What influences a persons metabolic rate?
Exercise, gender, genetics, age
Which is the macronutrient that provides more than twice as many
... [Show More] calories as the other two
Fat
Foods that raise insulin levels have...
added sugar
When feeling stressed, you may feel relief after eating a piece of chocolate because...
it will raise dopamine levels
What reduces the number of receptors for dopamine
insulin
What percentage of Cardiac Rehab patients re overweight or obese
80%
Why is fructose a promoter of obesity?
promotes liver fat accumulation which promotes metabolic syndrome
What reduces the rate of carbohydrate absorption thus reducing insulin response
Fiber
Depression among cardiac patients has been associated with
higher risk of mortality
When a patient scores in the depressed range on a sreening, which acion should be taken
results to be discussed with patient and health care provider
if a patient dense feeling of sadness they...
may have non-dysphoric depression
depression is relevant to CR because
depression reduces recovery from exercise due to fatigue and low energy
the relationship between anger and hostility is..
anger is the emotion, hostility is the thought
social isolation is defined by
how connected a patient feels in their relationships
stress management is designed to
respond to the "flight or fight" response
What is the best approach to preventing exercise-induced hypoglycemia
check blood sugar before and after exercise and respond to patterns appropriately
What guideles for beginning exercise are correct for type 1 and type 2 diabetics
(1)If BS is >250 check for ketones. If none are present, it is safe to exercise at low to moderate intensity. (2) Do not exercise if BS >400. If <300 ok to exercise
Target HbA1c% for diabetic
<7%
Target Fasting BS for diabetic
70-130
Target 2 hour post prandial BS for diabetic
<180
What insulin dose adjustment type would be most effective for preventing hypoglycemia during moderate exercise
-Reduction of rapid acting insulin dose 2-3 hours prior to exercise
-A temporary basal rate decrease 45-60 minutes prior to exercise
Which medications place a patient at risk for hypoglycemia
Insulin (Lantus, Novolog) and Sulfonyureas (Glipizide, glimepiride)
How long can significant exercise induced enhancement of glucose uptake from muscle last
24-48 hours
Recommended calories from carbs, protetin, and fats to better manage diabetes
~40% calories from fiber-rich carbs
~30% calories from lean protein
~30% calories from healthy fats
Cardiac effects of nicotine
modest increase in HR, BP and myocardial contractility
The stethoscope for smoking is..
a carbon monoxide analyzer that measures the amount of CO the patient exhales
Carbon monoxide
binds more readily than oxygen to hemoglobin resulting in relative hypoxia
The question regarding Time to First Cigarette is primarly used to..
determine the level of dependence
The gold standard for improving smoking quit rates is
pharmacotherapy which doubles quit rates [Show Less]