Quiz 4 Flashcards
what are two diagnoses that would involve a tracheotomy?
Tumors
Vocal Cord Paralysis
What is a passy muir valve and why is it important?
it redirects airflow through the vocal folds, mouth and nose enabling voice and improved communication
allows for person to use speech
What is the function of the vagus nerve?
provides motor/sensory innervation to the palate, pharynx, esophagus, stomach, and respiratory tract
What is the function of the trigeminal nerve?
innervation of the oral tongue, motor innervation to mastication of muscles
What is the function of the glossopharyngeal nerve?
provides sensory information to oropharynx and the base of the tongue
What is a dysphagia complication for Left CVA?
apraxia of swallow
What is a dysphagia complication for close head injury?
decreased bolus control
What is a dysphagia complication for spinal cord injury?
decreased airway closure due to decreased laryngeal motion
What is a dysphagia complication for parkinson’s disease?
decreased tongue base retraction (results in residue in vallecula and pyriform sinuses)
What is an advantage and disadvantage of MBS?
Adv- can see all stages of swallow in real time
Dis- equipment is not portable/exposure to radiation
What is an advantage and disadvantage of FEES?
Adv- no radiation
Dis- cannot see during the swallow
What are the basic components of radiation safety?
Time - minimized # of procedures/amount of time
Distance - know the field, where you stand effects radiation
Shielding - need appropriate shields, thyroid cover
Intensity - pulse, for pediatrics need to calibrate equipment
What is the Liquid hierarchy?
Thin - no restrctions
Nectar - buttermilk, tomato juice, mix w/ nectar thick
Honey - mix to honey consistency
Pudding - mix to pudding consistency
What is the Solids hierarchy?
Regular - no restrictions
Soft - no hard, sticky, or crunchy foods, should avoid crusty/dry bread, nuts, apples, dry fruit, raw veggies and corn
Mechanical Soft - foods are moist, soft and cohesive, avoid rice, corn, bread, nuts, stringy, or dry foods
Pureed - puree and cohesive foods, no mixed textures, nothing that requires chewing
