Development Flashcards
What is the Moro reflex?
responds to loud noise by startle
CP Assessment findings
- feeding difficulties
- stiff, rigid arms/legs
- primitive infantile reflexes don’t go away
Spastic Cerebral Palsy
common
stiff, jerky movements and have a hard time holding things and letting things go
Diplegia CP
lower body only
Athetoid CP
involuntary movements and interferes with speaking, feeding, reaching, grasping
Dyskinetic CP
marked by abnormal posturing, tone, and involuntary movements
Ataxic CP
rare
balance and depth perception difficulties
Monoplegia CP
one limb
What medications have little effect in improving muscle coordination but are effective in improving overall condition?
dantrium, lioresel, valium
Which medication dantrium, lioresel, or valium had a very long half-life?
valium
Which medications help decrease muscle spasticity?
catapres and zanaflex
How is botulium toxin A (botox) used for CP?
goal is to allow stretching of muscle as it relaxes and permits ambulation
Onset of action for botox?
24-72hrs
Peak of botox?
2 weeks
Duration of botox?
3 months
What is the baclofen pump?
surrounds spinal cord to provide relief of spasticity
What 6 medications prevent seizures and neuropathic pain
- tegretol
- valproate sodium
- valproic acid
- depakote
- laictal
- neurotin
When is the onset of muscular dystrophy?
3-5 years of age
What serum enzymes are high with muscular dystrophy?
CPK and AST
What are 7 manifestations of muscular dystrophy?
- waddling gait
- frequent falls
- gower sign
- lordosis
- enlarged calf muscles
- muscular atrophy
- foot drop
How do you diagnose a cleft lip/palate?
insert gloved hand into child’s mouth and feel around
What manifestation is unique to CP?
increased incidence of dental caries and gingivitis
