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Supporting smoking cessation: a guide for health professionals Treatment algorithm Assess nicotine dependence Nicotine dependence can be briefly assessed by asking some questions: • Minutes after waking to first cigarette? • Number of cigarettes per day? • Cravings or withdrawal symptoms in previous quit attempts? Indications of nicotine dependence •…
1 Tip sheet Supporting behaviour change 1. Understand the importance of your relationship with the individual There is ample evidence that a participatory relationship can promote hea\ lth behaviour change through: – improved goal concordance – increased client understanding – improved self-efficacy – improved self-management 2. Understand the stages of…
Sternal precautions algorithm Source: Cahalin LP, LaPier TK, Shaw DK. Sternal precautions: Is it time for a change? Precautions versus restrictions— a review of literature and recommendations for revision. Cariopulm Phys Ther J. 2011;22(1):5-15. 2-4 weeks Risk of sternal complications Number of primary and secondary risk factors Sternal Instability Scale…
Record of exercise session form Exercise…....../........./.........RPEHR…....../........./.........RPEHR…....../........./.........RPEHRVolume/ Time Weight/ Intensity Volume/ Time Weight/ Intensity Volume/ Time Weight/ Intensity Name: ................................ EF:.........6MWT: .........Relevant history: AF / angina / PPM / AICD / COPD / DM Notes: Source: www.heartonline.org.au/resourcesReviewed 11/2014
Recommended target doses for heart failure medications Examples of treatment doses for heart failure are as follows: ACE inhibitor DrugStarting DoseTarget Dose Enalapril2.5mg BD10-20mg BD Lisinopril2.5-5mg daily20-35mg daily Ramipril1.25-2.5mg daily5mg BD Trandalopril0.5-1mg daily4mg daily Captopril6.25mg TDS50mg TDS Perindopril2mg daily10mg daily Angiotensin II receptor blocker DrugStarting DoseTarget Dose Candesartan4-8mg daily32mg daily…
1 Rating of perceived exertion: Borg scales Rating of perceived exertion (RPE) is a widely used and reliable indicator to monitor and guide exercise intensity. The scale allows individuals to subjectively rate their level of exertion during exercise or exercise testing (American College of Sports Medicine, 2010). Developed by Gunnar…
1 Potentially harmful drugs to avoid in heart failure Regularly review medicines as some pose a cardiac risk including exacerb\ ation of heart failure.1,2 Examples of some medicines that require caution are listed below. MedicineIssueManagement Non steroidal anti- inflammatory drugs (NSAIDs)3 Includes selective COX-2 agents (e.g. celecoxib)3 Does not refer…
New York Heart Association (NYHA) classification NYHA gradingMET* Class INo limitations. Ordinary physical activity does not cause undue fatigue, dyspnoea or palpitations (asymptomatic LV dysfunction). >7 Class IISlight limitation of physical activity. Ordinary physical activity results in fatigue, palpitation, dyspnoea or angina pectoris (mild CHF). 5 Class IIIMarked limitation of…
Percutaneous coronary interventions (PCI) Revascularisation Coronary artery revascularisation can be done by non-surgical percutaneous coronary intervention (PCI) or by surgical coronary artery bypass grafting (CABG). PCI is performed via a cardiac catheter through a small perforation of the femoral artery with the aim of opening the vessels by stenting or…
Monitoring of heart failure medicines Parameter monitoring frequency Medication class Heart rate Blood pressureSerum potassium & creatinine Serum drug levels Beta Blockers Each visit and perform ECG if outside normal limits. Every visit *ACEI, ARB or ARNI Every visit Baseline and 1 week after starting or changing dose. If no…
Pathophysiology
