Duchenne_Muscular_Dystrophy_flashcards (1)

1
Q

What is the role of physiotherapy in Duchenne Muscular Dystrophy?

A

Physiotherapy helps prevent contractures.

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2
Q

Why are exercise and psychological support necessary in Duchenne Muscular Dystrophy?

A

Exercise and psychological support are necessary to maintain physical function and mental well-being.

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3
Q

What surgical procedures may be required for Duchenne Muscular Dystrophy patients?

A

Tendoachilles lengthening and scoliosis surgery may be required.

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4
Q

How do glucocorticoids like prednisolone help in Duchenne Muscular Dystrophy?

A

Glucocorticoids like prednisolone may help delay wheelchair dependence.

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5
Q

What is Ataluren and what is its significance in Duchenne Muscular Dystrophy treatment?

A

Ataluren is a drug that restores dystrophin synthesis and has conditional licensing for patients 5 years and over.

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6
Q

Why might a dietician be involved in the care of a Duchenne Muscular Dystrophy patient?

A

A dietician may be involved for gastric feeding, and to provide vitamin D and calcium supplementation to prevent and treat bone fragility.

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7
Q

What is a potential consequence of intercostal muscle weakness in Duchenne Muscular Dystrophy?

A

Weakness of intercostal muscles may lead to nocturnal hypoxia.

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8
Q

How can nocturnal hypoxia present in Duchenne Muscular Dystrophy patients?

A

Nocturnal hypoxia may present with daytime headache, irritability, and loss of appetite.

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9
Q

What respiratory support might be needed for Duchenne Muscular Dystrophy patients?

A

Overnight CPAP may be indicated for respiratory support.

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10
Q

What cardioprotective measures might be considered for Duchenne Muscular Dystrophy patients?

A

If the left ventricular ejection fraction drops, cardioprotective drugs (e.g., carvedilol) and left ventricular assist devices may be considered.

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