Concepts Exam #2 Ch 44

Question 1

Guillain-Barre syndrom (GBS)

Answer 1

acute inflammatory polyradiculoneuropathy that affects the axons of peripheral nervous system, causing motor weakness and abnormalities in sensory perception.

Question 2

demyelination

Answer 2

destruction of the myelin sheath

Question 3

Paresthesias

Answer 3

unpleasant sensations such as burning, stinging, and prickly feeling.

Question 4

Plasmapheresis

Answer 4

Removes circulating antibodies thought to be responsible for Guillain Barre syndrome from plasma, blood is returned to patient.

Question 5

If a shunt is used for plasmapheresis be sure to..

Answer 5

Check shunt patency by assessing for bruit or thrill q 2-4 hours.
Keep double bulldog clamps at the bedside.
Observe access site for bleeding or bruising.

Question 6

Myasthenia gravis (MG)

Answer 6

Acquired autoimmune disease characterized by muscle weakness.

Question 7

Ptosis

Answer 7

Drooping eyelids

Question 8

Diplopia

Answer 8

Double vision

Question 9

Dysphagia

Answer 9

Difficulty chewing or swallowing

Question 10

Eaton-Lambert syndrome

Answer 10

form of myasthenia often seen with small cell carcinoma of the lung, muscles of trunk and pelvid and shoulder girdles are affected.

Question 11

Thyrotoxicosis

Answer 11

Excessive thyroid hormone

Question 12

Cholinergic crisis

Answer 12

too much cholinsterase inhibitor drugs

Question 13

Myasthenic crisis

Answer 13

too little cholinesterase inhibitor drugs

Question 14

Fasciculations

Answer 14

Muscle twitching

Question 15

Thymectomy

Answer 15

Removal of thymus gland

Question 16

Drug alert for Cholinesterase inhibitor drugs

Answer 16

Instruct patient to eat meals 45 min- 1 hr after taking drug to avoid aspiration. Drugs containing magnesium or morphine should be avoided because they increase pt weakness

Question 17

Teaching for myasthenic patients

Answer 17

Respiratory compromise often occurs, family should learn CPR, and have suctioning and oxygen at home.

Question 18

Facial paralysis (Bell’s Palsy)

Answer 18

Paralysis of cranial nerve 7 . and sometimes 5 (Trigeminal) and 7 (Vestibulocochlear/auditory)