Acs/Secularization Case Study
Grady O’Donovan
ACS/Revascularization Case Study
25 Points
Thoroughly read all patient information. Using critical thinking, answer the questions in full and thoughtful sentences. All work must be typed and submitted via My Classes as a Word document.
Medical History
Ms. Jacobs is a 58-year-old woman with no prior history of heart disease. She has hypertension that is well controlled with Lisinopril 10mg daily. She was diagnosed with diabetes 15 years ago and takes Metformin 500mg BID. At last check, her fasting blood glucose was 234mg/dl and her HbA1c was 8.7%. She has a 30 pack year history of smoking and does not exercise. Over the past three months she has started to notice consistent increased shortness of breath when climbing …show more content…
7. What is the appropriate target HR for Ms. Jacobs? Explain how you came to your answer. (2PT) It is highly recommended that MS. Jacobs exercise approximately 55% of her optimum heart rate in order to fully identify the recommended or targeted heart rate. In order to identify the target heart rate, age - 220. In this case, MS. Jacobs’ target heart rate is 220-58, which gives 162bpm. 55% of 162 bpm =89 bpm.
8. If Ms. Jacob’s did not have a stress test before beginning Cardiac Rehabilitation, how would you prescribe heart rate ranges? (2PT) If Ms. Jacobs did not have a stress test before cardiac rehabilitation, the most appropriate way to prescribe heart rate ranges would be (HR=208-0.7*age). With this, the process involved will have a general impact in developing understandability of the actual stress levels that can be identified through the respective stress and intensity programs.
9. Using the FITT principle, show a sample initial aerobic exercise prescription for Ms. Jacobs. (4PTS)
Frequency: 4 days a week
Intensity: RPE 11 to 16
Time: 20 minutes (4x5
ACS/Revascularization Case Study
25 Points
Thoroughly read all patient information. Using critical thinking, answer the questions in full and thoughtful sentences. All work must be typed and submitted via My Classes as a Word document.
Medical History
Ms. Jacobs is a 58-year-old woman with no prior history of heart disease. She has hypertension that is well controlled with Lisinopril 10mg daily. She was diagnosed with diabetes 15 years ago and takes Metformin 500mg BID. At last check, her fasting blood glucose was 234mg/dl and her HbA1c was 8.7%. She has a 30 pack year history of smoking and does not exercise. Over the past three months she has started to notice consistent increased shortness of breath when climbing …show more content…
7. What is the appropriate target HR for Ms. Jacobs? Explain how you came to your answer. (2PT) It is highly recommended that MS. Jacobs exercise approximately 55% of her optimum heart rate in order to fully identify the recommended or targeted heart rate. In order to identify the target heart rate, age - 220. In this case, MS. Jacobs’ target heart rate is 220-58, which gives 162bpm. 55% of 162 bpm =89 bpm.
8. If Ms. Jacob’s did not have a stress test before beginning Cardiac Rehabilitation, how would you prescribe heart rate ranges? (2PT) If Ms. Jacobs did not have a stress test before cardiac rehabilitation, the most appropriate way to prescribe heart rate ranges would be (HR=208-0.7*age). With this, the process involved will have a general impact in developing understandability of the actual stress levels that can be identified through the respective stress and intensity programs.
9. Using the FITT principle, show a sample initial aerobic exercise prescription for Ms. Jacobs. (4PTS)
Frequency: 4 days a week
Intensity: RPE 11 to 16
Time: 20 minutes (4x5