Lecture 7 Flashcards

1
Q

what are the stages of swallowing?

A

oral voluntary
pharyngeal involuntary
esophageal involuntary

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2
Q

what are some signs and symptoms of swallowing challenges in Peds?

A

respiratory distress during or immediately following feeding

frequent chest infections

if the child refuses oral feeds

weight loss or dehydration from not being able to eat enough

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3
Q

what are some signs and symptoms of swallowing challenges in adults?

A

coughing during or right after eating or drinking

wet or gurgle sounding voice during or after eating or drinking

extra effort or time needed to chew or swallow

food or liquid leaking from the mouth or getting stuck in the mouth

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4
Q

what are some diagnostic tests for swallowing challenges?

A

barium x ray

videofluroscopic swallowing study

fiberoptic endoscopic evaluation of swallowing

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5
Q

what is a barium x ray?

A

drinking a barium solution which coats the inside of the esophagus so the Dr can see changes in the shape and movement of muscles in the esophagus on the x ray

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6
Q

what is videofluroscopic swallow study?

A

an x ray study the subject swallows barium mixed with food/liquid. then x rays are taken of the food and barium combination as it enters the oral cavity and travels into the esophagus

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7
Q

what is fiberoptic endoscopic evaluation of swallowing

A

an endoscopist passes a thin and flexible tube passes down the nose and throat

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8
Q

what are some OPIs associated with feeding?

A

difficulty coordination suck, swallow, breathe

lack of head/trunk control affecting independent sitting

delayed fine motor skills impacting self feeding

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9
Q

what are some examples of interventions for feeding?

A

parent education
positioning, adaptive equipment or adaptive strategies
modification of food and liquid textures that are easier and safer to swallow

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10
Q

what is another intervention option for feeding?

A

sugical- tubes

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