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Mental Health - Exam 3 > Dementia > Flashcards

Dementia Flashcards

0
Q

which cognitive disorder is global (affects all areas of functioning)

A

dementia

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1
Q

what is a cognitive disorder that develops gradually & is progressive

A

dementia

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2
Q

what do the ventricles look like in dementia

A

enlarged

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3
Q

what does the PET scan of an alzheimer’s brain look like

A

⬇️ metabolism in the brain

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4
Q

abnormal clusters of beta-amyloid protein fragments that build up between nerve cells

A

plaques

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5
Q

what clumps cause inflammation & destruction of nerve cells in the brain

A

plaques

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6
Q

twisted strands of tau protein that result in cell death

A

tangles

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7
Q

which type of dementia is genetic

A

early onset

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8
Q

high levels of which amino acid is r/t ⬆️ risk for alzheimers

A

homocysteine

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9
Q

what 3 things can be used to reduce homocystein levels

A

folic acid
B6
B12

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10
Q

which 2 metabolic disorders can ⬆️ r/f dementia if untreated

A

hyperglycemia

hyperlipidemia

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11
Q

what is the onset of dementia

A

gradual (years)

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12
Q

what is the duration of dementia

A

years

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13
Q

the loss of ablility to express thoughts in writing

A

agraphia

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14
Q

inability to understand written language

A

alexia

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15
Q

loss of perceptual ability to recognize objects

A

agnosia

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16
Q

pt repeats the same word, phrase, or question over and over

A

perservation

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17
Q

occurs as dementia progresses & pt tells stories to cover thier time lapses

A

confabulation

18
Q

which stage of alzheimers is ther disorientation of time

A

stage I

19
Q

which stage of alzheimers has difficulty with judgement

A

stage I

20
Q

which stage of alzheimers has depression & anxiety

A

stage I

21
Q

which stage of alzheimers is the pt aware of the losses

A

stage I

22
Q

which stage of alzheimers does the pt have difficulty w/ math, attention, planning

A

stage I

23
Q

which stage of alzheimers can new information not be retained

A

stage II

24
Q

which stage of alzheimers has remote memory loss; gaps in memory

A

stage II

25
Q

which stage of alzheimers has an ⬆️ in incontinence

A

stage II

26
Q

which stage of alzheimers may cause sundowning

A

stage II

27
Q

which stage of alzheimers has hyperorality

A

stage III

28
Q

which stage of alzheimers has hyperetamorphosis

A

stage III

29
Q

which stage of alzheimers has personality changes

A

stage III

30
Q

which type of med may be effective in slowing the progression of dementia

A

cholinesterase inhibitors

31
Q

what are good ways to help w/ nutrition in dementia pts

A

observe for swallowing problems
finger foods
offer fluids frequently

32
Q

what hormone is ⬆️ w/ cholinesterase inhibitors

A

acetylcholine

33
Q

which mad has s/e N, D, ha, insomnia, dizziness, abnormal dreams, depression

A

acholinesterase inhibitors

34
Q

what causes a cholinergic reaction

A

cholinesterase inhibitors

35
Q

what are s/s of cholinergic reaction

A

N, sweating, ⬇️ pulse, ⬇️ BP, respiratory depression, seizure, death

36
Q

what type of drug is Cognex

A

cholinesterase inhibitor

37
Q

what type of drug is Reminyl

A

cholinesterase inhibitor

38
Q

what type of drug is Exelon

A

cholinesterase inhibitor

39
Q

what type of drug is Aricept

A

cholinesterase inhibitor

40
Q

what do neurotransmitter inhibitors increase

A

Glutamate

41
Q

which med slows the progression of dementia in the mid-late stages

A

neurotransmitter inhibitors

42
Q

what med has s/e - ha, dizziness, confusion, constipation, htn, cough

A

neurotransmitter inhibitors

43
Q

what type of drug is Namenda

A

neurotransmitter inhibitor

Mental Health - Exam 3 (8 decks)

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