Cardiovascular Response To Exercise
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 8 August 2018
⏱️ 10 minutes
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Summary
Davis presents with CHF and is undergoing a 6-minute walk test. The patient's HR, SPO2, and blood pressure are all being monitored to ensure patient safety.
The physical therapist is challenged with understanding the indications of abnormal changes in vitals with exercise.
How well do you know your exercise physiology? Let's test your knowledge in this excellent episode about the cardiovascular response to exercise.
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Transcript
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| 0:00.0 | This episode of the NPTE Clinical Files is brought to you by the NPTE test strategy playbook. |
| 0:06.1 | Hey, PTs, is your repeat score less than 75%? And if it is, when you review your practice exams, |
| 0:12.6 | do you find several questions that you had the knowledge to, but you still got the question wrong? |
| 0:18.2 | Listen, you're not alone and you might have a test taking strategy |
| 0:21.8 | problem. You need to visit Destroy the NPTE.com to find out how you can stop getting questions wrong |
| 0:29.1 | about the topics that you know. Visit destroy the NPTE.com. You are now tuning in to the MPTE clinical files to mock MPTE-based questions told and |
| 0:41.3 | solved week by week. Thank you for tuning in to the MPT clinical files. My name is Kyle Rice, |
| 0:47.0 | the MPT prep coach, the founder of the PT Hustle, and the creator of the NPT Prep Success |
| 0:51.8 | Course 2.0. And for this week's MPT clinical file, we have our patient |
| 0:56.5 | Davis. And Davis is a 54-year-old male with congestive heart failure, and he is performing a six-minute |
| 1:03.9 | walk test. Now, prior to the test, the physical therapist assessed the patient's vitals and found |
| 1:09.8 | the following. The heart rate was at 89 |
| 1:12.0 | beats per minute, SPO2 was at 95% and the blood pressure was at 130 over 88 millimeters of mercury. |
| 1:21.4 | Now two minutes into the six minute walk test, the patient requires a seated rest break. |
| 1:26.7 | The physical therapist assesses his vitals again |
| 1:29.8 | and finds the following. The heart rate is at 142 beats per minute. The SPO2 is at 98% and the blood |
| 1:38.2 | pressure is at 108 over 80 millimeters of mercury. What is the physical therapist best course of action? So we have A, |
| 1:47.6 | immediately stop the test, B, continue the test for another two minutes and assess the patient's |
| 1:53.5 | vitals again. C, call EMS and D, continue the rest of the test if the patient is asymptomatic. |
| 2:02.2 | All right. |
| 2:02.4 | So we have our patient, Davis, he's a 54-year-old male. |
| 2:06.1 | He has congestive heart failure. |
... |
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