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Exercise Prescription
Special pops, MI, pharm
107
Health Care
Undergraduate 4
03/22/2012

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Term
Regular exercise for women is
Definition
encouraged
Term
How can regular exercise change a pregnant womens risk for gestantional diabetes or pregnancy-induced hypertension?
Definition
it reduces it
Term
A woman who develops gestational diabetes is ____ more likely to develop type 2 diabetes
Definition
50%
Term
A maximal GXT should not be performed on a pregnant woman unless
Definition
medically necessary
Term
Instead of a Maximal GXT a ______ may be performed to predict VO2 Max
Definition
submaximal gxt
Term
Pregnant exercise FREQUENCY
Definition
at least 3 days, preferably all days of a week
Term
Pregnancy exercise INTENSITY
Definition
Moderate; 40-60% VO2R; RPE 12-14
Term
Pregnancy exercise TIME
Definition
at least 15min/d gradually increase to 30m/d
Term
Pregnancy exercise TYPE
Definition
dynamic, rhythmic physical activities using large muscle groups
Term
When pregnant, avoid preforming _______ during exercise
Definition
valsalva maneuver
Term
Post partum exercise may begin approx. __ to __ weeks after delivery
Definition
4-6
Term
Adolescents are defined as between the ages of
Definition
13-18
Term
GXT for health/fitness purposes are not generally indicated for a child or adolescent unless
Definition
there is a health concern
Term
C or A exercise FREQUENCY
Definition
at least 3-4 d/w preferably daily
Term
C or A exercise INTENSITY
Definition
moderate - vigorous
Term
C or A exercise TYPE
Definition
a variety of activites that are enjoyable and developmentally appropriate
Term
C or A exercise TIME
Definition
30 m/d of moderate and 30 m/d of vigorous
Term
Older adults are defined as
Definition
>65 yrs
Term
Benefits of exercise for older adults
Definition
-Slow physiologic changes of aging that impair exercise capacity
-Optimizes age-related changes in body comp
-Promotes psychological and cognitive well-being
-Enhances management of disease
-Reduces risks of physical disability
Term
Exercise testing on older adults should start at ___ METS
Definition
<3
Term
Drug administration: Buccal Route
Definition
against the mucouse membranes of the cheek and jaw
Term
Drug administration: Sublingual
Definition
Placed under the tongue
Term
Drug administration: Subcutaneous
Definition
between skin and muscle
Term
Drug administration: Intramuscular
Definition
into a muscle
Term
Drug administration: Intravenous
Definition
into blood by a needle inserted into a vein
Term
Drug administration: Transdermally
Definition
on the outerlayer of the skin
Term
Drug administration: Intradermal
Definition
absorption
Term
Drug administration: Inhalation
Definition
through mucous membranes in the respiratory tract
Term
Antiischemics:
Definition
Beta blockers, CA++ channel blockers, Nitrates
Term
A beta blocker affects the heart by
Definition
decreasing HR, increasing contractility
Term
Beta blocker affects blood vessels by
Definition
vasodialating
Term
Beta blcoker affects bronchi by
Definition
bronchiodilating
Term
Beta blocker affects pancreas by
Definition
increasing secretion
Term
beta blocker affect kidney by
Definition
increasing renin production
Term
beta blocker is also know as a
Definition
antiadrenergic
Term
beta blockers block____ causing increased _______ and decreased ______
Definition
norepinepherin; peripheral circulation; blood pressure
Term
What is a Beta blocker used for
Definition
bronchiospasm, diabetes, lipid/cardiac problems, HTN, PVD, antiarrhthmias, and migraines
Term
What is the common ending of a beta blocker?
Definition
(--ol)
Term
Calcium channel blockers end in
Definition
(--ine)
Term
Calcium channel blockers Inhibit:
Definition
calcium influx into smooth muscle and slow channels
Term
Calcium channel blcokers Decreases ___ and increase ____
Definition
MVO2, coronary blood flow
Term
Calcium channel blockers are used for
Definition
HTN and HD with coronary spasms
Term
calcium channel blockers cause
Definition
vasodilation in the periphery
Term
calcium channel blockers interact with
Definition
digoxin
Term
Nitrates Have a direct ______ on the smooth muscle layer of blood vessels.
