myasthenia gravis Flashcards
James Crosby human needs deficit
due to
evidenced by
deficit in skin and mucous membrane integrity of h&n
due to smoking
evidenced by enlarged gingiva
t/f:
in embryo, eyes are first known as lens placode
true
t/f:
during 6th week of development face begins to form
false
t/f:
patient w/ MG should have late/evening appointments
false
t/f:
term for drooping eyelids is called ptosis
true
what is mr. Crosby has a core value
autonomy
eyes located on which surface of body
anterior surface
second cranial or ____ passes through optic canal to reach eyeball
optic nerve
first drug of choice for person w/ MG
mestinon
2st nerve division of sensory tooth of trigeminal nerve
ophthalmic
weakness of eye movements w/ double vision
diplopia
drooping eyelids
ptosis
difficulties swallowing
sysphagia
drugs for myasthenia gravis
corticosteroids
cyclosporine
azathioprine
pyrdostigmine bromide oral
vital signs at normal condition what should temp be
98.6
t/f:
first drug of choice for MG is mestinon
true
t/f:
early peak is about age 19
false
t/f:
treatment w/ immunosuppressive drugs makes pt vulnerable to infections
true
common predisposing factors for myasthenia gravis
emotional excitement surgical procedures loss of sleep alcoholic intake infections
causes of myasthenic crisis
increased severity of disease
infections including oral
alcoholic intake
causes of cholinergic crisis
muscle weakness
cramps
excessive pulmonary secretion
diplopia
trochlear: CN IV
ptosis
trochlear: CN IV
overmedication
cholinergic crises
difficult for pt to convey distress
vagus: CN X
undermedication
myasthenic crises
dysphagia
CN VII, facial
lack of facial expression
mandibular division of fifth NC or trigeminal nerve V3
donepezil hydrochloride (Aricept)
CEI
tacrolimus (Prograf)
immunosuppressive
Mestinon
cholinergic drug
mytelase
antichonesterase
galantamine (Reminyl)
CEI