...Physiology of Exercise of Competitive Cross-Country Skiing Name Institution Physiology of exercise of Competitive cross-country skiing Recovery mechanism Competitive cross-country skiing is a strenuous endurance sport in which efficiency and energy delivery are deemed very important to achieve a high performance. Recently, shorter sprint competitions have been adopted; skiers are subjected to time-trial qualification race with three knockout heats. The heats take approximately 3-4 minutes and 20 minutes between the heats. Therefore, the ability of the skiers to reproduce subsequent technique, high efficiency, and energy is very imperative in the sport. Sessions of intense competition produce anabolic mechanism and chronic stress,...
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...During a muscular strength training, muscular fatigue can occur within the training. Muscular strength is the ability of a muscle or muscle group to generate force. Many daily movements such as walking require a threshold to complete these movements. In addition, muscular strength is important for athletic performance. High levels are required to perform certain athletic movements. High levels of muscular strength results improve one’s ability to rapidly apply force to a body segment for it to move. Assessing muscular ability is significant to determine the magnitude of force generated and applied to indicate an individual’s muscular function. Also, strength training also identifies the weaker muscle groups in a person’s body that could potentially result to injuries. Human muscular contraction can be broken into three styles. Isokinetic contraction consists of movement at a constant velocity. Isotonic, moving a constant load at different velocities. Isometric contraction the production of force when an extremity is static. This lab only uses isometric contractions as it assesses muscular strength or injuries, creates the...
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...The Effects of Adderall During Exercise In modern society where most people have trouble concentrating, there is a group of people that are diagnosed with attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD). Although the drug is intended to help students and adults complete daily tasks, it has been recently been discovered to enhance physical performance during exercise. Although there is a lot more room for research, fatigue is the main physical aspect that Adderall is used to combat. Scientists are still running tests to learn more about the effects of Adderall on different aspects of the body. The purpose of the drug is to release dopamine because ADD/ADHD is caused from a lack of dopamine. Adderall also affects multiple body systems such as the digestive system, central nervous system, and circulatory system. The development of Adderall has caused professional sports leagues to set guidelines in the use of the drug during competition and training. Research is still developing around the full affect of Adderall during exercise but there is strong evidence to prove the enhancement of performance. Adderall is a common stimulant that when used properly treats ADHD/ADD in adults and children. The neurobehavioral disorder is more common in the youth, affecting between 3%-7% of school-aged children. ADD/ADHD can result in delayed learning ability, compromised academic success, and suspended maturation if not treated. Adderall is an amphetamine...
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...HEART RHYTHMS * 0.4 sec is the PR wave (it is actually the P-Q wave but called the PR wave) and it should be ≤ 0.20 sec. If it’s ≥ than that it indicates 1° heart block. * NSR: normal sinus rhythm, contraction originates from SA node and beats at 60-100 bpm * Sinus (atrial) Bradycardia: SA node discharges at < 60 bpm. TREATMENT is atropine and pacemaker if they become symptomatic. Usually the contractions are irregular but the same distance apart so they are irregular-regular * Sinus Tachycardia (atrial dysrhythmias): SA node discharges at > 100 bpm. Regular but fast; they won’t have heart block because the SA node is firing too rapidly. TREATMENT is BB or CCB to ↓ HR and BP * PAC (Premature Atrial Contraction): impulse travels across atria via abnormal pathway, creating a disturbed P wave. Contraction originates from ectopic focus in atrium other than the SA node. Caffeine and diet pills predispose people to these but they don’t adversely affect health. TREATMENT is none. * Atrial Flutter: atrial tachycardia resulting in recurring, regular sawtooth flutter waves. The ratio of atrial to ventricle contractions is 3:1. TREATMENT is synchronized cardioversion (like defibrillation but the less Joules, 150-200 vs 300, and you must push the “sync” button to synchronize the energy so as to not direct it onto the T wave and send the patient in V-fib) and ablations. * Valve Replacement: patient must be put on blood thinner afterwards and must be anticoagulated...
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...body with enough force Both conditions Pathophysiology Due to overloading of the ventricle with blood during diastole the muscle contraction of the heart may weaken. The heart rate rises to compensate for the lowered cardiac output making the condition worse because the cardiac muscles need more nutrients to work. Another condition is anemia, in which put more strain on heart to pump more oxygen around the body. In myocardial infarction, there is an improper supply of blood...
