Given case scenarios, attendee will be able to

1.  Apply certain cardiopulmonary medical test information to evaluate a patient with primary or secondary cardiopulmonary problems

2.  Assess acute symptoms and changes in cardiopulmonary status for safety

3.  Identify modifications of treatment based on acute findings

4.  Seek safe actions and provide essential documentation of events

 

A.  Setting and Patient Evaluation

B.  Patient Evaluation by Diagnosis

     1.  CAD Anatomy:   related signs & symptoms

     2.  CVA

     3.  Organ fialure in:  *pulmonary

                                        *CHF (Right-sided or cor pulmonale,  Left sided, or full failure)

                                        *renal failure

    4.  COPD

    5.  Cardiomyopathy-related decreased cardiac output, CHF, arrhythmias

    6.  Musculoskeletal related to CP disease:

                                       *kyphoscoliosis, pectus excavatum, pidgeon breast

                                       *thoracic and abdominal surgery

                                       *CVA-related changes and imbalances

   7.  Pneumonia:  Related pathology/Signs & Symptoms

   8.  Aneurysms:  Related pathology/Signs & Symptoms

C.  Patient Evaluation by Medical Tests

   1.  Cardiac catheterization

   2.  ECHO and MUGA Scans

   3.  CXR

   4.  GXT or Treadmill Exercise Test

   5.  PFT's

   6.  ABG's:  Oxygenation/Ventilation     Compensated vs uncompensated

   7.  Special procedures:  Aortic umbrella;  IABP; Pacemakers: continuous,

          syncronized, demand

   8.  The "unknown" problems:  seizures; vaso-vagal response; thrombus, embolus

Note major drug categories (by "root" workd or stems)

Assess drug dosages as "small, medium, or large" doses

Assess drug frequencies as related to peaks/troughs for effectiveness and timing of

     Rehab treatment sessions

Identify certain drug therapeutic levels:  especially Procan (procainamide), Theodur

    (theophylline), Digoxin (digitalis), and Potassium

    1.  dizziness    2.   SOB    3.  chest pain    4.  abnormal heart rate & rhythm

    5.  abnormal blood pressure

   1.  Hands on:  pulses, fremitus, skin status

   2.  Stethoscope and BP cuff use, Pulse oximeter

   4.  Aromatic ammonia sticks, CPR, and Resuscitation Mask

Exercise Prescription components:  Intensity   Duration   Frequency   Mode

Intensity guidelines by:  HR, RPE scale use, dyspnea scale use, blood pressure thresholds, methods of controlling intensity

DOCUMENTATION TIPS for liability and safety

CASE STUDIES of "situational" decision making examples of the 5 critical

   signs/symptoms listed above.