Neuro Flashcards
What are the two major functions of the cerebellum?
Coordination of voluntary movements
Maintenance of balance and posture
What tests are used for assessing coordination and which brain structure is tested?
Cerebellum
Finger tapping - ability to touch each finger of one hand to the hand’s thumb
Rapid alternating movements - rapid supination and pronation
Finger to nose - client touches the clinician’s finger and then their own as the clinician moves their finger
Heel to shin test - client runs each heel down each shin while in a supine position
What is Bupropion used for?
What is its generic name?
What is a very important side effect to consider?
What are general teaching instructions for this medication
- Atypical antidepressant used to treat depression
- Seizures are a particular concern with Welbutrin if absorbed too fast
Instructions for welbutrin:
o Limit alcohol
o Do not double up dose if a dose is missed
o Take the medication at the same time each day
o Effects will often need a couple weeks to manifest
o Weight loss may occur when taking this medication
Describe what should be avoided after cataract surgery. Why is this teaching delivered?
• Activities that increase intraocular pressure should be avoided:
o Bending – vacuuming, playing golf
o Lifting more than 5 lbs
o Sneezing
o Coughing
o Straining during a BM
-Use laxatives or more fibre or fluids in the latter case
After cataract surgery, what does purulent drainage, increased redness and severe pain indicate?
infection and should be reported to HCP
After how long will visual acuity return after cataract surgery?
Why are patients instructed to sleep on 1 or 2 pillows?
What are common experiences following cataract surgery (that a client may think is more serious)?
1-2 weeks before visual acuity is improved
Sleeping on 2 pillows will elevate the HOB and decrease IOP
Common to experience itching, photophobia and mild pain for several days post-procedure
Differentiate between Anorexia nervosa and bulimia nervosa for the following:
Weight
Main fear
Types
Anorexia
- significantly low weight
- intense fear of gaining weight
- Subtypes:
- binge/purge
- restricting (diet, fasting, exercise to excess)
Bulimia nervosa
- weight within or above normal range
- preoccupation with weight and shape
- binge eating and comprensator behaviour
Autoimmune disease of NMJ (neuromuscular junction) resulting in fluctuating muscle weakness.
Myasthenia gravis
Myasthenia gravis is often precipieted by what?
What symptoms are assocaited with MG?
infection, undermedication, stress
Respiratory muscle weakness, respiratory failure, oropharyngeal muscle weakness
How is MG treated?
What is the MOA of the drug?
pyridostigmine - increases amount of ACh at the synaptic junction
What is the use of sumatriptan?
Drug used for migraines (characterized by pulsatile throbbing, unilateral head pain with or without aursas, photophobia, nausea and vomiting)
What is a potential complication of parathyroidectomy?
What signs and symptoms would you look for/what test would help with diagnosis?
Hypocalcemia
Trousseau’s sign - BP cuff on arm and inflate above SBP and hold in place for 3 minutes –> induces spasm of muscles of hand and forearm if positive
Chovstek’s sign - tap the face at the angle of the jaw and observe for contraction on the same side of the face - positive
Describe phalen’s maneuver and its indication.
for carpal tunnel – hyperflexion of wrists and hold against, elbows in place
electric-shock like pain in the lips and gums and severe pain along the cheekbones
Trigeminal neuralgia
Trigeminal neuralgia indicates damage to which cranial nerve?
V - trigeminal nerve
