Stage Stage Speed Grade Heart Blood Time (%) Rate pressure Supine 60 120/80 Standing 80 1.00 1.7 10 86 2.00 102 3.00 120 125/76 II 4.00 2.5 12 136 5.00 140 6.00 146 140/80 II 7.00 3.4 14 150 8.00 152 9.00 160 156/82 IV 10.00 4.2 16 170 10.30 176 TERMINATION

Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Bob is a 36 year old construction worker. He is mildly overweight (BMI=27), has hypertension, a family history of heart disease, no structured exercise and he is presently trying to quit smoking. One month ago, he complained of chest pain at work, and was rushed to hospital. A coronary angiogram confirmed that he had two (2) blocked arteries. Physicians tried to do angioplasty to open his clogged arteries but the procedure did not work. Subsequently, as a preventive measure, Bob had open heart surgery. His recovery in the hospital was excellent. His follow-up Bruce protocol test results (performed at rehab facility) are below.



Previous exercise history/diet history: never exercised before. Only reason he is exercising is because his wife and doctor have told him he needs to. Eats fast food for lunch every day. Only healthy meal is dinner.

Summary of Client Interview: thinks he gets enough exercise at work. “Hey I work hard all day, isn’t that enough?” “When I’m I going to possibly find the time to exercise?”

Medications: anti-coagulant-Coumadin. No arrhythmia noted during test

1.Based on his test results, what is Bob’s VO2 max? Calculate MET value (hint: Table 2.4)

2.Were his test responses considered normal? - (hint: what should happen to HR & BP during exercise?))

3.Using the FITT principle, recommend a cardiovascular exercise program for Bob

4.What SMART goals would you set for Bob to keep him motivated?

5. What diet may his physician have recommended that you may be able to help him with?

Stage
Stage
Speed
Grade
Heart
Blood
Time
(%)
Rate
pressure
Supine
60
120/80
Standing
80
1.00
1.7
10
86
2.00
102
3.00
120
125/76
II
4.00
2.5
12
136
5.00
140
6.00
146
140/80
II
7.00
3.4
14
150
8.00
152
9.00
160
156/82
IV
10.00
4.2
16
170
10.30
176
TERMINATION
Transcribed Image Text:Stage Stage Speed Grade Heart Blood Time (%) Rate pressure Supine 60 120/80 Standing 80 1.00 1.7 10 86 2.00 102 3.00 120 125/76 II 4.00 2.5 12 136 5.00 140 6.00 146 140/80 II 7.00 3.4 14 150 8.00 152 9.00 160 156/82 IV 10.00 4.2 16 170 10.30 176 TERMINATION
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