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Tests and Safety
1. DVT
2. Vital
sign protocols: BP, HR,
Resp. Temp. SpO2.
3. Monitoring
Cardiovascular S&S - Guidelines
4.a.
Six-Minute Walk:
protocol /
response guidelines / norms
American Thoracic Society - Guidelines for the Six-Minute Walk Test
American
Thoracic Society Board of Directors. (2002).
Guidelines for the Six-Minute Walk Test. American Journal of
Respiratory and Critical Care Medicine. 166:1, 111-117.
Bohannon
RW. (2007). Six-Minute
Walk Test: A Meta-Analysis of Data From Apparently Healthy Elders.
Topics in Geriatric Rehabilitation. 23:2, 155-160.
4.b.
30
second Chair Stand
Test
Rikli RE, Jones CJ
(1999). Functional
fitness normative scores for community residing older adults ages
60-94. Journal of Aging and Physical Activity, 7, 160-179.
4.
c.
Two minute
Step Test
Rikli RE, Jones CJ
(1999). Functional
fitness normative scores for community residing older adults ages
60-94. Journal of Aging and Physical Activity, 7, 160-179.
5.
Vital
signs - blank table for 6MW
and Stairs
6. Cardiac
Endurance tests
7. Screening for Physical Activity - tools
7.a PAR-Q -- Physical
Activity Readiness questionnaire (pdf)
7.b Easy Exercise and Screening for You (online)
7.c PAR-Q+ and EPARMED-X+ (expanded, online versions of the PAR-Q)
8.
Audio
files: S3 Heart
Sounds , and
S4 Heart Sounds
9. Audio
files: Lung Sounds
10.
Categories of lung disease (COPD & RLD) as defined by Pulmonary Function Tests (PFT)
DeTurk, W., Cahalin, L.
(2004)
Cardiovascular and Pulmonary Physical Therapy – An Evidence Based
Approach. New York: McGraw-Hill p.153.
11. Arterial Blood Gas
(ABG) Analysis; Acid-Base Balance
12. Hypoglycemia
& Hyperglycemia (patient
education poster)
Rogers R. (1993). Hypogylcemia, Hyperglycemia. Sunriso Community Health
Center; Northern Colorado Medical Center, Novo Nordisk Pharmaceuticals
Inc. 000-114.
13.a.
Vascular
Assessment
- lower extremity
13.b.
Lower Extremity Amputation Prevention (LEAP)
13.c
Wound
Table (by etiology)
13.d Wound Mgmt.
Adjuncts:
Compression, Pressure Relief
14. Pitting
Edema scales
15. Foot
wear Modifications (includes
healing footwear)
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Scales and Norms
16. Borg: RPE
& Dyspnea (full
page size)
16.b
Eston-Parfitt (E-P) curvilinear RPE scale - for
Children
Eston RG, Lambrick DM, Rowlands A V.
The perceptual response to exercise of progressively increasing
intensity in children aged 7-8 years: Validation of a pictorial
curvilinear ratings of perceived exertion scale. Psychophysiology.
2009;46(4):843-851.
17.
For
the patient with cognitive impairment,
who may not be
able to use an RPE scale, consider showing them this picture of a thermometer to
estimate how hard they are working. Note: this a clinical method that
has not been validated by research.
18. PaO2 and
SaO2 values - by age
Burton, G, Gee. G., and Hodgkin, J.E. (1977). Respiratory Care, a Guide
to Clinical Practice. Philadelphia, J.B. Lippincott Co. Wilkins, R.L.,
et al. (1985). Clinical Assessment in Respiratory Care. The C.V. Mo~by
Co., St Louis.
19. Pediatric Respiratory
& Heart Rate Reference Values scroll to Appendix
1.
see Fig. 2, p.13: Respiratory
Rate
2. see Fig. 4, p.15: Heart Rate
Fleming
S, Thompson M, Stevens R, et al. Normal ranges of heart rate and
respiratory rate in children from birth to 18 years of age: a
systematic review of observational studies. Lancet (London, England).
2011;377(9770):1011-1018. doi:10.1016/S0140-6736(10)62226-X
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20.
VERY detailed information on BP for Children & Adults.
20.a Age-based
Pediatric Blood Pressure Reference Charts - 3 sections:
1. Determine age and
gender-related BP reference values, using a Calculator
2. Table of hypertension thresholds
3. Reference table of pediatric BP values by age and gender
Shypailo
RJ (2018) Age-based Pediatric Blood Pressure Reference Charts.
Retrieved 8/18/2020 from the Baylor College of Medicine, Children's
Nutrition Research Center, Body Composition Laboratory Web Site:
http://www.bcm.edu/bodycomplab/BPappZjs/BPvAgeAPPz.html
20.b National
Heart Lung and
Blood Institute. (2007).
A Pocket Guide to Blood Pressure Measurement in
Children.
National
High Blood Pressure
Education Program Working Group on High Blood Pressure in Children and
Adolescents. NIH Publication 07-5268. (4 pages).
www.nhlbi.nih.gov/health/public/heart/hbp/bp_child_pocket/bp_child_pocket.pdf
20.c The
Fourth Report on the
Diagnosis, Evaluation, and Treatment of High
Blood Pressure in Children and Adolescents.
Pediatrics 2004
Aug;114 (Suppl
2:) 555-76. (60 pages).
http://www.nhlbi.nih.gov/health/prof/heart/hbp/hbp_ped.pdf
20.d JNC_7
Express (2004). Prevention,
Detection, Evaluation, and Treatment of High Blood Pressure.
The
Seventh Report
of the Joint
National Committee on Prevention, Detection, Evaluation, and Treatment
of High Blood Pressure. NIH Publication No. 03-5233 (52 pages)
http://www.nhlbi.nih.gov/guidelines/hypertension/express.pdf
20.e Controversy surrounding "JNC_8"
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21. MET levels - by decade
DeTurk, W., Cahalin, L.
(2004)
Cardiovascular and Pulmonary Physical Therapy – An Evidence Based
Approach. New York: McGraw-Hill p.55l
[MET x 3.5 =
VO2 Max]
21.a Rockport One Mile Walk Test
(VO2 Max calculator)
Walk one mile “as fast as
possible”.
Record total minutes, & HR at completion.
Online calculator gives you VO2 Max
22. Pulse
Strength:
0 = no pulse
1+ = weak, difficult to palpat
2+ = palpable, but diminished
3+ = normal, easy to palpate
4+ = bounding, very strong
23. Ankle
Brachial Index, ABI
24. Ejection
Fraction (EF)
- >
55% normal
- 40-55%
mild LV dysfunction
- 30-40%
moderate LV dysfunction
- <
30%
severe LV
dysfunction
CHF
is quantified by an echocardiogram
(US) reading of elevated End Diastolic Volume (EDV)
and decreased Stroke Volume (SV)
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