neuromuscular disorders Flashcards
1
Q
guillain barre
A
paralysis of skeletal muscles
2
Q
guillain barre symptoms
A
- peripheral tingling/numbness
- progressively ascending muscle paralysis
* ground to brain
3
Q
causes of guillain barre
A
- upper respiratory illness
- influenza
- measles
- mumps
- hep A/B
4
Q
myasthenia gravis
A
excessive muscle weakness
*mind to ground
5
Q
mysthenia gravis symptoms
A
- muscular weakness
- double vision
- drooping of the eyelids
- weakness in face/jaw/neck
- difficulty speaking/swallowing/chewing
6
Q
tensilon test
A
to confirm MG
intravenous adm of tensilon will show immediate improvement in muscle weakness
7
Q
GB/MG PFT
A
decreased VC RV FRC TLC
8
Q
GB/MG xrays
A
- atelectasis
2. normal w appropiate ventilatory support
9
Q
GB/MG management
A
- monitor vital sings
- monitor VC, MIP
- lung expansion (IS, deep breathing/cough, CPT)
- O2 therapy *may be refractory to hypoxemia
10
Q
myasthenia gravis meds
A
anticholinesterase agents- improve muscle strength
- neostigmine
- pyridostigmine
*care not to overmedicate
11
Q
drug overdose signs/symtoms
A
- marked respiratory depression
- confusion, hallucinations, delirium
- comatose
- convulsions/seizures
12
Q
tx for drug oversode
A
narcan IM/IV
13
Q
muscular dystrophy diagnosis
A
- enzyme testing
- elevated CK indicate damaged muscles - electromyography (EMG)
- needle electrode measures electrical activity in muscle tissue - genetic testing
14
Q
assessment for neuromuscular disorders
A
remember to assess electrolytes
15
Q
tetanus
A
lockjaw