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...Risk factors, clinical manifestations, and management of thoracic and abdominal aneurysms, venous insufficiency, venous stasis ulcers, PAD, acute arterial ischemia. (be sure to know the difference in venous and arterial disease!) PAD (thickening of the artery walls, which results in the progressive narrowing of the arteries of the upper and lower extremities) -risk factors: tobacco use (most important), hyperlipidemia, elevated high sensitivity C-reactive protein, diabetes (occurs much earlier), uncontrolled hypertension, increases with age, African Americans, 2 times higher in Mexican/Hispanic American women then white women -PAD is a marker for advanced systemic artherosclerosis** -atherosclerosis is the leading cause** -these patients are more likely to suffer from CAD and cerebral artery disease -artherosclerosis= migration and replication of smooth muscle cell, deposition of connective tissue, lymphocyte and macrophage infiltration, and accumulation of lipids -clinical symptoms occur when the vessel is 60 to 70 percent occluded Thoracic and Abdominal aortic aneurysms -aneuryisms happen more in men than women, increases with age - most occur as abdominal aortic aneurisms -thoracic= often asymptomatic, chest pain extending into interscapular area (most common symptom), hoarseness, dysphagia -abdominal= often asymptomatic, abdominal pain, back pain, pulsatile mass pre-umbilical and slightly to the left -abdominals a. are caused by artherosclerosis (male gender...
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...Primary hyperparathyroidism and secondary hyperparathyroidism are two disorders that occur when the parathyroid gland dysfunctions (Timby and Smith, 2010). This case study will focus on primary hyperparathyroidism. Timby and Smith (2010) report that primary hyperparathyroidism occurs when excess parathormone is secreted from an enlarged parathyroid gland. Mayo Clinic (2011) notes the excess hormone results in increased phosphorus released in the urine and an excessive loss of calcium from the bones. According to Mayo Clinic (2010), the excess calcium in the blood stream causes hypercalcemia, which can cause a variety of health problems. Timby and Smith (2010) confirm that hypercalcemia can depress the responsiveness of the peripheral nerves, which can result in fatigue and muscle weakness. Fuleihan and Silverberg (2012) report severe bone loss and kidney stones are major clinical manifestations of hyperparathyroidism. Primary hyperparathyroidism is diagnosed by an elevated PTH concentration or by a normal PTH concentration with an elevated serum calcium concentration (Fuleihan and Silverburg, 2012). Timby and Smith (2010) state a 24 hour urine test, skeletal radiographs, MRI and CT can be used to confirm the diagnosis. Fuleihan and Silverburg (2012), contend that primary hyperparathyroidism is caused by a problem with one or more of the four parathyroid glands. The most common cause is a noncancerous growth called adenoma; hyperplasia of two or more parathyroid glands is the second...
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...of patients with diabetes. Diabetic peripheral neuropathy is found in 12 percent of insulin dependent diabetics and 32 percent of those who are not, equaling approximately 3 million people in the United States. (Chen et al. 2007) The number of patients with other neuropathies, such as autonomic, proximal, and focal, comprises the other 1 million diabetic neuropathy patients, most of whom suffer in pain from the dysfunction of the nervous system. (Chen et al. 2007) This disorder’s elusive nature is such that it can not only present in any part of the body but it can be completely without symptoms that the average patient would report to their physician. Since the patients themselves are less likely to naturally disclose their suffering through their assumption that their symptoms are not relevant to their diabetic condition, the physician’s role in the diagnosis and recognition of this disorder is even more critical. II. Definition and Types of Diabetic Neuropathy The most common type of diabetic neuropathy is peripheral, considered, more generally, sensorimotor. Peripheral neuropathy causes pain or loss of feeling in the toes, feet, legs, hands, and arms. (NIDDKD 2002) Specifically, distal symmetric polyneuropathy is the most common of peripheral types, causing nerve damage away from the center of the nervous system but equally on both sides of the body and in multiple places. Thus, the extremities are most affected. Peripheral neuropathy may cause not only pain...
