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Lewis: Medical-Surgical Nursing, 8th Edition

Chapter 34: Nursing Management: Coronary Artery Disease and Acute Coronary Syndrome Patient and Caregiver Teaching Guides

FITT PHYSICAL ACTIVITY GUIDELINES AFTER ACUTE CORONARY SYNDROME


Patient:______________________________Date:_______________________ Nurse Teacher:____________________________________________________ Warm-up/Cool-down Instruct the patient to perform mild stretching for 3 to 5 minutes before the physical activity and 5 minutes after the activity. Activity should not be started or stopped abruptly. Frequency Encourage the patient to perform physical activity on most days of the week. Intensity Activity intensity is determined by the patients heart rate. If an exercise stress test has not been performed, the patient recovering from a myocardial infarction should not exceed 20 beats/minute over the resting heart rate. Type of Physical Activity Physical activity should be regular, rhythmic, and repetitive, using large muscles to build up endurance. (Examples: walking, cycling, swimming, rowing.) Time Physical activity sessions should be at least 30 minutes long. Instruct the patient to begin slowly at personal tolerance (perhaps only 5 to 10 minutes) and build up to 30 minutes. Additional Comments:____________________________________________ ______________________________________________________________ ______________________________________________________________

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