FROM MY PT SCHOOL NOTES · PEDIATRICS · CHAPTER 13
Pediatric cardiac and respiratory conditions
The right level of movement depends on medical status, physiologic response and the child's ability to participate safely.
Recognize medical complexity
The cardiac and pulmonary lectures describe congenital lesions, heart failure presentations, respiratory mechanics, airway conditions and functional evaluation. Children are not simply small adults; heart rate, breathing mechanics and disease-specific precautions must be interpreted in context.
Safety screening comes before dosage
Review the medical plan, activity restrictions, oxygen or ventilation support, symptoms and any monitored response. Unexpected cyanosis, major desaturation, syncope, marked respiratory distress or unstable cardiopulmonary signs require immediate clinical escalation.
Rehabilitation goals are developmental
Play endurance, safe transfers, classroom participation and family activities may be more meaningful than achieving a generic exercise intensity. Coordinate with cardiology, pulmonology, nursing, RT and family support.
Try a clinical decision
A child with repaired congenital heart disease tires during playground transitions. Should an adult HRmax equation be used to set intensity?
No. Verify the lesion, surgical history, medications, physiology, symptoms and specialist recommendations. Use age- and condition-appropriate monitoring and functional measures.
Original class sources: 5 Cardiac Disorders Student.pdf, 9 Pulmonary and Respiratory Conditions in Infants and Children.pdf, Peds final study guide.pdf
This is a focused summary from personal PT-school notes, not a substitute for medical evaluation, an instructor course or a current clinical guideline.
