EHR522 Lecture Notes - Lecture 12: Antihypotensive Agent, Medication Therapy Management, Edema
Document Summary
Week 12 exercise testing for renal clients. Diabetes: fatigue, muscle weakness, oedema, major consequences: Build up of toxins in the body. Metabolic consequences of renal failure: extreme hypertension, fluid overload which often contribute to, or exacerbate, heart failure, endocrine abnormalities particularly calcium metabolism, anaemia, oxidative stress. Metabolic consequences of renal failure: high risk of atherosclerotic cvd, typically have left-ventricular hypertrophy, bone mineralisation compromised, oedema, muscle wasting, shortness of breath. Medication management of ckd: common medications will include: Some diabetic medication or insulin replacement therapy: multiple effects on exercise response: Effect on exercise response: exercise response is typically characterised by: Hypertensive pressor response (increase in arterial blood pressure) Special considerations when testing: whilst larger adaptations may occur when exercise is completed on non-dialysis days, intra-dialytic exercise is likely to produce better adherence rates. Intra-dialytic exercise should be within two hours of dialysis initiation when blood pressure control is better. Do not take blood pressure on the fistula arm.
