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Advanced Spine > M8: 1 > Flashcards

M8: 1 Flashcards

1
Q

How does exercise benefit the pt with cancer, in general?

A
  • ease cancer related fatigue, MSK deficits
  • lymphedema mgmt
  • restoration of function
  • prevent/minimize 2˚ disability
  • sx relief with palliative care
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2
Q

What is the role of exercise in cancer prevention?

A
  1. Reduced risk of developing breast and colon cancer

2. Possible association with reduced risk of endometrial, prostate, and lung cancers

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3
Q

What risks are associated with exercise in cancer?

A
  1. Circulatory system distress
  2. Pathologic fx
  3. Lymphedema
  4. Immune response to physical stress
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4
Q

What types of circulatory system distress can occur with exercising a cancer pt?

A
  • anemia
  • thrombocytopenia
  • cardiomyopathies
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5
Q

Lab values: platelets

Exercise not appropriate

A

Under 20K

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6
Q

Lab values: platelets

Exercise with caution

A

20-50K

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7
Q

Lab values: platelets

Exercise appropriate

A

Over 50K

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8
Q

Lab values: HCT

Exercise not appropriate

A

Under 25%

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9
Q

Lab values: HCT

Exercise with caution

A

25-30%

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10
Q

Lab values: HCT

Exercise appropriate

A

Over 30%

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11
Q

Lab values: HgB

Exercise not appropriate

A

Under 8

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12
Q

Lab values: HgB

Exercise with caution

A

8-10

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13
Q

Lab values: HgB

Exercise appropriate

A

Over 10

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14
Q

Lab values: WBC

Exercise not appropriate

A

Over 7000 and fever

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15
Q

Lab values: WBC

Exercise appropriate

A

5000-7000

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16
Q

Lab values: neutrophils

Exercise not appropriate

A

Under 500

17
Q

Lab values: neutrophils

Exercise with caution

A

500-1000

18
Q

Lab values: neutrophils

Exercise appropriate

A

1000

19
Q

Gen’l PT implications of:

Low HgB/RBCs

A
  • SOB
  • excessive fatigue
  • angina
  • may need longer rest periods
  • perform exercises at lower intensity and duration
20
Q

Gen’l PT implications of: low platelets

A
  • bleeding after minor trauma
  • easy bruising
  • bleeding of gums/nose
  • avoid bumping pt and falls
  • caution with stretching, PREs, grade III/IV mobs
21
Q

Gen’l PT implications of: low WBC

A
  • leukocytosis
  • fever
  • s/s infection
  • inflammation or trauma

Wash yo hands

22
Q

Gen’l PT implications of: high PTT/INR

A
  • potential for spontaneous bleeding, hemarthrosis

- avoid aggressive PREs, stretching, or soft tissue mobs

23
Q

PRE =

A

Progressive resistance exercise

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