M8: 1

Question 1

How does exercise benefit the pt with cancer, in general?

Answer 1

• ease cancer related fatigue, MSK deficits
• lymphedema mgmt
• restoration of function
• prevent/minimize 2˚ disability
• sx relief with palliative care

Question 2

What is the role of exercise in cancer prevention?

Answer 2

1. Reduced risk of developing breast and colon cancer

2. Possible association with reduced risk of endometrial, prostate, and lung cancers

Question 3

What risks are associated with exercise in cancer?

Answer 3

1. Circulatory system distress
2. Pathologic fx
3. Lymphedema
4. Immune response to physical stress

Question 4

What types of circulatory system distress can occur with exercising a cancer pt?

Answer 4

• anemia
• thrombocytopenia
• cardiomyopathies

Question 5

Lab values: platelets

Exercise not appropriate

Answer 5

Under 20K

Question 6

Lab values: platelets

Exercise with caution

Answer 6

20-50K

Question 7

Lab values: platelets

Exercise appropriate

Answer 7

Over 50K

Question 8

Lab values: HCT

Exercise not appropriate

Answer 8

Under 25%

Question 9

Lab values: HCT

Exercise with caution

Answer 9

25-30%

Question 10

Lab values: HCT

Exercise appropriate

Answer 10

Over 30%

Question 11

Lab values: HgB

Exercise not appropriate

Answer 11

Under 8

Question 12

Lab values: HgB

Exercise with caution

Answer 12

8-10

Question 13

Lab values: HgB

Exercise appropriate

Answer 13

Over 10

Question 14

Lab values: WBC

Exercise not appropriate

Answer 14

Over 7000 and fever

Question 15

Lab values: WBC

Exercise appropriate

Answer 15

5000-7000

Question 16

Lab values: neutrophils

Exercise not appropriate

Answer 16

Under 500

Question 17

Lab values: neutrophils

Exercise with caution

Answer 17

500-1000

Question 18

Lab values: neutrophils

Exercise appropriate

Answer 18

1000

Question 19

Gen’l PT implications of:

Low HgB/RBCs

Answer 19

• SOB
• excessive fatigue
• angina
• may need longer rest periods
• perform exercises at lower intensity and duration

Question 20

Gen’l PT implications of: low platelets

Answer 20

• bleeding after minor trauma
• easy bruising
• bleeding of gums/nose
• avoid bumping pt and falls
• caution with stretching, PREs, grade III/IV mobs

Question 21

Gen’l PT implications of: low WBC

Answer 21

• leukocytosis
• fever
• s/s infection
• inflammation or trauma

Wash yo hands

Question 22

Gen’l PT implications of: high PTT/INR

Answer 22

• potential for spontaneous bleeding, hemarthrosis

- avoid aggressive PREs, stretching, or soft tissue mobs

Question 23

PRE =

Answer 23

Progressive resistance exercise