >20 mmHg from the highest value during the test
• SBP >250 mmHg or DBP >120 mmHg
When should exercise not be initiated or continued in regards to the respiratory rate?
If the RR is <5 or >40 breaths/min
At what SpO2 percentage should you terminate exercise when it is accompanied by signs and symptoms of hypoxemia?
Should terminate exercise if SpO2 ≤80% when accompanied by symptoms and signs of hypoxemia.
*SpO2 is not a replacement for RR rate measurement.