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In winkelwagenHypertension at:
It is an idiopathic disease (90%)=
''silent killer''
secondary causes (10%)=
*newly diagnosed with hypertension under age of 35 have a greater incidence of secondary causes
systolic 140 mmHg and diastolic 90 mmHg
occurs without a known etiology (cause)
hyperthyroidism, pheochromocytoma, hypercortisolism, hyperaldosteronism and renal artery disease
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Elevated blood pressure puts someone at risk for:
Midly elevated blood pressure (over time) can lead to:
BP too high it would most likely be in the range of a hypertensive crisis with associated:
Stage 1 and 2 have .../...., ... or both, with or without other risk factors thereby necessitating physician intervention for treatment or clearance
heart attack, stroke, or both
kidney disease and generalized vascular disease
chest pains, visual blurring, neurologic deficits
TOD/CCD, diabetes
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Classification and management of BP for adults
- Normal:
- Pre-hypertension:
- Stage 1 hypertension:
- Stage 2 hypertension:
- 120 and 80 or less, encourage lifestyle modification, no antihypertensive drug indicated
- 120-139 or 80-89, lifestyle modification, no anti-hypertensive drug indicated
- 140-159 or 90-99, lifestyle modification, thiazide-type diuretics for most; ACEI, ARB, BB, CCB (or combi)
- 160 or 100 or more, lifestyle modification, two-drug combination for most (usually thiazide-type diuretics with ACEI, ARB, BB or CCB)
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Lifestyle modification:
General lifestyle changes:
proper exercise, weight loss and dietary changes
adequate amount of sleep, reduction in sodium intake to 1 teaspoon (2,300 mg) of salt daily, adequate potassium intake, weight loss if needed, limiting alcohol intake, increasing aerobic activity to 30-45 min 4 or more days/week, reducing dietary saturated fat and cholesterol and the cessation of smoking
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DASH-diet
- entails reducing:
- emphasis more:
- reduction in:
- increase in foods:
- saturated fats, cholesterol and total fat intake
- fruits, vegetables and low-fat dairy products, more whole grain products, fish, poultry and nuts
- red meat, sweets and sugar containing beverages
- rich in magnesium, potassium, calcium, protein and fiber
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Classes of medications
- beta blockers
- calcium channel blockers:
- alpha blockers:
- diuretics:
- ACE (angiotensin converting enzyme) inhibitors
- ARBs (angiotensin receptor blocker)
- vasodilation
- vasodilation
- vasodilation
- causes volume depletion
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Decreases in systolic and diastolic pressures of ... and ... mmHg due to long term RT and aerobic training
- Intensity:
- Contraindications:
- Safe exercises:
4,5/3,8 mmHg and 4,7/3,1 mmHg
- 40-50% of maximal oxygen uptake, low intensity is a more effective stimulus
- any activity that increases intrathoracic pressure, thereby decreasing blood flow return to the heart; Valsalva Maneuver (1-2 or more sec)
- when a client has a comorbid condition the choise of exercise may be altered/restricted (musculoskeletal diseases, neurological disorders, vascular diseases)
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Exercise guidelines
Aerobic conditioning:
- intensity level:
- RPE:
- duration and frequency:
- caloric expenditure and time:
RT:
- reps and intensity:
- rest interval:
- sets:
- movement:
- when decrease reps:
- frequency and duration:
- 40-50% of VO2max, ultimately attaining 50-85% VO2maxx
- RPE 8-10 (on 6-20 scale), goal range 11-13
- 15-30 min and eventual target 30-60 min, 3-7 days/week
- weekly 700-2000 kcal in 4-6 months
- 16-20 reps per set, 50-60% of 1RM
- 2-3 min or longer
- 1-3 sets
- large muscle, multijoint movements
- over time (4-6 months) decrease reps
- 2-3x/week, 30-60 min
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Oefenvragen makenSamenvatting, oefenvragen hoofdstuk 20 van het NSCA boek, minor PT aan de HvA.
20 oefenvragen
English
29-10-2021
HBO / Hogeschool van Amsterdam / Voeding en Diëtetiek / Minor Personal Trainer
Hypertension at:
It is an idiopathic disease (90%)=
''silent killer''
secondary causes (10%)=
*newly diagnosed with hypertension under age of 35 have a greater incidence of secondary causes
Elevated blood pressure puts someone at risk for:
Midly elevated blood pressure (over time) can lead to:
BP too high it would most likely be in the range of a hypertensive crisis with associated:
Stage 1 and 2 have .../...., ... or both, with or without other risk factors thereby necessitating physician intervention for treatment or clearance
Classification and management of BP for adults
- Normal:
- Pre-hypertension:
- Stage 1 hypertension:
- Stage 2 hypertension:
Lifestyle modification:
General lifestyle changes:
DASH-diet
- entails reducing:
- emphasis more:
- reduction in:
- increase in foods:
Classes of medications
- beta blockers
- calcium channel blockers:
- alpha blockers:
- diuretics:
- ACE (angiotensin converting enzyme) inhibitors
- ARBs (angiotensin receptor blocker)
Decreases in systolic and diastolic pressures of ... and ... mmHg due to long term RT and aerobic training
- Intensity:
- Contraindications:
- Safe exercises:
Exercise guidelines
Aerobic conditioning:
- intensity level:
- RPE:
- duration and frequency:
- caloric expenditure and time:
RT:
- reps and intensity:
- rest interval:
- sets:
- movement:
- when decrease reps:
- frequency and duration:
Myocardial infarction (MI), stroke and peripheral vascular disease (PVD); pathophysiology is the same for all three because they represent the end result of vascular occlusive disease at various levels of the body:
explenation:
During systole there is a compression of cardiac vessels that feed the heart, when the pressure exceeds an certain threshold , there is a decrease in or lack of flow to the interior of the heart, and thus ... occurs
With corresponding high cholesterol and cap formation:
diabetes
nicotine (smoking)
obese:
familiy history:
myocardial infarction:
exercise guidelines
- intensity and RPE:
- duration and frequency:
- program begin; reps, sets, frequency:
Never perform:
Cerebrovascular accident (CVA):
After CVA difficulties with:
Exercise program components for post-CVA:
- ... need to be the mainstay of aerobic conditioning:
- with compromised limb function ... are affected:
- intensity:
- duration and frequency:
- sets, reps, frequency:
- ROM when and for how long:
- ... and ... exercises can also be added to the program
Too often post CVA patient experiences:
Joint can be considered frozen;
Peripheral vascular disease (PVA):
Exercise program components for PVA:
- rate limiting factor:
- walk until..., ... and then
- duration walking:
- goal:
- RT:
Chronic obstructive pulmonary disease (COPD)=
One hallmark of COPD:
Asthma=
exercise induced asthma (EIA)=
medications:
comparison:
Exercise guidelines asthma:
- monitor intensity through:
- asthma clients do better with ... exercise sessions because of ...
- avoid:
Exercise program components asthma:
- RPE:
- frequency daily and weekly:
- durations (+ beginners):
- initial program should use (loads,reps,frequency):
- follow ... program
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