i bc27f85be50b71b1 (27 page)

�

rlcm 01 Stablt: va. U

JUP01'M to Act1Vlf)'

or iix...dae 10 blUed on mQnlloting �lvva"t �tit:fll

variables during ExamlNotion or ln�ft\tlon and 1.5

maIm to the

ph)'lliul apKIty to

die

d�of thr aclivify.""" lnUNlty of 1M activity 15

�

bchcmk

alwa)'ll l'll'larive to ttw. patient'. a.p.dty,

Pump F.U

Congeo.UvO'

Hun FaU

g

Stable RrIpo ..... nuoy pl:'ell«ll as:

Un$t.blt! RaponH rn.y ptw«ll ":

Un$UlblnK

p�1 as:

�

·

UnNr

In .fiR and Systolic 8P

·

IadIemk Sympto ....

with Inc:n!Uel ln activity 1ev..1.

·

0..-of I>!" lncrea$I:CI FlWluency of

.....

o

·

STSeamc:n1 Chanp

·

aI ted R8ponoes In HR and S)'IItoJk

Ventricular �(StopRJC If> IO/mIn

·

Onsel of or lnoe.ued F� of

BP If on �'�'" al'd oome

.ympICmUtio;or BPbt«>mel;

8

Ventrkula. Ectopy (Stop Rx II > IO/min .. ",.

Calcium Channel 81oc:kfts

compromlMd)

baomes .,......ptom.tic or 8P

'"

·

Irw:reated RPE with �&Md

·

Unlfonl PVC'. become Mullifoo;al PVC.

amtpromised)

worl

•

0.-. of5lsn- 0'0-11' (Sft Table 1.17)

(l

·

Unlfoat PVC. bKnme MuJtiIoal PVC.

·

IE roo

In H:R or Sy-IOl!o; 8100d

·

Sy.tolk »Iood J>res.ure Dropf > 10 mm He

.....

"

·

0nJf!t tlfSigN ofCHF (5ft Table 1.17)

� tNre ahouJd be no mange In

·

DIutoIIc IItood f'TeM

Incn-uea or

·

�

Syltollc 8100d Pn!t.sure Dropo > 10 mm He

RPE. (Dwi"8 an

1Ion low

>IO mm Ha

......

"

·

OIal;tollc Blood

lncruMaor

level workloa

y nol be IoIgnHla.nl

•

Hea" RIlle 0I11pI >10 bpm

Oro!cftuea >10 mm H8

ft\OU&h to prodl.>l'e vlUlI sign

·

Poor "",1M � « 10 mm Hgdllference

...

�

·

1ta OropI >10 bpm

bewft!n SyatOhc

_....-l

DiaMo l

ic Blood

§

·

Oiaphoralf" Pallor, Conlualon

·

NOTE.: St.oble � may Include

r

·

I,;,a-eued R.f'E d�i'" no di.1Inpln vital

lnaellSed n!$plnototy note, heart rale,

·

Diaphorftlt. Pallor. ConftWon

......

bloQd p"-�, and Rf'E. How�n.

·

In.cn&M:d IU'1i. deplte no o:hangn In vital

:i!

·

Cy;..-a

with tlw 5U1ble raponH. �

""

·

""ph<>-

�

·

bcNrnlc SyrnptOlN

�

·

Nasal Flaring

·

Sf �I Changes

�

·

1ncrea.M'd UN of Aa:euory MWlCieoI 01

·

In p.tlenr. � Invaalvely monltmM:

Respl�11on

0

>10mm HglOCftUe In

�

pulmofIaty .""ty ,,�

0

lncreue Or d� of '" mm

...

Hg In CI!I'l�1 vena pns5UnI

·

Cy'-

·

·

·

� U""(>f�tyM\OIIdft c>f

Rapitiltion

Figure 1-10. Determination of stable liS. unstable responses to activity/exercise. rBP = blood pressure; CHF -= congestive heart failure; HR = heart rate; PVC = premature ventricular contraction; RPE = rating of perceived exertion; Rx = Ireatmetlt.)