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...Evidence-Based Nursing Care for Multiple Myeloma Patients Evidence-Based Nursing Care for Multiple Myeloma Patients Comprised of the blood cells, blood, lymph, and other organs involved in the formation or storage of blood, the hematologic system allows the human body to maintain adequate oxygenation and tissue perfusion (Ignatavicius & Workman, 2010, p. 876). Because every cell, tissue, organ, and system is dependent on blood circulation for survival, hematologic problems involving impaired production, impaired function, or abnormal destruction of blood cells are likely to have wide-reaching effects on the patient's health and wellness (Ignatavicius & Workman, 2010, p. 876). This is especially clear when examining cancers of the hematologic system, including multiple myeloma. A cancer of certain white blood cells in the bone marrow known as plasma cells, “myeloma” refers to a tumor of the bone marrow, and “multiple” refers to more than one area of the bone marrow being affected (Mangan, 2006, p. 64hn1). Because the disease is incurable, and because only 30 percent of patients survive longer than five years after diagnosis, living with multiple myeloma can be difficult for patients and their families (Mangan, 2006, p. 64hn1). As health care providers on the front lines of patient care, nurses must be aware of the multi-system manifestations of multiple myeloma, be able to make the assessments needed to identify and prevent complications...
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...Across the Curriculum Major Drug Classification (s): beta blocker Generic drug name: Metoprolol Trade (Brand) name: Lopressor Normal dosage range:______25-50mg Safe dosage range: Route(s) of administration: PO once a day Drug action (s): Blocks simulation of beta1 adrenergic receptors. * Uses: * Hypertension. * Angina pectoris. * Prevention of MI and decreased mortality in patients with recent MI. * Management of stable, symptomatic (class II or III) heart failure due to ischemic, hypertensive or cardiomyopathc origin (may be used with ACE inhibitors, diuretics and/or digoxin; Toprol XL only). * * * Significant side effects: fatigue, weakness * Significant adverse reactions: CV- bradycardia, tachycardia, pulmonary edema, hypotension Significant drug/drug interactions: Drug-Drug * General anesthesia, IVphenytoin, and verapamil may cause ↑ myocardial depression. * ↑ risk of bradycardia when used with digoxin, verapamil, diltiazem, or clonidine . * ↑ hypotension may occur with other antihypertensives, acute ingestion of alcohol, or nitrates . * Concurrent use with amphetamines, cocaine, ephedrine, epinephrine, norepinephrine, phenylephrine, or pseudoephedrine may result in unopposed alpha-adrenergic stimulation (excessive hypertension, bradycardia). * Concurrent administration of thyroid administration may ↓ effectiveness...
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...a wide variety of stimuli/triggers and is therefore episodic in nature with fluctuations/exacerbations of symptoms. Asthma: Also known as chronic reactive airway disease, asthma is characterized by reversible inflammation and constriction of bronchial smooth muscle, hypersecretion of mucus, and edema. Precipitating factors include allergens, emotional upheaval, cold weather, exercise, chemicals, medications, and viral infections. Chronic bronchitis: Widespread inflammation of airways with narrowing or blocking of airways, increased production of mucoid sputum, and marked cyanosis. Emphysema: Most severe form of COPD, characterized by recurrent inflammation that damages and eventually destroys alveolar walls to create large blebs or bullae (air spaces) and collapsed bronchioles on expiration (air-trapping). ------------------------------------------------- Diagnostic Studies * Chest x-ray: May reveal hyperinflation of lungs, flattened diaphragm, increased retrosternal air space, decreased vascular markings/bullae (emphysema), increased bronchovascular markings (bronchitis), normal findings during periods of remission (asthma). * Pulmonary function tests: Done to determine cause...
