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Dysphagia Exam 1 > Deck 3/4/5 > Flashcards

Flashcards in Deck 3/4/5 Deck (26)
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1

CNs involved in swallowing

V- trigeminal
VII- facial
IX- glossopharyngeal
X- vagus
XI- accessory
XII- hypoglossal

2

name the 3 salivary glands and where they are located

1. parotid- big one in cheek
2. submandibular- under mandible
3. sublingual- under tongue

3

name the 3 pharyngeal constrictors

1. superior
2. medial
3. inferior

4

physiology of swallowing: oral prep phase

-lip strength
-tongue strength
-mandible/jaw control
-dentition condition
-velar strength

5

physiology of swallowing: oral transit

-tongue motility and coordination
-propel bolus into pharyngeal area to trigger swallow response

6

physiology of swallowing: pharyngeal phase

-VP closure
-posterior tongue retraction
-pharyngeal wall contraction
-laryngeal elevation
-hyoid excursion
-epiglottic inversion
-glottic closure
-CP sphincter opens

7

physiology of swallowing: esophageal phase

-peristalsis of the esophageal musculature
-movement from UES to LES

8

swallow delay: assess with? when is it considered a delay

-assess with liquids only
-once past mandible line, then considered delay

9

trismus

reduced ROM of jaw

10

role of the OT

-ADL
-feeding

11

role of dietician

thorough nutrition assessment and intervention helps improve or maintain health

12

therapeutic vs mechanical diet

-therapeutic: alteration of nutrients to help treat a medical condition
-mechanical: alteration of food/fluid textures to help treat a medical condition

13

examples of mechanical diets

-solid: pureed, mechanical soft-ground, mechanical soft-chopped, regular textured solids
-liquids: thin, nectar, honey thick, pudding

14

enteral nutrition refers to...

nutrition support provided when use of an oral diet is either contraindicated (due to safety) or insufficient to meet a person's nutritional needs

15

enteral infers that the digestive tract is...

functional and can be used for nutrient ingestion and absorption

16

parenteral nutrition is used when...

any part of the digestive tract is not functional or when it is necessary to minimize GI function

17

types of feedings: continuous

(pump) getting nutrition 24 hours a day

18

types of feedings: intermittent

(pump or gravity bag) can clip on/off

19

types of feedings: bolus

(syringe)

20

tube feeding complications

-nausea
-vomiting
-diarrhea
-constipation
-tube occlusion
-aspiration

21

tube feeding complications: nausea

improper placement, excessive rate or volume, anxiety

22

tube feeding complications: vomiting

excessive volume, improper formula, contamination, anxiety

23

tube feeding complications: diarrhea

cold formula, excessive rate, high osmolarity, anxiety

24

tube feeding complications: constipation

low fiber formula, inadequate fluid

25

tube feeding complications: tube occlusion

formula viscosity, failure to flush tube

26

tube feeding complications: aspiration

HOB, tube placement, excessive gastric residual