Neuromuscular Dysfunction Flashcards
What is CP?
Permanent disability associated with prenatal, perinatal and post natal causes such as prenatal or postnatal asphyxia, kernicterus, maternal infection, shaken baby syndrome, severe hypoglycemia
What causes CP?
Pre-existing neonatal problems, most is a preexisting brain abnormality
Spastic CP
Tense contracted muscles, increased muscle tone with decreased deep tendon reflexes and clonus, contacted elbows and fingers, motor weakness, impaired fine and gross motor movements, some have seizures and they are scoliosis prone
Athetoid CP
Constant uncontrolled motion of limbs, head and face, increased movements with stress, normal deep tendon reflexes, distortion of the face, increased drooling
Ataxic CP
Wide gait, disturbed coordination, lack of equilibrium, hyporeflexia, slurred speech, dancing eyes, can not gage distance or speed
Mag Sulfate for CP
When given prior to delivery decreases the risk of CP in those newborn
Dantrolene
Given orally for muscle spasms, side affects include: heptotoxicity, drowsiness, fatigue, muscle weakness
Baclofen
Given orally for muscle spasms, side affects include: diaphoresis, constipation
Diazepam (Valium)
Given orally for muscle spasms, side affects include: dizziness, drowsiness, lethargy, drug dependence
Botulinum
Give as an injection to decrease muscle spasms, inhibits the acetylcholine at the neuromuscular receptor site, injection painful, side affects include: hypotonia, somnolence, seizures, nausea, headaches
Anti-epileptic drugs
Tegretol, depokote, Dilantin
Spina Bifida
Failure for the neurotube to close and compromised protective sheath
Causes of spina bifida
Drugs, radiation, malnutrition, lack of folic acid, chemicals, genetic mutation, obesity, hot tub use
Spina bifida treatment
Surgery
