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| Questão | Responda |
| Brachytherapy is a type of _______. | Radiotherapy |
| Alopecia is | Hairloss |
| Cytopenia is _________ | a reduction of number of mature blood cells |
| LOW RBC is called ______ | anemia |
| LOW WBC is called _________ | leukopenia/ neutropenia |
| Peripheral neuropathy is usually in a _____ pattern. | Glove |
| Decreased platelet count is called _______ | thrombocytokemia |
| Hb count for < __g/dL is anemia. Clinical symptoms occur with levels of ______ g/dL. | 10g/dL is normal. <10: anemia 8-10: clinical symptoms |
| No physical therapy is allowed if Hb count is below_____g/dL | 8 g/dL |
| Signs and symptoms with low Hb count? | 1. tachycardia 2. decreased diastolic pressure 3. dyspnea on exertion 4. gait disturbances 5. paresthesia/ abnormal reflexes 6. pallor 7. angina |
| Normal platelet range is about _________ (1000/uL) | 150 - 400. |
| Patient can exercise with platelet count above ____ (1000/uL). | above 50 |
| Platelet count of _______ allows light resistance and aerobics. | 20 - 50 |
| Platelet count of _______ allows light ROM and walking. | 10- 20 |
| Only minimal ROM and ADLs are tolerated if platelet count is _______. | < 10 |
| Normal WBC is about ________ (1000/udL) | 3.8 - 10.8 (1000/uL) |
| If WBC is above _____, light exercise is tolerated. If below _____, assess tolerance before PT. | 5 5 |
| If WBC count is _____, a protective mask has to be worn when exercising. | 1 (1000/uL) |
| Normal absolute neutrophil count is _______. Patient needs to be isolated if absolte neutrophil is ______. | Normal: 1.9 - 8.6. Isolation: <0.5 |
| Precautions that should be taken for neutropenic patients are: | 1. patient must wear a mask 2. no fresh produce and flowers 3. strict hand washing 4. no contact with persons with URI 5. limited contact with children 6. avoid exercising in groups 7. avoid environments that expose to infection |
| T/F: Patients of leukemia may complain of bone pain. | T. |
| Which factors are increased after radiation therapy? | 1. ROS 2. TGF 3. TNF 4. inflammatory factors 5. fibroblasts |
| T/F: Long-term effects of radiation may cause muscle atrophy. | T. |
| What are some key outcomes of radiation therapy? | 1. functional impairments 2. secondary malignancies 3. tissue fibrosis 4. cardiopulmonary pathologies |
| Contributing factors for systemic fatigue in cancer patients. | 1. increased tumor metabolism 2. loss of RBCs 3. hormonal disturbances 4. medication effects 5. sleep disturbance 6. nutritional deficiencies 7. physical pain/ emotional distress |
| What are the red flags to consider in patients with cancer? | 1. cardiac signs/symptoms 2. medication adverse effects? 3. liver/ kidney dysfunction? 4. Neutropenic? Anemic? Thrombocytopenia? |
| Subjective questions in patients undergoing cancer Tx? | 1. describe treatment 2. crash-day and normal again? 3. serious reactions? 4. describe fatigue pattern 5. have you had cardio/pulmonary tests? 6. prior LOF 7. Goals |
| Systems to consider in patients with cancer? | 1. blood values 2. neuromuscular (CIPN, palsies, plexopathy) 3. musculoskeletal (strength, ROM, bone density) 4. cardiopulmonary 5. integumentary |
| Possible hypothesis for patient with cancer? | 1. cancer-related/ treatment related fatigue 2. low blood counts 3. poor nutrient and sleep 4. postural deficits (decreased diaphragm excursion and upper-cross posture) 5. core and LE muscle weakness 6. depression |
| A relevant screening test for cancer patients: | 1. AROM/PROM/MMT 2. chair sit-to-stand 3. gait speed 4. balance 5. muscle length 6. rib cage/ diaphragm breathing assessment 7. Mod Bruce/ 6MWT/ 2 min/ YMCA bicycle step test etc. |
| Recommended HRH % for patients: 1) acute chemo/radio therapy 2) chronic cancer survivors | 1) 45 - 65% 2) 60 - 80% |
| When are exercise contraindicated for patients with cancer? | 1. irregular pulse 2. resting pulse >100 bpm 3. recurring leg pain/ cramps 4. chest pain/ tightness/ SOB 5. acute onset of nausea 6. disorientation or confusion 7. recent onset of bone/back/neck pain that is not relieved with rest 8. fever 9. unusual fatigue |
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