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409 6 Flashcards

1
Q

a common thing people drink that can cause sz

A

caffeine

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2
Q

A generalized seizure is also called a

A

tonic-clonic seizure

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3
Q

Breathing during a tonic-clonic sz

A

Breathing may stop during the tonic phase and become irregular during the clonic phase

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4
Q

___ seizures consist of brief jerking or stiffening of the extremities, which may be symmetrical or asymmetrical.

A

Myoclonic

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5
Q

Atonic or akinetic seizures are characterized by

A

a few seconds in which muscle tone is lost

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6
Q

If the pt has a sz, what kind of disease should you test for

A

HIV

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7
Q

2 kinds of meds you shouldn’t take with phenytoin

A

O.C.s and blood thinners

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8
Q

2 types of surgical interventions for sz

A

VNS and removal of brain tissue

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9
Q

VNS: This procedure is performed under

A

general anesthesia

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10
Q

Sz: surgical removal of brain tissue is performed with the client

A

awake

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11
Q

PD: Teach the client ___ muscle strengthening exercises

A

facial

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12
Q

PD: why do you weigh them weekly

A

difficulty swallowing

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13
Q

The main point of using sinemet instead of levadopa

A

requires smaller dose, therefore reduces side effects

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14
Q

bromocriptine

A

DA agonist

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15
Q

benztropine is an anticholinergic, so monitor for

A

dry mouth, constipation, urinary retention, acute confusion

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16
Q

entacapone

A

COMT inhibitor

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17
Q

COMT inhibitors can be used with

A

DA agonists

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18
Q

COMT inhibitor: normal finding

A

dark urine

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19
Q

Stereotactic pallidotomy

A

surgical tx for PD where they make a lesion in the brain

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20
Q

Deep brain stimulation

A

surgical tx for PD

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21
Q

3 of the risk factors for AD

A

female
head injury
apoli E (genetic thing)

22
Q

AD dx test

A

There is no definitive diagnostic procedure, except brain tissue examination upon death (although tests are done to r/o other things)

23
Q

AD: Stimulate the client’s memory by repeating

A

the client’s last statement

24
Q

Most medications for clients who have dementia attempt to target

A

behavioral and emotional problems

25
Q

Estrogen therapy for women may

A

prevent AD, but it is not useful in decreasing the effects of pre-existing dementia

26
Q

a disease of the upper and lower motor neurons

A

ALS

27
Q

MS follows several possible courses. The most common is

A

relapsing and remitting

28
Q

MS dx test that reveals plaques of the brain and spine

A

MRI

29
Q

MS: to treat diplopia

A

Apply alternating eye patches

30
Q

MS: _____ agents are used to reduce the frequency of relapses

A

Immunosuppressive

31
Q

MS: type of medication used to reduce inflammation in acute exacerbations

A

steroids

32
Q

MS: Antispasmodics are used to treat muscle spasticity: What should you report to the doctor

A

Report increased weakness and jaundice

33
Q

MS: Anticonvulsants are used for

A

paresthesia

34
Q

ALS: ____ function is not usually affected

A

Cognitive

35
Q

Med that can slow the deterioration in ALS

A

Riluzole

36
Q

ALS: Riluzole must be taken

A

early in the disease

37
Q

ALS: Riluzole will add approximately ____ months of life to the client’s overall lifespan.

A

2 to 3

38
Q

Riluzole: store it

A

in the dark

39
Q

MG: what’s up with muscle strength

A

decreases with activity and improves with rest

40
Q

one of the MG causes: coexisting

A

autoimmune disorder (i.e. lupus)

41
Q

MG: Frequently associated with hyperplasia of the

A

thymus

42
Q

MG: something to do with women that causes exacerbation

A

pregnancy

43
Q

Tensilon testing is for what disease

A

MG

44
Q

Tensilon testing: have the antidote ready, which is

A

atropine

45
Q

Dx test that shows the neuromuscular transmission characteristics of MG.

A

Electromyography

46
Q

MG medication and food rule

A

Provide small, frequent, high-calorie meals and schedule at times when medication is peaking.

47
Q

Which disease: Apply a lubricating eye drop during the day and ointment at night if the client is unable to completely close his eyes

A

MG

48
Q

MG: if the pt taking Anticholinesterase has weakness

A

discuss change in administration times with

the provider.

49
Q

Pyridostigmine (Mestinon) and neostigmine (Prostigmin) are used to

A

increase muscle strength for MG pts

50
Q

MG Surgical Intervention: removal of the

A

thymus

aa Orgo (196 decks)

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