Endocrine and Metabolic Systems Final Review

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Author:
dmshaw9
ID:
301674
Filename:
Endocrine and Metabolic Systems Final Review
Updated:
2015-04-28 00:13:22
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Endocrine Metabolic Systems Final Review
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NPTE,Final Review
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NPTE: Final Review
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  1. Diabetes: Exercise Prescription
    • Cardio: 50-80% VO2max/HRR, RPE 12-16, 3-7 days/week, 20-60 min, rhythmic/lg muscle activity
    • Resistance: 2-3x/week, 60-80% 1RM, 2-3 sets, 8-12 reps
  2. No exercise with blood glucose levels <____ and >_____
    < 70 mg/dL; > 300 mg/dL

    • Provide 15 g of carbs/every hour of intense activity
    • Eat t least 2 hours before exercise
  3. Hypoglycemia: Early Signs/Symptoms
    • Pallor
    • Shaking/trembling
    • Sweating
    • Excessive hunger
    • Tachycardia
    • Palpitations 
    • Fainting/dizziness
    • Fatigue
    • Weakness
    • Poor coordination/unsteady gait
  4. Hypoglycemia: Late Signs/Symptoms
    • Nervousness/irritability
    • Headache
    • Blurred/double vision
    • Slurred speech
    • Drowsiness/inability to concentrate
    • Confusion/delusions
    • LOC/coma
  5. Hyperglycemia Symptoms
    • Weakness
    • Increased thirst/dry mouth (signs of dehydration)
    • Frequent/scant urination
    • Decreased appetite
    • Nausea/vomiting
    • Dulled senses/paresthesias 
    • Decreased reflexes
    • Deep, rapid respirations
    • Weak, rapid pulse
    • Acetone breath (fruity)
    • Confusion
    • Hyperglycemic coma
  6. BMI
    • Overweight: 25 - 29.9
    • Obese: ≥ 30
    • Morbid obesity: > 40
  7. Obesity: Exercise Testing and Exercise Prescription
    • Testing: submax, 2-3 METs initially, 0.5-1.0 MET increased/stage
    • Prescription: initially 40-60% VO2R/HRR → 50-70%, 5-7x/week, 30-60 min
  8. Hypothyroidism: Symptoms
    • Weight gain
    • Mental/physical lethargy
    • Dry skin/hair
    • Decreased BP
    • Constipation
    • Cold intolerance
    • Goiter
    • Untreated → myxedemia (coma & death)
    • Results in exercise intolerance, weakness, exercise-induced myalgia, decreased CO
  9. Hyperthyroidism Symptoms
    • Nervousness
    • Hyperreflexia
    • Tremor
    • Hunger
    • Fatigue
    • Weight loss
    • Heat intolerance
    • Palpitations
    • Tachycardia
    • Diarrhea
    • Can result in exercise intolerance, fatigue associated with hypermetabolic state
  10. Primary Adrenal Insufficiency (Addison's Disease): Diagnosis
    Partial/complete failure of adrenocortical functions → decreased cortisol and aldosterone
  11. Primary Adrenal Insufficiency (Addison's Disease): Symptoms
    • Increased bronze skin pigmentation
    • Weakness/decreased endurance
    • GI disturbances
    • Anxiety/depression 
    • Anorexia/weight loss
    • Dehydration
    • Cold/stress intolerance
  12. Cushing's Syndrome: Definition
    • Chronic and excessive cortisol production by adrenal cortex
    • Common cause = pituitary tumor with increased secretions of ACTH
  13. Cushing's Syndrome: Signs/Symptoms
    • Decreased glucose tolerance
    • Round "moon" face
    • Fat pads on chest/abs, buffalo hump
    • Decreased testosterone levels, menstrual periods
    • Muscular atrophy
    • Edema
    • Hypokalemia
    • Emotional changes

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