WorksheetsCardiac Investigations
Total questions: 11
Worksheet time: 2mins
Transthoracic Echocardiogram (TTE) is a non-invasive procedure which uses ultrasound wave to scan the heart
True
False
Transthoracic Echocardiogram's (TTE) and Transoesophageal Echocardiogram's (TEE) are used to give you information about the electrical activity of the heart
True
False
A TTE is performed for a patient for the first time. The report states they have a Regional Wall Motion Abnormality (RWMA). As an OT you should...
(Multiple Correct Answers)
Hold off mobility & exertion while awaiting on subsequent medical plan
Hold off all therapy while awaiting CVM review
Proceed with cognitive assessment, education on activity precaution and energy conservation strategies
Proceed with therapy as per normal
Cardiac Valves Regurgitation occurs when there is incomplete closure of valve, leading to retrograde flow of blood to previous heart chamber. In severe cases patient may undergo valve replacements.
With this group of patients, during OT session we should...
(Multiple Correct Answers)
Educate on energy conservation to prevent heart strain
Hold off therapy as patients cannot exert themselves at all
OT PRN as PTs will educate patients on any activity restrictions they may need to comply with
Educate on reduced activity tolerance and energy conservation
Pericardial effusions are accumulation of fluid in the pericardial space. Significant pericardial effusion can compress the heart, affecting its ability to fill and pump blood effectively.
If a patient has a mild pericardial effusion, during therapy we should...
Hold off therapy while pending decision for intervention
Hold off therapy while awaiting CVM review
Apply activity precautions
Continue therapy as per normal
What are some potential medical treatments for the presence of a Thrombus/Vegetations, and their associated implications for OTs?
(Multiple correct answers)
Antibiotics
Monitor for symptoms of reduced cardiac output and apply activity precautions
IV heparin
Hold off therapy for the first 24 hours to reduce risk of clot dislodging. Continue therapy when INR is within therapeutic range
Oral anticoagulant/ antiplatelet
Continue therapy once initiated. Monitor for Hb drop due to increased risk of bleeding
Thrombolysis/
Thrombectomy
Hold off therapy and continue therapy once procedure done. Afterwards, Monitor for symptoms of reduced cardiac output and apply activity precautions
12-lead ECG, Holter and Telemetry all monitor the electrical activity of the heart
True
False
The WH Telemetry screen will give you information regarding heart rate, PVCs and wave forms. If no other information is given in the patient's medical notes, you should hold off therapy when you see which of the following on the telemetry screen...
(Multiple correct answers)
Persistent HR > 120
PVC ≥ 5
SpO2 < 88%
PVC < 3
Atrioventricular (AV) blocks reflect either a delay or an interruption of impulse transmission from the atria to the ventricles resulting in delayed/reduced ventricular contraction. This can result in reduced cardiac output.
Which of the following statements are true:
(Multiple correct answers)
You need to hold off therapy whenever you see AV Blocks in a medical report
In 3rd degree complete AV block, no impulses from the atria reaches the ventricles
AV block can result in a patient requiring a PPM
In 2nd degree AV block (Type 1) and 3rd degree AV block you should hold off therapy and trace medical intervention plans
Avoiding overhead reaching, heavy lifting >10kg, driving and valsalva manoeuvre are all cardiac activity precautions that aim to reduce the strain on the heart. When educating patients on cardiac activity precautions we should always give examples that patients can apply in their everyday life.
Which of the following are examples of valsalva manoeuvre's that you should avoid?
(Multiple Correct Answers)
Restrict ingyour sneeze
Holding your breath during exertion
Straining while opening bowels
Hold the overhead railing on the bus
Patients who come in with cardiac conditions but are otherwise independent do not need to be seen by OTs as other health professionals will have educated them on cardiac precautions already
True
False