Definition
relaxing effect
Term
Nitrates increase____ by increasing ____ and _____
Definition
blood supply; lumen of the artery; the amount of blood flowing through these vessels
Term
Nitrates are used to treat
Definition
angina
Term
if chest pain doesnt respond to 3 doses of nitroglycerin given every __ to __ minutes should be ___
Definition
5-15; reported to ems
Term
Antihypertensive medications:
Definition
diuretics, ACE inhibitors, sympathomimetics, vasodilators
Term
the action of antihypertensives is to
Definition
lower BP
Term
Three types of Diuretics
Definition
Thiazides (Zaroxolyn)
Loop-acting (lasix, Bumex)
K+ sparing
Term
Diuretics Inhibit _____, hence increasing the ______ from the body
Definition
renal Na+ reabsorption; excretion of sodium
Term
Diuretics acutely decrease ___, makes it easier for ___
Definition
blood volume; heart to pump blood
Term
Side effects of diuretics
Definition
polyuria, fatigue, muscle cramps
Term
ACE inhibitors end in
Definition
--IL
Term
ACE inhibitor is used for
Definition
HTN, CHF
Term
ACE inhibitors Decrease _____, which when released secretes Aldosterone
Definition
angiotension II
Term
common ace inhibitors
Definition
Capoten, Vasotec, Monopril
Term
when taking an ACE inhibitor you should consume low __ foods
Definition
Potassium
Term
Side effects of ACE inhibitors
Definition
rash, dry cough, hyperkalemia (nervousness, tingling, SOB)
Term
Sympathomimetics decrease ___ How? ___
Definition
BP; vasodilation
Term
Vasodilators relax
Definition
arterial smooth muscle
Term
Class 1 antiarrhythmics
Definition
have an anesthetic effect on the cells of the myocardium.
Term
Class 1-A depresses ____; decreasing ___
Definition
myocardial excitability; pulse rate
Term
Class 1-B raises the
Definition
threshold in the ventricular myocardium
Term
Class 1-C slows the
Definition
conduction in all parts of teh heart
Term
Class 2 includes
Definition
beta-adrenergic blocking drugs
Term
Class 2 drugs decrease
Definition
myocardial response to epinephrine and norepi
Term
Class 2 drugs decrease ___; also called the
Definition
heart rate: blockade effect
Term
Class 3 prolongs ____ and ____, it also increases the _____
Definition
repolorization and refractory period, ventricular fibrillation threshold
Term
Class 3 is used to
Definition
convert atrial fib or flutter to a normal sinus rhythm
Term
Class 4 includes
Definition
calcium channel blockers
Term
Class 4 inhibits the
Definition
movement of calcium through channels across the myocardial cell membranes and vascular smooth muscle.
Term
Anticoagulants are used to prevent the
Definition
formation and extension of a thrombus
Term
One type of anticoagulants is
Definition
warfarin (coumadin)
Term
anticoagulants interfere with
Definition
clotting mechanism of the blood.
Term
anticoagulants are used to prevent
Definition
deep vein thrombosis, afib, and pulmonary embolisms
Term
Hyperlipidemia is classified as elevation of
Definition
cholesterol and triglycerides in the blood
Term
Statins inhibit
Definition
the liver enzyme, hMG CoA
Term
Popular antihyperlipidemics
Definition
Mevacor, Pravachol, Zocor, Lipitor
Term
Antihyperlipidemics areeffective in lowering ___ and raising ___
Definition
LDL, HDL
Term
Antihyperlipidemics can cause
Definition
myositis
Term
Fibric Acid Derivatives acts to stimulate the
Definition
liver to increase the breakdown of cholesterol
Term
Popular Fibric Acid Derivatives
Definition
Lopid and Tricor
Term
Lopid treats people with high ____ levels
Definition
triglyceride
Term
Tricor is used to reduce ____, ____, and ____
Definition
LDL, total cholesterol, and triglycerides
Term
Niacin is effective in reducing ___ levels and it raises ____ levels higher than any other anti-cholesterol drug
Definition
TG, HDL
Term
Bile Acid Sequestrants bind to _____
Definition
bile acids to form an insoluble substance that cannot be absorbed in the intenstine
Term
Popular Bile Acid Sequestrants
Definition
Questran, Colestid
Term
BAS interfere with
Definition
warafin, dig, beta blockers
Term
Steroidal Anti inflam agents ends in
Definition
(-one)
Term
Common generic steroidal anti inflam
Definition
flovent, advair
Term
bronchiodilators prevent
Definition
wheezing, SOB, or trouble breathing secondary to COPD
Term
types of bronchiodialators
Definition
anticholingergics, sympathomimetics, xanthine derivatives, leukotriene antagonists
Term
antidiabetic agents
Definition
biguanides, glucosidase inhibitors, meglitidines
Term
biguanides decrease _______ and ______
Definition
hepatic glucose production and intestinal glucose absorption, insulins
Term
glucosidase inhibitors inhibit
Definition
intestinal glucose absorption
Term
Meglitidines stimulate
Definition
pancreatic islet beta cells
Term
4 principles of motivational interviewing
Definition
expressing empathy, developing discrepancy, rolling with resistance, supporting self efficacy
Term
expressing empathy should
Definition
reflect feelings; reflective listening
Term
developing discrepancy
Definition
use rulers and open ended questions
Term
roll with resistance
Definition
avoid arguing, avoid "i think you should"
Term
support self efficacy
Definition
show them they can do it, boost confidence
Term
What does OARS stand for
Definition
Open questions
Affirmations
Reflective listening
Summaries
Term
How do you reflectively listen
Definition
brief statement of your understanding of what the patient is saying/feeling
Term
How to develop discrepancy
Definition
review:
acceptance facilitates change
client centered counseling style helps people feel heard
OARS
Term
DARN-C
Definition
Desire
Ability
Reasons
Need
Commitment
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