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PA 2.3 - De hulpvraag bij systeemaandoeningen in deleefstijlcontext
t
Ricardo
2e leerjaar
Fontys
,Inhoud
Formule van Karvonen........................................................................................................................4
Formule van Wasserman....................................................................................................................4
Trainingsprincipes – Conditietraining parameters COPD....................................................................4
Trainingsprincipes – krachttraining parameters COPD.......................................................................7
Trainingsprincipes – Conditietraining parameters hartrevalidatie.....................................................8
Trainingsprincipes – krachttraining parameters hartrevalidatie.......................................................10
Trainingsprincipes –sPAV.................................................................................................................12
Trainingsprincipes – Coronairlijden..................................................................................................13
Aandoeningen en gradaties..................................................................................................................14
Chronisch hartfalen - Gradaties........................................................................................................14
COPD - gradaties...............................................................................................................................15
Metabool syndroom.........................................................................................................................15
Medicatie..............................................................................................................................................17
Acetysalicyl (ofwel cardio asprine)...................................................................................................17
Beta-blocker.....................................................................................................................................17
Artorvastine (ofwel Lipitor)..............................................................................................................17
Metformine......................................................................................................................................18
Metoprolol........................................................................................................................................18
Zocor (ofwel Simvastatine)...............................................................................................................19
Spiriva...............................................................................................................................................19
Ventolin - Sulbatanol........................................................................................................................20
Risicofactoren.......................................................................................................................................21
Diabetes Mellitus 2...........................................................................................................................21
Hartrevalidatie - Cardiovasculaire risicofactoren..............................................................................21
Metabool syndroom - risicofactoren................................................................................................21
Rode vlaggen - COPD............................................................................................................................24
Ziektegerelateerde rode vlaggen die aanleiding zijn voor (terug)verwijzing naar de arts...............24
Generieke rode vlaggen die aanleiding zijn voor (terug)verwijzing naar de arts..............................24
Diagnostische testen............................................................................................................................25
Åstrand fietstest - AF........................................................................................................................25
Bloeddrukmeter:..............................................................................................................................25
Loopbandtest....................................................................................................................................27
Stappenteller....................................................................................................................................27
Shuttle walk test...............................................................................................................................28
, 10 Meter Walk Test/ Tien meter looptest - 10MWT 10MLT............................................................28
Klinimetrie............................................................................................................................................29
American College of Sport Medicin-schaal - ACSM-SCHAAL.............................................................29
Borg Rating of Perceived Exertion Scale - BORG (RPE) SCALE...........................................................29
Cumulative Illness Rating Scale voor het vastleggen v comorbiditeit - CIRS.....................................29
EuroQol 5D - EQ-5D..........................................................................................................................29
Lung Information Needs Questionnaire / Longziekten Informatie Behoefte Questionnaire - LINQ. 30
Numeric (Pain) Rating Scale - NPRS / NRS........................................................................................30
Walking Impairment Questionnaire - WIQ.......................................................................................31
Therapeutisch proces...........................................................................................................................31
COPD................................................................................................................................................31
Diabetes Mellitus type 2 – insuline waardes....................................................................................33
Hartrevalidatie..................................................................................................................................35
Metabool syndroom.........................................................................................................................35
sPAV – Somatisch perifeer arterieel vaatlijden.................................................................................35
, Belangrijke info
Interpretatie – CPET
VO2 ≥ 85% voorspeld
VT1 > 40% voorspelde VO2max
HR piek > 90% voorspeld
HRR < 15 BPM
VEpiek < 85% maximale ventilatoire capaciteit (MVV)
Bloeddruk <
Formule van Karvonen
Formule van Karvonen. Jim De Sitter , 29 september 2005 1 min. read. 9534. Met deze formule kan je
de hartslag zones bepalen waarin de trainingen dienen uitgevoerd te worden:
Formule van Karvonen: HFopt = HFrust + (HFmax – HFrust)
* intensiteit%. waarbij: HFrust de ochtend pols is.
Formule van Wasserman
Man VO2 (L/min) = gewicht x (50,72 – (0.372 x leeftijd))/ 1000
Vrouw VO2 (L/min) = (gewicht + 42.8) x (22,78 – (0.17 x leeftijd)
Trainingsprincipes – Conditietraining parameters COPD
Duurtraining eerder dan intervaltraining. Interval training toepassen als duurtraining niet mogelijk is.
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