Degeneration Flashcards

1
Q

which cells are effected in MS

A

oligodendrocytes

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2
Q

MS s/s

A

chronic inflammation, demylination and gliosis of CNS

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3
Q

MS presents with

A

parasthesia, fatigue, optic neuritis, bladder dysfunction, constipation

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4
Q

overall goals of MS

A

keeping independent, ADL’s for as long as possible

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5
Q

cure for MS

A

none

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6
Q

meds for MS

A

immunomodulators

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7
Q

treatment for acute phase of MS

A

corticosteroids

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8
Q

other methods to treat MS

A

PT, exercise (swimming)

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9
Q

what do we want to tell pt with MS to do

A

keep a diary of what causes exacerbations - try to avoid

diet (nutritious), take vitamins (D)

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10
Q

what should pt. w/MS avoid

A

tetracycline and neomycin thought to increase muscle weakness

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11
Q

is pain a characteristic of MS

A

no

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12
Q

symptoms of an exacerbation of MS

A

optic neuritis

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13
Q

als presentation

A

muscle weakness that takes over the body, cognitive function remains

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14
Q

teach family with ALS

A
arrange communication system
risk for falls
feeding tube possibility
do you want ...?(living will)
support group
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15
Q

how is huntingtons disease transmitted

A

gentically transmitted - autosomal dominant

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16
Q

is there a cure for huntingtons disease

A

no

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17
Q

palliative care is essential for huntingtons disease, t or f

A

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

18
Q

important support for huntingtons disease

A

nutritional

19
Q

goal of drug therapy in huntingtons disease

A

reduce movement - subdue behavior changes

20
Q

movements in huntingtons are called

21
Q

if you test positive for huntingtons will you get the disease

A

yes - dont know when or how severe

22
Q

is there a cure for parkinsons

23
Q

drug therapy for parkinsons

A

levadopa -

24
Q

when do we start drug therapy for parkinsons

A

will max out on dose - not started right away

25
what happens if we abruptly stop meds used for parkinsons
neuroleptic malignant syndrome
26
aviod protein with levadopa, t or f
true
27
eye winking on meds for parkinsons is a sign of
toxicity or overdose of the drug
28
trt for guillain barre that reduces a hospital stay
plasmaphoresis used in the 1st 2 weeks - paralysis shortened
29
paralysis/recovery r/t guillian barre syndrome
paralysis is ascending | recovery is descending
30
what does drooling while awake mean
lost the ability to swallow - bad sign
31
is the paralysis going to keep going up and am I going to do
most patients recover, your prognosis is good
32
what triggers are r/t guillian barrre syndrome
flu shot gi virus surgery trauma
33
where does guillan barre effect
peripheral nervous system
34
is bacterial meningitis an emergency
yes
35
classic triad of symptoms of bacterial meningitis
high fever, nuchal rigidity, change in LOC
36
treatment plan with bacterial meningitis
LP, blood culture, begin antibiotic, treat fever
37
fever is related to bad outcomes with meningitis, t or f
true - use cooling blanket - protect the hands/feet
38
what type of protection is used for suspected/meningitis
droplet precautions
39
health promotion for meningitis/resp infections
get vaccinated | prophylactic antibiotics for those in contact with pt.
40
teaching point for meningitis
finish all your antibiotics
41
**lymes disease rash name
erythma migrains ??