PART I

CARDIOVASCULAR AND PULMONARY FUNCTION IN HEALTH AND DISEASE

1

Epidemiology as a Basis for Informing Contemporary Physical Therapy Practice   Elizabeth Dean

2

2

Oxygen Transport: The Basis of Cardiovascular and Pulmonary Physical Therapy   Elizabeth Dean

32

3

Cardiovascular and Pulmonary Anatomy   Elizabeth Dean

45

4

Cardiovascular and Pulmonary Physiology   Elizabeth Dean

65

5

Cardiovascular and Pulmonary Pathophysiology   Elizabeth Dean

77

6

Cardiovascular and Pulmonary Manifestations of Systemic Conditions   Elizabeth Dean

103

PART II

CARDIOVASCULAR AND PULMONARY PHYSICAL THERAPHY: ASSESSMENT

7

Measurement and Documentation   Claire Peel, John D Lowman, and Diane Clark

115

8

History   Willy E. Hammon III and Elizabeth Dean

125

9

Pulmonary Function Tests   Donna Frownfelter

137

10

Arterial Blood Gases   Donna Fmwnfelter

143

11

Imaging of the Chest   Myriam Riboh and Patrick Knott

151

12

Electrocardiogram Identification   Christian Evans and Gary Brooks

158

13

Multisystem Assessment and Laboratory Investigations   Elizabeth Dean

175

14

Special Tests   Gail M. Huber

181

15

Clinical Evaluation and Assessment of the Cardiovascular and Pulmonary System   Donna Frownfelter and Susan M. Butler McNamara

198

16

Monitoring Systems. Catheters, and Devices in the Intensive Care Unit   Elizabeth Dean and ChrisLiane Perme

214

PART III

CARDIOVASCULAR AND PULMONARY PHYSICAL THERAPHY: INTERVENTIONS

17

Maximizing Outcomes: Relating Interventions to an Individual’s Needs   Elizabeth Dean and Donna Frownfelter

229

18

Mobilization and Exercise: Physiological Basis for Assessment, Evaluation, and Training   Elizabeth Dean and Scotty Butcher

244

19

Mobilization and Exercise: Testing and Training   Elizabeth Dean and Scotty Butcher

273

20

Body Positioning   Elizabeth Dean

293

21

Airway Clearance Techniques   Anne Mejia-Downs

309

22

Facilitating Airway Clearance with Coughing Techniques   Donna Frownfelter and Mary Massery

337

23

Facilitating Ventilation Patterns and Breathing Strategies   Donna Frownfelter

352

24

Exercise Testing and Training: Primary Cardiovascular and Pulmonary Dysfunction   Elizabeth Dean, Donna Frownfelter, and Eduard Gappmaier

377

25

Exercise Testing and Training: Secondary Cardiovascular and Pulmonary Dysfunction   Elizabeth Dean, Donna Frownfelter, and Eduard Gappmaier

409

26

Respiratory Muscle Training   Rik Gosselink and Simone Dal Corso

419

27

Complementary Therapies as Cardiovascular and Pulmonary Physical Therapy Interventions   Meryl I. Cohen and Carol M. Davis

431

28

Patient Education   Kelly Hawthorne, Katharine Ennis, and Alexandia J. Sciaky

457

PART IV

CARDIOVASCULAR AND PULMONARY PHYSICAL THERAPHY: ACUTE CONDITIONS

29

Individuals with Acute Medical Conditions   Elizabeth Dean

470

30

Individuals with Acute Surgical Conditions   Elizabeth Dean

488

PART V

CARDIOVASCULAR AND PULMONARY PHYSICAL THERAPHY: CHRONIC CONDITIONS

31

Individuals with Chronic Primary Cardiovascular and Pulmonary Dysfunction   Elizabeth Dean and Donna Frownfelter

502

32

Individuals with Chronic Secondary Cardiovascular and Pulmonary Dysfunction   Elizabeth Dean and Donna Frownfelter

522

PART VI

CARDIOVASCULAR AND PULMONARY PHYSICAL THERAPHY: INTENSIVE CARE

33

Comprehensive Management of Individuals in the Intensive Care Unit   Elizabeth Dean and Christiane Perme

544

34

Intensive Care Management of Individuals with Primary Cardiovascular and Pulmonary Dysfunction   Elizabeth Dean and Christiane Perme

558

35

Intensive Care Management of Individuals with Secondary Cardiovascular and Pulmonary Dysfunction   Elizabeth Dean and Christiane Perme

572

36

Intensive Care Management of Medical and Surgical Complications   Elizabeth Dean and Christiane Perme

584

PART VII

CARDIOVASCULAR AND PULMONARY PHYSICAL THERAPHY: SPECIAL CASES

37

Infants and Children with Cardiovascular and Pulmonary Dysfunction   Mary Rahlin and Victoria A. Moerchen

600

38

The Aging Patient   Elizabeth J. Protas

625

39

Multisystem Clinical Implications of Impaired Breathing Mechanics and Postural Control   Mary Massery

633

40

The Transplant Patient   Susan A. Scherer

654

41

The Patient in the Community   Donna Frownfelter and Jennifer M Ryan

668

PART VIII

RELATED ASPECTS OF CARDIOVASCULAR AND PULMONARY PHYSICAL THERAPHY

42

Body Mechanics: Positioning and Moving Patients   BJ Lehecka, Donna Frownfelter, and Mary Massery

681

43

Respiratory Care Practice Review   Donna Frownfelter

690

44

Care of the Patient with an Artificial Airway   Donna Frownfelter and Lisa Sigg Mendelson

703

45

Respiratory and Cardiovascular Drug Actions   Stacy J. Laack and Arthur V. Prancan

712

Appendix A

Elements of International Standards for a Cardiac Rehabilitation Program

724

Appendix B

Elements of International Standards for a Pulmonary Rehabilitation Program

728

Appendix C

Exercise Testing and Prescription Considerations for People with Primary Cardiovascular, Pulmonary and Endocrine Conditions

732

Appendix D

Exercise Testing and Prescription Considerations for People with Nonprimary Heart, Lung and Endocrine Conditions

748

Appendix E

Common Complementary Therapies

764

Glossary

768

Index

776