What happens to the vital signs with impaired CV pump?
Abnormal vital sign change in response to activity (flat response or decrease in HR and/or BP with increase workload
Below what EF is considered a CV pump problem?
< 40%
WIth what condition do you have elevated BNP levels?
CV pump problem
How can you identify a CV pump problem by the ST wave?
> 2mm ST elevations or depressions
Angina is a sign of what type of impairment?
CV pump problem
What is ventricular ectopy and what can it be a sign of?
Ventricular contractions in the wrong place. Can be a sign of CV pump problem. Problem when you have >7 PVC’s per minute
When does reconditioning occur?
After patient has been on bed rest for 24-48 hours
What will vital signs look like with reconditioning?
Exaggerated vital sign response to activity; greater than expected for workload
What SpO2 level constitutes a gas exchange problem?
< 97-100% depending upon age
What will the PaO2/PaCO2 look like in a pt with a gas exchange issue?
abnormal for age at rest or in response to activity
What are abnormal PFT’s a sign of?
A ventilatory pump problem, either restrictive or obstructive
What will happen to the MIP/MEP with a ventilatory pump problem?
decreased significantly
What type of muscle pattern could you see with a ventilatory pump problem?
accessory muscle use at rest
What type of breathing pattern can you see with a vent pump problem?
Paradoxical at rest or in response to position change or activity
A patient with a vent pump problem could have what ratio of inspiration:expiration?
1:1
What can the subcostal angle in a pt with a vent pump problem be?
flattened on exam or chest film
What will you hear upon lung exam with an airway clearance problem?
abnormal/adventitious breath sounds or voice sounds indicative of secretions
What are the two signs of peripheral ischemia?
Claudication with ambulation
ABI<0.5
What type of cough is typical of an airway clearance problem?
ineffective cough or effective cough not able to clear volume of secretions present
What will you see on a chest film with an airway clearance problem?
evidence of infiltrate or consolidation
