Hemodialysis
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 27 February 2019
⏱️ 12 minutes
🧾️ Download transcript
Summary
Ricky presents with a past medical history of atrial fibrillation, orthostatic hypotension, and chronic renal failure.
The physical therapist is challenged with determining which aspect of the exercise prescription is the least appropriate for this patient while undergoing hemodialysis.
How well do you know your exercise prescription parameters for a patient on hemodialysis? Let's test your knowledge in this excellent episode about hemodialysis
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files to mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT |
| 0:12.3 | PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching |
| 0:17.3 | Program. And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Ricky. And Ricky has a |
| 0:33.8 | past medical history of atrial fibrillation, frequent orthostatic hypotension, and chronic |
| 0:40.8 | renal failure. The patient is currently undergoing hemodialysis. Which of the following is the least |
| 0:47.0 | appropriate for this patient? So we have A, exercise on non-dialysis days. B is exercise in the mornings prior to |
| 0:56.1 | hemodialysis. C is exercise during the first half of hemodialysis treatments and D is |
| 1:03.6 | exercise immediately post-hemodialysis. All right. So let's go ahead up to the top. We got our patient, Ricky, with a past |
| 1:14.8 | medical history of a fibrile fibrillation, frequent orthostatic hypotension and chronic renal |
| 1:20.1 | failure. All right. So let's just talk about this real quick. I won't take long. Atrial fibriolation |
| 1:24.7 | is actually a very common condition in the elderly population or the older |
| 1:29.3 | population people that are older than 40 years of age it's relatively common all right it's going to be |
| 1:34.8 | an erratic quivering of the atrium and it's due to like all of these electrical impulses that are |
| 1:42.2 | originating in the atrium all right and those electrical impulses shouldn't be are originating in the atrium. All right? And those electrical impulses shouldn't be |
| 1:47.3 | just originating out of there and going crazy and causing this erratic quivering. It's not something |
| 1:52.7 | that should be there. However, atrial fibrillation is a condition that a lot of people live with |
| 1:58.2 | and live long lives with, all right, as long as it's stable |
| 2:01.0 | and it's medicated. So right now, we know that this patient has atrial fit. Cool. Now, frequent |
| 2:08.5 | orthostatic hypertension, the majority of us have seen this time and time again, am I right? |
... |
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