Treatment Implications Flashcards
5 year survival rate is lowest in when cancer is diagnosed at what stage?
Distant
Distant cancer staging
Metastases to distant sites
Regional cancer staging
Lymph node involvement
Localized cancer staging
Primary organ of origin
Effectiveness of exercise as lifestyle behavior that lowers risk for cancer
Exercise provides reduction in risk for some cancers
Risk reduction is dose dependent
Physical activity of moderate-vigorous intensity provides protection against cancer by what mechanism
Improves immune function, inhibits oxidative stress, inhibits hyperinsulinemia
What intensity of exercise has been shown to decrease risk for CV disease and stroke in individuals with DM?
Moderate-vigorous
How is moderate-vigorous intensity of exercise defined?
Moderate = 3-6 METS
Vigorous = > 6 METS
What is the recommendation for minimum level of physical activity to reduce risk for disease and mortality
150 mins/week at mod intensity several days
75 mins/week at vig intensity several days
Carbohydrate recommendations for exercise
Safe to start exercise if pre exercise blood glucose is 150-250 mg/dL
Recommend ingesting CHO if >150 mg/dL
Hematocrit levels that are associated with risk of cardiac failure or death
Less than 15-20%
What platelet numbers must physical activity be limited to ADL, ambulation, and AROM
Less than 20,000/mm3
Hemoglobin levels that moderate-vigorous exercise would be contraindicated
6 g/dL
Precautions for T1DM patient that wants to return to running
Know blood glucose levels to prevent hypoglycemia
Normal hematocrit adult range
Male: 42-52%
Female: 37-47%
Low critical values implications for hematocrit
<15-20%
High critical values implication for hematocrit
> 60%
Normal hemoglobin adult range
Male: 14-18 g/dL
Female: 12-16 g/dL
Pregnant: >11 g/dL
Low critical values implication for hemoglobin
<5-7 g/dL
High critical values implication for hemoglobin
> 20 g/dL
Normal platelet adult range
150,000-400,000 mm3
Platelet cell limit activity range
<20,000 mm3
Fall risk
Thrombocytopenia (low levels) platelet cells
<150,000 mm3
Thrombocytosis (high levels) platelet cells
> 450,000 mm3
Blood glucose levels to start exercise
150-250 mg/dL