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...gru NURSES RESPOSIBILITY | Instruct patient to take acamprosate exactlyas prescribed, even if a relapse occurs,and to seek help for a relapse.•Warn patient that acamprosate won’treduce symptoms of alcohol withdrawal ifrelapse occurs followed by cessation.• Urge caregivers to monitor patient for evidenceof depression (lack of appetite orinterest in life, fatigue, excessive sleeping,difficulty concentrating) or suicidal tendenciesbecause a small number ofpatients taking acamprosate have attemptedsuicide.• Advise patient to use caution when performinghazardous activities until adverseCNS effects of drug are known. | SIDE EFFECTS | Adverse ReactionsCNS: Abnormal thinking, amnesia, anxiety,asthenia, chills, depression, dizziness,headache, insomnia, paresthesia, somnolence,suicidal ideation, syncope, tremorCV: Chest pain, hypertension, palpitations,peripheral edema, vasodilationEENT: Abnormal vision, dry mouth,pharyngitis, rhinitis, taste perversionGI: Abdominal pain, anorexia, constipation,diarrhea, flatulence, increased appetite,indigestion, nausea, vomitingGU: Acute renal failure, decreased libido,impotenceHEME: Leukopenia, lymphocytosis, thrombocytopeniaMS: Arthralgia, back pain, myalgiaRESP: Bronchitis, cough, dyspneaSKIN: Diaphoresis, pruritus, rash | INDICATION | To maintain abstinence from alcohol foralcohol-dependent patients who areabstinent at the start of treatment CONTRAINDICATIONHypersensitivity to acamprosate or its com- ponents, severe hepatic (Child-Pugh...
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...called: A.perimysium B.carbohydrate C.sarcomysium D.epimysium Question 4 of 37 2.6/ 2.6 Points Protein can supply about 5 to 10% of the total energy needs during: A.sprinting activities B.prolonged exercise C.all types of exercise D.weightlifting Question 5 of 37 2.6/ 2.6 Points The two main components of the nervous system are: A.the autonomic nervous system and the somatic nervous system B.the brain and the spinal cord C.the central nervous system and the peripheral nervous system D.the efferent and afferent divisions of the nervous system Question 6 of 37 2.6/ 2.6 Points The autonomic nervous system can be divided into two functional and anatomical divisions called: A.sympathetic and unsympathetic B.sympathetic and parasympathetic C.afferent and efferent D.CNS and peripheral Question 7 of 37 2.6/ 2.6 Points Using an insulated, airtight chamber with walls containing copper tubing through which water is passed to assess total body energy expenditure is called: A.direct calorimetery B.indirect calorimetry C.open-circuit spirometry D.closed-circuit spirometry Question 8 of 37 2.6/ 2.6 Points The respiratory exchange ratio (RER) is defined as the ratio between the: A.of CO2 produced and the amount of CO2 consumed during...
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...Nursing care plans for Diabetes Mellitus Submitted by lifenurses on Monday, 4 January 2010 2 Comments Nursing care plans for Diabetes Mellitus, Diabetes mellitus is a disorder in which the level of blood glucose is persistently raised above the normal range. Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycemia due to either a deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Diabetes mellitus occurs in two primary forms: type 1, characterized by absolute insufficiency, and the more prevalent type 2, characterized by insulin resistance with varying degrees of insulin secretory defects. Diabetes mellitus is a group of metabolic diseases characterized by elevated levels of glucose in the blood (hyperglycemia) resulting from defects in insulin secretion, insulin action, or both (ADA], Expert Committee on the Diagnosis and Classification of Diabetes Mellitus, 2003. Causes for Diabetes Mellitus The cause of both type 1 and type 2 diabetes remains unknown, although genetic factors may play a role. Diabetes mellitus results from insulin deficiency or resistance. Insulin transports glucose into the cell for use as energy and storage as glycogen. It also stimulates protein synthesis and free fatty acid storage. Insulin deficiency or resistance compromises the body tissues’ access to essential nutrients for fuel and storage. The resulting hyperglycemia can damage many of the...
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...should be irrigated with water before and after each feeing to ensure patency. 3. Tube Position – Placement of tube is checked before each feeing or every 8 hours with continuous feeings. Checking methods; aspiration and pH. 4. Formula 5. Administration of feeding – feeing are given either by gravity drip method or by feeding pump. 6. General Nursing Considerations – daily weight, accurate I’s and O’s. Blood glucose check. Complication Related To tube and feeding - Vomiting and or Aspiration - Diarrhea - Constipation - Dehydration ---------------------------------------- Central PN – is indicated when long term parenteral support is necessary or when the patient has high protein and caloric requirements. Peripheral PN – is used when; - nutritional support is needed for only a short time - protein and caloric requirement are not high. - The risk of a CPN is...
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