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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.)
