Alzheimer's Flashcards

(35 cards)

1
Q

AD is similar

A

dementia

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2
Q

AD

A

Chronic, progressive, neurodegenerative brain disease** = no cure
slow death

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3
Q

AD is One of the most feared disorders of modern times due to

A

catastrophic consequences

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4
Q

What gender has AD more and dies more?

A

women

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5
Q

AD is fatal in

A

8-10 years after dx

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6
Q

Etiology of AD

A

UNKNOWN but likely multiple factora

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7
Q

Risk Factors of AD

A

AGE >65 (not alone needs another factor)
Family Hx = 1st-degree relative with dementia
higher if more than 1 relative
HTN
Obesity
stroke
hyperlipidemia
DM
Head trauma

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8
Q

AD is not a normal part of

A

aging

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9
Q

Familian Alzheimer’s disease

A

clear inheritance pattern
onset before 60
rapid disease discourse

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10
Q

Sporadic Alzheimer’s disease

A

no familial connection

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11
Q

Genetic Link of AD

A

An increase in Beta-amyloid protein increases risk

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12
Q

Cardiovascular Risk Factors

A

health of brain closely related to health of the heart and blood vessels
HTN
Obesity
stroke
hyperlipidemia

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13
Q

Diabetes in relation to AD

A

Chronic high levels of insulin & glucose may be toxic to brain
Insulin resistance interfere with ability to breakdown amyloid

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14
Q

Patho of AD

A

Beta-amyloid protein production contain plagues that disable memory and cog functions
- neurofibrillary tangles
- loss of connections btw neurons
neuron death

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15
Q

Plagues of Beta-amyloid

A

consists of clusters of insoluble deposits of a protein

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16
Q

Neurofibrillary tangles

A

are abnormal collections of twisted protein threads inside nerve cells. The main component of these structures is a protein called tau.

17
Q

Areas of the brain affected by Alzheimer’s

A

intelligence
judgment
behavior
memeory
language

18
Q

10 Warning Signs of AD

A
  1. Memory loss*******
  2. Difficulty performing familiar tasks
  3. Problems with language
  4. Disorientation to time and place (silver alerts)
  5. Poor or decreased judgment
  6. Problems with abstract thinking
  7. Misplacing things (ex: put milk in pantry not refrigerator)
  8. Changes in mood or behavior (flat)
  9. Changes in personality
  10. Loss of initiative
19
Q

AD Memory changes

A

forgets entire experience
rarely remembers later
gradually unable to follow direction
gradually unable to use notes as reminders
Unable to care for self

20
Q

Normal Memory changes

A

forgets part of an experience
often remembers later
able to follow directions
able to use notes and reminders
able to care of self

21
Q

Retrogenesis

A

Stop and go backward toward a kid with an older body
-brain deteriorates and stops the functioning of the body

22
Q

AD is also known as

23
Q

What is the definitive dx for AD?

A

No definitive diagnostic test exist for AD
Diagnosed by exclusion
Definitive diagnosis requires an autopsy

24
Q

Brain Imaging Test

25
Neuropsychologic Testing
Mini-Cog: same thing over and over Mini-Mental State Exam (MMSE): same test every visit and fewer the recognition the worse it gets (Orientation to time, registration, naming, reading)
26
PET scan shows
Hypometabolism in many areas of the brain in AD
27
AD Tx
NO CURE exists to stop the deterioration of brain cells in AD **control undesirable s/s provide support for caregiver**
28
Memantine (Namenda)
NMDA receptor agonist: protects nerve cell against excess amounts of glutamate
29
Cholinesterase Inhibitors
**Donepezil (Aricept)**, rivastigmine (Exelon)
30
Antidepressants
Sertraline (Zoloft), citalopram (celexa), fluoxetine (Prozac)
31
Antipsychotic drugs
Haloperidol (Haldol), risperidone (Risperdal)
32
goal of AD
maintain functional ability as lon as possible dignity maintained
33
AD Nurse Mgmt
Rhythm Safety Autonomy Reduce anxiety and agitation Improve communication Socialization Nutrition Balanced activity/rest Educate home and community assistance
34
Sundowning
up and alert at night and fights
35
How do you communicate with AD pts?
play along with them