T 3 - CNS - Brain -Alzheimers, Parkinsons, Huntingtons

Question 1

Alzheimers patho
_______ tangles
_______ plaques

Answer 1

neurofibrillatory tangles

amyloid plaques

Question 2

A progressive neurologic disorder that affects the brain and results in cognitive impairments like impaired thinking, memory loss, and bizarre behavior

Answer 2

Alzheimers

Question 3

Alzheimers symptoms

Answer 3

• forgetfulness and s.t. memory loss
• difficulty learning and remembering new info
• changing personal hygeine and appearance
• personality changes

-later symptoms = language and motor skills lost

Question 4

Alzheimers nursing care

Answer 4

• establish effective communication
• protect pt from injury by providing a safe supervised environment
• refer family to social services
• assess the pt
• encourages pt and family to express feelings of loss

Question 5

Alzheimers safety measures

Answer 5

• provide a safe and supervised environment
• assess family’s ability to care for pt
• make sure pt is free from injury

Question 6

What race is more at risk for alzheimers?

Answer 6

African americans

Question 7

What environmental agents could put you at risk for alz?

Answer 7

viruses

toxic metals

Question 8

What injury can put you at risk for ALZ

Answer 8

head trauma, concussions

Question 9

Is gender and family history a risk factor for alz?

Answer 9

yes

Question 10

Should alz pt’s exercise?

Answer 10

Yes walking or swimming

Question 11

What kind of diet is helpful with alzheimers?

Answer 11

Dark colored fruits and veggies, folate, vit B12, C and E

Question 12

Priorities of care with alzheimers (7)

Answer 12

1. Interventions and support
2. Memory training and cognitive stim
3. structuring the environment
4. orientation and validation therapy
5. promote self management
6. promote bowel and bladder continence
7. promote communication

Question 13

Alzheimers

Main drug =

Answer 13

donepezil (aricept)

Question 14

Alzheimers drug classes? (3)

Answer 14

1.Cholinesterase inhibitors
donezepil, galantamine
2.Memantine
3.SSRI’s

Question 15

Degeneration of the substantia Nigra results in: decreased production of ________

Answer 15

dopamine

Question 16

Decreased production of dopamine is the etiology of what disease?

Answer 16

Parkinsons

Question 17

In parkinsons the basal ganglia are overstimulated by ____________

Answer 17

acetylcholine

Question 18

Parkinsons Management

Answer 18

Relieving symptoms
-Maintaining highest level of function possible
-drug therapy
physical therapy

Question 19

Parkinsons Nursing care

Answer 19

Mobility
Nutrition
Psychological
Speech

Question 20

What medications (classes) for parkinsons

Answer 20

Dopamine agonists

anticholinergics

Question 21

What medications (classes) for parkinsons

Answer 21

Dopamine agonists

anticholinergics

Question 22

Is huntingtons autosomal dominant or recessive?

Answer 22

Dominant

Question 23

In huntingtons there is a decrease in _______

Answer 23

GABA

Question 24

In huntingtons there is an increase in ________

Answer 24

glutamate

Question 25

How old are you when you start to develop huntingtons?

Answer 25

30-50

Question 26

Why would you get huntingtons?

Answer 26

It is hereditary

Question 27

What type of movements are associated with huntingtons?

Answer 27

choreiform

Question 28

What does a choreiform movement look like?

Answer 28

Brisk, jerky and purposeless

Question 29

There is one drug we learned for huntingtons, what is it?

Answer 29

Tetrabenazine

Question 30

Alzheimer’s disease effects how many people in the US?

Answer 30

5.1 million