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2514 Patho/phys/assess > Week 7 Neuromuscular Disorders > Flashcards

Week 7 Neuromuscular Disorders Flashcards

1
Q

Meds for Parkinsons

A

Levodopa
Levodopa/carbidopa- advanced
Pramipexole (Mirapex) - early
*Selegiline (Deprenyl) - early
Anticholinergics

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2
Q

Meds for MS

A

Methylprednisolone (Solu-medrol)
Mitoxantrone (novantrone)
Baclofen (Lioresel)
Gabapentin (Neurontin)

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3
Q

Complications of neuromuscular disorders

A
  1. Aspiration
  2. PN
  3. UTI
  4. Pressure sores
  5. Malnourishment
  6. Falls
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4
Q

How many sacral vertebrae

A

5

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5
Q

How many coccygeal vertebrae

A

4

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6
Q

How many cervical vertebrae

A

7

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7
Q

How many thoracic vertebrae

A

12

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8
Q

How many lumbar vertebrae

A

5

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9
Q

Above C4 problem

A

Can’t breathe
-lose respiratory muscle function

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10
Q

Above C8 problem

A

Tetraplegia

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11
Q

T1-T6 problem

A

Para plegia
-trunk & legs no feeling

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12
Q

Above T6 problem

A

Cardiovascular changes
-bradycardia
-hypotension

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13
Q

Clinical manifestations of spinal cord injury

A
  1. DVT
  2. GI system
  3. Urinary system
  4. Cardio system
  5. Respiratory system
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14
Q

Causes of peripheral neuropathy

A
  1. DM
  2. Hypothyroidism
  3. Vitamin deficiencies
  4. MS
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15
Q

Neuromuscular exam

A
  1. Mental status
  2. Cranial nerves
  3. Motor
  4. Sensory
  5. Cerebellar
  6. Reflex testing

Many children make salsa chip runs

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16
Q

Triggers of MS

A

Infection
Stress
Fatigue

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17
Q

Neuro exam saying

A

Many children make salsa chip runs

18
Q

Parkinson’s classic triad

A

Bradykinesia- hard to initiate movement

Rigidity- Increased muscle tone- cogwheel, Jack-knife, monotone- swallow issues- face emotionless

Tremor at rest -pill rolling- prominent at rest/aggravated by stress/concentration

19
Q

Early signs of Parkinson’s

A

Unilateral
Mild tremor
Slight limp
Arm swing

20
Q

Later stages of Parkinson’s

A

Bilateral
Shuffle
Propulsive gait
Loss of postural reflexes
Speech pattern changes

21
Q

Dopamine is responsible for

A

Trunk support
Voluntary motion
Posture

22
Q

Complications of neuromuscular disorders

A

Respiratory - aspiration PN and respiratory failure b/c impaired swallow = aspiration= chest infection/PN

Nutrition - malnutrition and dehydration

Skin - pressure sores, infection, contractures

Elimination - urinary retention, incontinence , uti, constipation

Safety - falls

23
Q

What is significant about T6 level?

A

SCI above T6 decrease SNS
Bradycardia and vasodilation occur. =BP and venous return drops
Blood pools in legs
*Shock *

24
Q

What is significant of high Cervical SCI?

A

Above C4= respiratory loss
Phrenic nerve must function for below C4. Still affects ventilation (diaphragm muscles impaired).

25
Q

Injuries at thoracic level impact this

A

Abdominal muscles= can’t cough (protective )

26
Q

Post SCI assess these systems

A
  1. CNS - pain (spasm)
  2. Resp. - lung collapse (atelectasis), PN, etc
  3. Cardio - Brady, hypotension, DVT
  4. GI - hypomotility =constipation
  5. GI- retention, UTI, incontinence
  6. Skin- sores/ ulcers
  7. Musculoskeletal- atrophy, contractures
  8. Mental health - depression
27
Q

Which cranial nerves are sensory

A

1- Olfactory
2 - Optic
8- Accoustic

28
Q

Which cranial nerves are motor

A

4- Trochear
6- Abucens
11- Spinal
12- Hypoglossal

29
Q

Which cranial nerves are both sensory and motor

A

3 - occulomotor
5- Trigeminal
7- facial
9- glossalpharhyngeal
10- vagus

30
Q

Cranial nerve 1

A

Olfactory
smell

31
Q

Cranial nerve 2

A

Optic
sight

32
Q

Cranial nerve 3

A

Occulomotor
- eyelids
- pupils

33
Q

Cranial nerve 4

A

Trochear
- eyes cross and look down

34
Q

Cranial nerve 5

A

Trigeminal
- chewing muscles
- face sensory

35
Q

Cranial nerve 6

A

Abucens
- eyes side to side

36
Q

Cranial nerve 7

A

Facial
- face muscles
- taste
- PNS
- Saliva/tears

37
Q

Cranial nerve 8

A

Accoustic
- hearing/balance

38
Q

Cranial nerve 9

A

Glossalpharyngeal
- speak
- swallow
-taste

39
Q

Cranial nerve 10

A

Vagus
- voice
- swallow
- sensory (organs)

40
Q

Cranial nerve 11

A

Spinal
- traps
- sternocleiodmastoid muscles

41
Q

Cranial nerve 12

A

Hypoglossal
tongue

2514 Patho/phys/assess (27 decks)

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