S3 L2: Renal Rehabilitation Part 1

Question 1

Coordinated, multifaceted interventions lead to ?

Answer 1

Optimized physical and psychosocial functions

Question 2

Statement 1: Want to stabilize our pts’ kidney disease or if they have the condition, we want to slow its progression
Statement 2: Even if we can fully reverse the condition, the PTs role is to stabilize and/or prevent further deterioration

a. TF
b. FT
c. TT
d. FF

Answer 2

a. TF
We cannot fully reverse the condition

Question 3

Statement 1: Renal Rehab reduced morbidity
Statement 2: Renal Rehab improves quality of life

a. TF
b. FT
c. TT
d. FF

Answer 3

c. TT

Question 4

Phase II usually lasts for?

Answer 4

6-12 Weeks

Question 5

Are PT interventions still valuable even at the end stage of renal diseases? Why?

Answer 5

Yes
It addresses their cardiovascular issues and functional limitations

Question 6

What are the 5 Major Components of Renal Rehabilitation?

Answer 6

1. Exercise Training
2. Diet and Fluid Management
3. Medication and Surveillance
4. Education
5. Psychological and Vocational Counselling

Question 7

Most important component of Renal Rehabilitation

Answer 7

Exercise Training

Question 8

T/F: PH PTs are still not recognized as a profession that contributes to renal rehabilitation or even the dialysis team

Answer 8

True

Question 9

Prescription of exercises are based on the patients __ __

Answer 9

Functional Abilities

Question 10

This is the primary medical intervention for end stage renal problems

Answer 10

Dialysis

Question 11

Which of the ff are not renal rehabilitation goals?

a. To control and alleviate, as much as possible, the symptoms and pathophysiological complications of renal conditions
b. To help patient achieve optimal functional capacity
c. To determine appropriate exercise level for each case
d. To help in improving patient’s quality of life
e. To increase exercise tolerance
f. To decrease psychological symptoms
g. To promote independence and self-reliance
h. ALL ARE RENAL REHAB GOALS

Answer 11

H.

Question 12

What are the benefits of exercise during renal rehabilitation

Answer 12

● ↑ Muscle strength
● ↑ Mobility and fitness
● Improve QOL
● Improve heart and lung functions (CV system)
● Improve blood sugar control
● Reduce blood pressure
● Lose weight, if necessary
● Improve self-esteem

Question 13

This is the inflammation of the kidney

Answer 13

Nephritis

Question 14

T/F: If the patient has Nephritis, the patient’s kidney still has no difficulty in filtering the waste products from the blood

Answer 14

False.
It is difficult for the kidney to filter

Question 15

This condition is more of a syndrome in the kidney d/t a variety of diseases

Answer 15

Nephrosis

Question 16

How to address Nephritis/Nephrosis

Answer 16

Physical activity in order to control the protein, sodium, and potassium levels.

Question 17

T/F: In all stages of CKD, they will benefit with exercise

Answer 17

True

Question 18

Stages of CKD

a. Stage 1 (Normal or high GFR)
b. Stage 2 (Mild)
c. Stage 3A (Moderate)
d. Stage 3B (Moderate)
e. Stage 4 (Severe)
f. End Stage

GFR = 15-29 mL/min

Answer 18

e. Stage 4 (Severe)

Question 19

Stages of CKD

a. Stage 1 (Normal or high GFR)
b. Stage 2 (Mild)
c. Stage 3A (Moderate)
d. Stage 3B (Moderate)
e. Stage 4 (Severe)
f. End Stage

GFR = 60-89 mL/min

Answer 19

b. Stage 2 (Mild)

Question 20

Stages of CKD

a. Stage 1 (Normal or high GFR)
b. Stage 2 (Mild)
c. Stage 3A (Moderate)
d. Stage 3B (Moderate)
e. Stage 4 (Severe)
f. End Stage

GFR <15 mL/min

Answer 20

f. End Stage

Question 21

Stages of CKD

a. Stage 1 (Normal or high GFR)
b. Stage 2 (Mild)
c. Stage 3A (Moderate)
d. Stage 3B (Moderate)
e. Stage 4 (Severe)
f. End Stage

GFR = 45-59 mL/min

Answer 21

c. Stage 3A (Moderate)

Question 22

Stages of CKD

a. Stage 1 (Normal or high GFR)
b. Stage 2 (Mild)
c. Stage 3A (Moderate)
d. Stage 3B (Moderate)
e. Stage 4 (Severe)
f. End Stage

GFR > 90 mL/min

Answer 22

a. Stage 1 (Normal or high GFR)

Question 23

Stages of CKD

a. Stage 1 (Normal or high GFR)
b. Stage 2 (Mild)
c. Stage 3A (Moderate)
d. Stage 3B (Moderate)
e. Stage 4 (Severe)
f. End Stage

GFR = 30-44 mL/min

Answer 23

d. Stage 3B (Moderate)

Question 24

Process of removing the waste products off the blood especially if the kidney is unable to perform its function of filtering the blood

Answer 24

Dialysis

Question 25

T/F: PT during dialysis not not improve QOL

Answer 25

False

Question 26

Main Effect of kidney transplantation

Answer 26

Inactivity

Question 27

What is needed to be sought from the patinet’s nephrologist?

Answer 27

Medical Clearance

Question 28

When performing a GXT on individuals with CKD (stages 1-4), __ __ procedures should be followed.

Answer 28

Standard Testing

Question 29

Most commonly used protocols used to test patients with kidney disease.

Answer 29

Treadmill and Cycle Ergometer Protocols

Question 30

What shoule be performed before and after an exercise

Answer 30

Warm-up and Cooldowns

Question 31

Advantage of using an LE ergometer

Answer 31

Pt’s UE is free and we
can easily monitor their VS

Question 32

We can determine the intensity of the exercise by basing it on __ or __

Answer 32

VO2 or METS

Question 33

Treadmill Protocol

Initial: slow & low metabolic but fast progression

Answer 33

Bruce Modified

Question 34

Treadmill Protocol

Initial start: fast

Answer 34

Bruce

Question 35

Lower progression and pace
Beneficial if pt is really symptomatic

Answer 35

Naughton

Question 36

T/F: Interval are the same for bruce modified and bruce

Answer 36

True

Question 37

Treadmill Protocols

Very conservative therfore used for
initial stages of renal rehab or when pt is weaker

Answer 37

Naughton

Question 38

In patients receiving maintenance hemodialysis, exercise testing should be scheduled on __

Answer 38

Non-dialysis days

Question 39

BP should be monitored in the arm that does not contain the __ __ (~75% of the age-predicted HRmax).

Answer 39

Arteriovenous Fistula