EHR522 Lecture Notes - Lecture 13: Edema, Calcium Metabolism, Medication Therapy Management
Document Summary
Week 13 exercise prescription for renal clients. Metabolic consequences of renal failure: high risk of atherosclerotic cvd, typically have left-ventricular hypertrophy, bone mineralisation compromised, oedema, muscle wasting, shortness of breath. Effects on exercise response: fatigue, muscle weakness, oedema, extreme hypertension, fluid overload which often causes heart failure, endocrine abnormalities particularly calcium metabolism, anaemia, oxidative stress. Medication management of ckd: common medications will include: Some diabetic medication or insulin replacement therapy: multiple effects on exercise response: Aims of exercise prescription for ckd: primary aim is to slow the progression of the disease, earlier stages of ckd: Effect on exercise response: exercise response is typically characterised by: Hypertensive pressor response (increase in arterial blood pressure) Important to exercise for reduction in mortality rates: capacity reported to be 50-80% of normal, muscle weakness: Endurance: all can improve with a combination of aerobic and resistance training. Cvd risk: more likely to develop cvd than progress to dialysis.
