1. What is the med used to emergency hypoglycaemic episodes where the patient goes unconscious?
glucagon
Explain how joint deformities occur in RA compared to acute injury
its due to the chronic inflammation and joint destruction
What is one physiotherapy intervention you can recommend with DMD and not SMA/CMT(Charcot Marie tooth)
DAILY DOUBLE
you can complete stretching in DMD, but not in the others due to nature of the disease
Describe the Dawn phenomenon
Skeletal muscle fibres change from ____ to ____ as a pre transplant consideration
type 1 to type 2b
what does cART stand for (HIV)?
combined antiretroviral therapy
What are the 4 sections of the classification criteria for RA
joint distribution, serology, symptom duration, and acute phase reactants (blood work)
general PA guidelines for obesity
30-60 minutes of moderate to vigorous intensity activity most days of the week
Exercise Guidelines for DM
150 minutes of aerobic activity
2-3 session resistance activity per week
What would you use to measure intensity in post heart transplant vs post lung transplant
heart: NOT HR, RPE< vo2peak, BORG
lung: HR, BORG
What is DMARDS? List 2 conditions it's used for?
disease modifying antiheumatic drugs
-JIA and RA
The order of assessment for active joint count
1. effusion
2. joint lint tenderness
3. stress pain
ROM guidelines for burn patients
stretch slow and gradual
3 mins at end range, 2-3 times a day
static, active or AAROM preferred
When does DKA occur? what are some S/S
Diabetic ketoacidosis (esp in T1DM): where extreme hyperglycemia (>20), when you don't have insulin, so carbs can't get used and start to use fatty avids, releases ketones (acidic)
s/s: kussmaul repiration, acetone-ordered breath, N/V, ABDOMINAL PAIN
3 key physiological changes post lung transplant (not denervation)
1. no protective cough/impaired mucocilary clearance
2. airway hyperrepsonsivness
3. altered vent. repose to hypercapnia
Main concern for someone taking glyburide? What population?
insulin secretagogues, concern of hypoglycaemia
common in T2D
DAILY DOUBLE
1-2xday, daily
submax. unresisted, not going to fatigue
6 second hold, 1-3 reps
weight shift (scale), side step, stool stepping, standing with sound foot placed on unsable surface (soccer ball)
List examples of micro and macro complications of hyperglycaemia
Micro: retinopathy, neuropathy, nephropathy
Macro: CAD, PAD, CVA (primary cause of death in diet)
What are the 3 highlighted side effects of the other 2 drugs in immunosuppressive therapy (not corticosteroids)
DAILY DOUBLE
infection
HTN
diabetes
Describe antibody mediated acute rejection? What medication would you use with it?
rare, where the antibodies attack the transplant
plasmapheresis
Describe periarticular signs in RA for the following (generally)
1. ocular
2. neurologic
3. hematologic
1. inflammation and dry eyes
2. compression neuropathy, polyneuropathy, myelopathy
3. anemia
OP Multicomponent exericse components and frequency
2X balance training
2X functional/mobility training
2X progressive strength traiing
all per week
Define IAH and What are risk factors
KEY signs of acute rejection for post heart transplant vs lung transplant
heart: hypotension/signs of heart faliure
lung: ↓FEV1 >10 over 2 days