presented by Jennifer Ryan
Patients who present with multiple comorbidities can be perplexing to design an effective exercise program to improve their outcomes. They have various factors impacting their physiological response to exercise other than the injury or post-operative status that brought them to require therapy. In addition to the disease process, there are often medical treatments that can also impact the patient’s response to exercise challenges. The changes in laboratory values that can result from these medical conditions, as well as the interventions, can often be the limiter in their exercise tolerance. This course will address common laboratory values that can fall out of the reference range in patients with heart failure and those who take common antihypertensives. The symptoms and signs to watch for as well as the impact of these changes on exercise tolerance will be explored during this lecture.
Jennifer Marie Ryan, PT, DPT, MS, CCS, graduated from the Physical Therapy program at the University of Illinois in 1990 and went on to complete both a Master of Science in Physical Therapy and a Transitional Doctor of Physical Therapy degree at Rosalind Franklin University of Medicine and Science. In July 2006, she was awarded board certification as a Cardiovascular and Pulmonary Clinical Specialist by the American Board of Physical Therapy Specialties. In 2012 she was awarded the Mary Sinnott Award for Excellence in Acute Care and she was awarded the Acute Care Section Lecture for 2014.
Throughout her physical therapy career, she has specialized in physical therapy care for critically ill patients. In her current position at the University of Chicago Medical Center she mentors staff and students about management of acutely ill patients along with her patient care. Her teaching in the area of cardiovascular and pulmonary physical therapy includes several continuing education seminars, and as a contract faculty member in the Department of Physical Therapy and Human Movement Sciences, Northwestern University, Feinberg School of Medicine.
She serves as: a delegate from the Illinois Chapter of the American Physical Therapy Association, the Education Chair for the Cardiovascular and Pulmonary Section of APTA, and as a member of the Subject Matters Expert Task Force of the Acute Care Section of APTA. She founded Rehab Education Formula, an online resource for therapist-focused education.
This chapter will identify how ions transfer across membranes and provide examples of ions responsible for cardiac cell function. The chapter will describe the ion shifts that produce neural action potentials.
This chapter will explain the diseases that can increase a patient’s potential to have changes in ion concentration. Learners will then be able to identify the organ systems primarily affected by changes in ion concentration and name the vital sign measures that should be used to identify a patient who may have ion concentrations outside of the reference range.
This chapter will discuss the diseases that can increase a patient’s potential to have changes in ion concentration and describe the organ systems primarily affected by changes in ion concentration. Learners will then name the vital sign measures that should be used to identify a patient who may have ion concentrations outside of the reference range.
Supplemental handouts to print and use for clinical reference.