Final Review Chap. 5, 6, 7, 9 Flashcards

1
Q

Autonomic storming

A

aka dysautonomia
happens early in recovery phase - typically stops within months to weeks
tachycardia, hypertension, tachypnea, hyperthermia, dystonia, posturing, and diaphoresis

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2
Q

dysphagia and severe TBI

A

rates can be as high as 90%
very common
high risk of asp. PNA

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3
Q

incidence of seizure post TBI

A

22x more likely to die from a seizure d/o

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4
Q

signs of DVT

A

swelling, increased temp of the limb, pain

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5
Q

signs of PE

A

SOB, low 02, high HR, pain

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6
Q

nociceptive pain

neuropathic pain

A

pain from peripheral nerve

pain from primary lesion in CNS

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7
Q

primary headache

A

due to no specific cause

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8
Q

treatment of migrain

A

initially

aspirin, acetaminophen, caffeine

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9
Q

phase of migraines

A

prodrome, aura, headache, postdrome

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10
Q

epilepsy vs. post traumatic seizure

A

epilepsy - seizures lasting longer than 5 mins or so close together that they are cannot be measured ; higher mortality rate

post traumatic seizure -
early - within 1 week
late - occur after 1 week and likely to be long term issue — common over age 65 and in missile wounds

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11
Q

chances of TBI to die from seizure

rate of seizure disorder

A

22% more likely

4-50%

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12
Q

tension type headache

A

caused by muscle strain / tension ;
do not get worse with other symptoms
use NSAIDs commonly

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13
Q

cervicogenic headache

A

HA caused by neck pain

nerve injections in back of neck and severing the nerves

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14
Q

temporomandibular HA

A

cause by TMJ joint pain/ tightness

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15
Q

migraine symptoms

A

unilateral ; sensitive to light/ sound

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16
Q

spasticity

A

velocity dependent increase in tonic stretch
sudden nonvoluntary
caused by UMN damage

17
Q

hyperreflexia

A

overreactive, overresponsive

tendencies of muscles to over react due to UMN damage

18
Q

contractures

A

shortening or hardening of muscle due to inactivity

19
Q

Disorders of consciousness continuum

A

coma -> veg. state -> minimally consciuous

20
Q

coma

A

no eye opening, impaired breathing, impaired brainstem reflexes, no vocalization >1 hr

21
Q

veg. state

A

eyes open, arousal but no awareness ; no purposeful behavior
spontaneous breathing

22
Q

minimally conscious

A

eyes and breath ok ; emerging awareness with occasional manipulation ; smile and laugh

23
Q

agnosia

A

lack of awareness or denial of paralysis / limb

24
Q

coping hypothesis

A

fatigue may from increase in compensatory efforts

25
Q

measuring fatigue

A

no single reliable/ valid way
leaning towards dx tools of Epworth Sleepiness Scale
Pittsburgh Sleep Quality Index

26
Q

fatigue

A

awareness of a decreased capacity for physical and/or mental activity due to an imbalance in the availability, utilization and/or restoration of resources needed to perform activity

27
Q

impact of fatigue

A

can be long term persistent

leads to isolation, decreased energy