409 6 Flashcards

(50 cards)

1
Q

a common thing people drink that can cause sz

A

caffeine

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2
Q

A generalized seizure is also called a

A

tonic-clonic seizure

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3
Q

Breathing during a tonic-clonic sz

A

Breathing may stop during the tonic phase and become irregular during the clonic phase

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4
Q

___ seizures consist of brief jerking or stiffening of the extremities, which may be symmetrical or asymmetrical.

A

Myoclonic

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5
Q

Atonic or akinetic seizures are characterized by

A

a few seconds in which muscle tone is lost

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6
Q

If the pt has a sz, what kind of disease should you test for

A

HIV

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7
Q

2 kinds of meds you shouldn’t take with phenytoin

A

O.C.s and blood thinners

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8
Q

2 types of surgical interventions for sz

A

VNS and removal of brain tissue

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9
Q

VNS: This procedure is performed under

A

general anesthesia

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10
Q

Sz: surgical removal of brain tissue is performed with the client

A

awake

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11
Q

PD: Teach the client ___ muscle strengthening exercises

A

facial

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12
Q

PD: why do you weigh them weekly

A

difficulty swallowing

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13
Q

The main point of using sinemet instead of levadopa

A

requires smaller dose, therefore reduces side effects

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14
Q

bromocriptine

A

DA agonist

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15
Q

benztropine is an anticholinergic, so monitor for

A

dry mouth, constipation, urinary retention, acute confusion

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16
Q

entacapone

A

COMT inhibitor

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17
Q

COMT inhibitors can be used with

A

DA agonists

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18
Q

COMT inhibitor: normal finding

A

dark urine

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19
Q

Stereotactic pallidotomy

A

surgical tx for PD where they make a lesion in the brain

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20
Q

Deep brain stimulation

A

surgical tx for PD

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21
Q

3 of the risk factors for AD

A

female
head injury
apoli E (genetic thing)

22
Q

AD dx test

A

There is no definitive diagnostic procedure, except brain tissue examination upon death (although tests are done to r/o other things)

23
Q

AD: Stimulate the client’s memory by repeating

A

the client’s last statement

24
Q

Most medications for clients who have dementia attempt to target

A

behavioral and emotional problems

25
Estrogen therapy for women may
prevent AD, but it is not useful in decreasing the effects of pre-existing dementia
26
a disease of the upper and lower motor neurons
ALS
27
MS follows several possible courses. The most common is
relapsing and remitting
28
MS dx test that reveals plaques of the brain and spine
MRI
29
MS: to treat diplopia
Apply alternating eye patches
30
MS: _____ agents are used to reduce the frequency of relapses
Immunosuppressive
31
MS: type of medication used to reduce inflammation in acute exacerbations
steroids
32
MS: Antispasmodics are used to treat muscle spasticity: What should you report to the doctor
Report increased weakness and jaundice
33
MS: Anticonvulsants are used for
paresthesia
34
ALS: ____ function is not usually affected
Cognitive
35
Med that can slow the deterioration in ALS
Riluzole
36
ALS: Riluzole must be taken
early in the disease
37
ALS: Riluzole will add approximately ____ months of life to the client’s overall lifespan.
2 to 3
38
Riluzole: store it
in the dark
39
MG: what's up with muscle strength
decreases with activity and improves with rest
40
one of the MG causes: coexisting
autoimmune disorder (i.e. lupus)
41
MG: Frequently associated with hyperplasia of the
thymus
42
MG: something to do with women that causes exacerbation
pregnancy
43
Tensilon testing is for what disease
MG
44
Tensilon testing: have the antidote ready, which is
atropine
45
Dx test that shows the neuromuscular transmission characteristics of MG.
Electromyography
46
MG medication and food rule
Provide small, frequent, high-calorie meals and schedule at times when medication is peaking.
47
Which disease: Apply a lubricating eye drop during the day and ointment at night if the client is unable to completely close his eyes
MG
48
MG: if the pt taking Anticholinesterase has weakness
discuss change in administration times with | the provider.
49
Pyridostigmine (Mestinon) and neostigmine (Prostigmin) are used to
increase muscle strength for MG pts
50
MG Surgical Intervention: removal of the
thymus