Degeneration

Question 1

which cells are effected in MS

Answer 1

oligodendrocytes

Question 2

MS s/s

Answer 2

chronic inflammation, demylination and gliosis of CNS

Question 3

MS presents with

Answer 3

parasthesia, fatigue, optic neuritis, bladder dysfunction, constipation

Question 4

overall goals of MS

Answer 4

keeping independent, ADL’s for as long as possible

Question 5

cure for MS

Answer 5

none

Question 6

meds for MS

Answer 6

immunomodulators

Question 7

treatment for acute phase of MS

Answer 7

corticosteroids

Question 8

other methods to treat MS

Answer 8

PT, exercise (swimming)

Question 9

what do we want to tell pt with MS to do

Answer 9

keep a diary of what causes exacerbations - try to avoid

diet (nutritious), take vitamins (D)

Question 10

what should pt. w/MS avoid

Answer 10

tetracycline and neomycin thought to increase muscle weakness

Question 11

is pain a characteristic of MS

Answer 11

no

Question 12

symptoms of an exacerbation of MS

Answer 12

optic neuritis

Question 13

als presentation

Answer 13

muscle weakness that takes over the body, cognitive function remains

Question 14

teach family with ALS

Answer 14

arrange communication system
risk for falls
feeding tube possibility
do you want ...?(living will)
support group

Question 15

how is huntingtons disease transmitted

Answer 15

gentically transmitted - autosomal dominant

Question 16

is there a cure for huntingtons disease

Answer 16

no

Question 17

palliative care is essential for huntingtons disease, t or f

Answer 17

true - keep them in the home for as long as possible

Question 18

important support for huntingtons disease

Answer 18

nutritional

Question 19

goal of drug therapy in huntingtons disease

Answer 19

reduce movement - subdue behavior changes

Question 20

movements in huntingtons are called

Answer 20

chorea

Question 21

if you test positive for huntingtons will you get the disease

Answer 21

yes - dont know when or how severe

Question 22

is there a cure for parkinsons

Answer 22

no

Question 23

drug therapy for parkinsons

Answer 23

levadopa -

Question 24

when do we start drug therapy for parkinsons

Answer 24

will max out on dose - not started right away

Question 25

what happens if we abruptly stop meds used for parkinsons

Answer 25

neuroleptic malignant syndrome

Question 26

aviod protein with levadopa, t or f

Answer 26

true

Question 27

eye winking on meds for parkinsons is a sign of

Answer 27

toxicity or overdose of the drug

Question 28

trt for guillain barre that reduces a hospital stay

Answer 28

plasmaphoresis used in the 1st 2 weeks - paralysis shortened

Question 29

paralysis/recovery r/t guillian barre syndrome

Answer 29

paralysis is ascending

recovery is descending

Question 30

what does drooling while awake mean

Answer 30

lost the ability to swallow - bad sign

Question 31

is the paralysis going to keep going up and am I going to do

Answer 31

most patients recover, your prognosis is good

Question 32

what triggers are r/t guillian barrre syndrome

Answer 32

flu shot
gi virus
surgery
trauma

Question 33

where does guillan barre effect

Answer 33

peripheral nervous system

Question 34

is bacterial meningitis an emergency

Answer 34

yes

Question 35

classic triad of symptoms of bacterial meningitis

Answer 35

high fever, nuchal rigidity, change in LOC

Question 36

treatment plan with bacterial meningitis

Answer 36

LP, blood culture, begin antibiotic, treat fever

Question 37

fever is related to bad outcomes with meningitis, t or f

Answer 37

true - use cooling blanket - protect the hands/feet

Question 38

what type of protection is used for suspected/meningitis

Answer 38

droplet precautions

Question 39

health promotion for meningitis/resp infections

Answer 39

get vaccinated

prophylactic antibiotics for those in contact with pt.

Question 40

teaching point for meningitis

Answer 40

finish all your antibiotics

Question 41

**lymes disease rash name

Answer 41

erythma migrains ??