weeks 5 and 6 Chronic/Patho Mobility & Oxygenation/ perfusion 1 Flashcards

1
Q

Multiple sclerosis what symptoms would be likely see

A
  • balance issues/gait changes -weakness -fatique -pain -numbness -bowel and bladder issues -impaired communications - speech issues - eye changes (diplopia = double disions)
  • swallowing issues

This is a demyelinating disease of the CNS

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2
Q

Ataxia

A

poor coordination and unsteadiness

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3
Q

Is daily exercise good for individuals with MS

A

yes, but with frequent rest periods so body temperature doesn’t raise which would worsen symptoms

stress can also worsen the symptoms

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4
Q

Someone who has MS is typically on Interferon, what should we educate the client on while taking that drug

A
  • wearing sunscreen
  • rotation of IV site
  • common side effects will mimic flu-like symptoms
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5
Q

how much exercise should someone get with osteoporosis?

A

Regular weight bearing exercises 20- 30 min a day

weight training stimulates bone mineral density

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6
Q

T/ F antiacids have calcium in them

A

true

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7
Q

what would someone with osteoporosis take for pharm treatments?

A
  • calcium and vitamin D
  • Bisphosphonates
  • Calcitonin
  • Estrogen agonists/ .antagonists SERMS
  • parathyroid hormone
  • receptor activator of nuclear factor Kappa- B ligand inhibitor
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8
Q

What should we not take with bisphosphonates?

A

calcium supplements or antacids that calcium are in them

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9
Q

Estrogen promotes bone health T/F

A

True

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10
Q

what are some medications that promote bone loss?

A

Corticosteroids, antiseizure, heparin, thyroid hormone

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11
Q

Little Vitamin D can be a risk factor for what disease?

A

Multiable sclerosis and osteoporosis

MS also has high relevance with people in temperature extremes, woman, some infections such as epstein bar, diabetes mellitus type 1, thyroid disease and IBS, emotional trauma and pregnancy

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12
Q

What is activated when someone has MS?

A

they will have HLA-DR2 which is present when the T-cells are activated

Too many T cells in people with MS causing Meylin breakdown

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13
Q

What will we see on the white matter with MS?

A

hard sharp sclerotic plaques

Stage 1 is inflammation
Stage 2 is plaque formation (gliosis) and demyelination

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14
Q

how is MS diagnosied?

A

Disease of exclusion

  • requires 2 or more neurologic attacks
  • MRI reveals MS plaque or scarring
  • Evoked potential - reveal slow conduction of nerve impulses
  • elvation of IgG and the presence of oligoclonal band in 90-95% of patients with MS (immune system abonrmality)
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15
Q

Treatments of MS?

A

goal is to delay the progression.

reduce autoimmune response- interferon beta 1b

reduce spasity dantrolene

anticonvulsants for parathesias

speech and vision therapy
stretching and ROM
Adaptive equipment
PT

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16
Q

There are 4 kinds of MS what is the most common

A

Relapsing-Remitting

clears relapses with stable between relapses

17
Q

what are the risk factors of osteoporosis?

A
White or Asian,
small bone structure,
low body weight,
post-menopausal (estrogen diffident) 
advanced age
family history
-high protein diet
-people on antacids because it interferes with calcium absorption
18
Q

what drugs and diseases are risk factors for Osteoporosis?

A
  • Cushing disease
  • celiac disease
  • diabetes mellitus
  • anorexia Nervosa
  • hyper thyroid
  • RA

Drugs; aluminum-containing antacids

  • anticonvulsants
  • heparin
  • corticosteroids

Surgical: gastrectomy

19
Q

what do we do to measure bone density? what test?

A

DEXA scan

20
Q

what is the main difference between rheumatoid arthritis and osteoarthritis?

A

Rheumatoid has inflammation and Osteo does not.

osteoarthritis: has loss of hyaline cartilage of joints on articular surfaces, “early morning stiffness”

Rheumatoid arthritis: systematic autoimmune
Rheumatoid factor combines with IgG forming immune complex causing inflammation of synovial membranes
, Muscle atrophy decreased joint mobility

21
Q

What kinds of tests and treatments can be done for osteoarthritis?

A

Bone Scan

  • CT
  • MRI
  • X-ray

Treatments: rest and joint protection
heat and cold application
-nutritional therapy and exercise
- joint replacement

22
Q

What kinds of tests and treatments can be done for Rheumatoid Arthritis?

A
  • Rheumatoid factor
  • Erythrocyte sedimentation rate (ESR)
  • OTher inflammatory markers (CRP)
  • Xrays

Treatment: PT
Occupational therapy
-joint replacement

23
Q

what can we find that is similar with RA and MS?

A

similarities of T cells and tumor necrosis factor (TNF) in both disease

24
Q

Basilar and vertebral stroke

A

cerebellum and brain stem

balance issues, vertigo, dysphagia, dysphonia, visual issues

25
Q

posterior cerebral sroke

A

occipital lobe so all of all eye issues, and color
thalamus issues like cause sensory issues and spontaneous pain and tremors

hemiparesis: one-sided paralysis

26
Q

Middle cerebral stroke?

A

most of the lateral hemisphere and deep structures of the fronter

face and arm -contralateral hemiplegia
altered consciousness, inability to turn eyes toward paralyzed sized

27
Q

anterior cerebral stroke?

A

the medial frontal lobe, paralysis of contralateral foot or leg
problems making decisions, slowness, urinary incontinence

28
Q

asthma plan with peak flow meter at the same time every day twice a day for three weeks to understand personal best.
what are the zones

A

15 min before physical activity

Green zone peak flow meter shows 80% or above

yellow zone peak flow meter 50-79% cough , wheezing and chest tightness
and use a quick relief mediaton

Red zone is anything under 50%

29
Q

What is the short-acting Bronchodilator?

A

Anticholinergics, Beta 2 (Albuterol)