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Advanced exercise prescription and therapy > End-stage renal disease > Flashcards

End-stage renal disease Flashcards

1
Q

Kidney physiology function (3)

A
  • Filters 1700L of blood/day
  • Process 1.5L urine/day
  • Maintain homeostasis
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2
Q

Nephron

A

Funtional unit of kidney

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3
Q

Glomerulus

A

Primary site of the filtration process

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4
Q

Kidney function 6

A
  1. Regulates body fluids
  2. Eliminates metabolic waste
  3. Regulate osmolality of the ECF via action of ADH
  4. Regulate BP through the renin-angiotensin-aldosterone
  5. Activates vit D, Regulates calcium and phosphate
  6. Production of RBC’s
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5
Q

Glomerular Filtration Rate norms (GFR) ml/min

A

Males: 97-137
Females: 88-128

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6
Q

GFR deteriorates in CKD (5 stages)

A
  1. more than 90 ml/min GFR with kidney damage
  2. 60-89 ml/min
  3. 30-59 ml/min
  4. 15-29 ml/min - pre dialysis
  5. less than 15 ml/min
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7
Q

End stage renal disease requires…

A

Dialysis

Kidney function is inadequate to sustain life.

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8
Q

Primary causes (8)

A
  • Diabetes
  • Hypertension
  • Glomerulonephritis
  • Polycystic Kidney disease
  • IgA nephropathy
  • Lupus
  • Analgesic abuse
  • AIDS and cancer
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9
Q

Kidney malfunction

A 
Metabolic acidosis
hypertension
Left ventricular hypertrophy
Anaemia
Peripheral neuropathy
Muscle weakness
Autonomic dysfunction
Elevated tri glycerides
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10
Q

Clinical manifestations

A 
Jaundice-yellowing
Portal hypertension
hepatic encephalopathy
Oedema
Fatigue
muscle atrophy
anaemia
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11
Q

Hemodialysis lowers

A

physiological health
functional health
psychological health

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12
Q

Physiological effect of KD

A

Muscle wasting

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13
Q

Effects of exercise training (7)

A
  • increase exercise capacity
  • increase VO2 peak (21-42%)
  • increase Hct and Hb levels
  • Improved lipid profiles
  • Improved glucose metabolism
  • Improved BP control
  • Improved muscles strength
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14
Q

Functional assessments

A 
Sit to stand
6m timed walk
10m timed walk
grip strength
ADL
BP
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15
Q

Avoid

A

1RM
HR as an indicator
use RPE instead

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16
Q

Ex Prescription strength

A
  • low weight
  • build up reps during 1st hour dialysis
  • 4-6x per week
17
Q

Ex prescription flexibility

A
  • After dialysis
  • leg and back stretching
  • 3x15s holds
18
Q

Ex prescription aerobic

A
  • 30min
  • 4-6x per week
  • non weight bearing due to joint pain
  • Use RPE scale 12-15
19
Q

Strongest predictors of mortality in ESRD

A

skeletal muscle wasting

Advanced exercise prescription and therapy (6 decks)

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