Dementia Flashcards

(44 cards)

0
Q

which cognitive disorder is global (affects all areas of functioning)

A

dementia

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1
Q

what is a cognitive disorder that develops gradually & is progressive

A

dementia

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2
Q

what do the ventricles look like in dementia

A

enlarged

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3
Q

what does the PET scan of an alzheimer’s brain look like

A

⬇️ metabolism in the brain

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4
Q

abnormal clusters of beta-amyloid protein fragments that build up between nerve cells

A

plaques

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5
Q

what clumps cause inflammation & destruction of nerve cells in the brain

A

plaques

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6
Q

twisted strands of tau protein that result in cell death

A

tangles

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7
Q

which type of dementia is genetic

A

early onset

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8
Q

high levels of which amino acid is r/t ⬆️ risk for alzheimers

A

homocysteine

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9
Q

what 3 things can be used to reduce homocystein levels

A

folic acid
B6
B12

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10
Q

which 2 metabolic disorders can ⬆️ r/f dementia if untreated

A

hyperglycemia

hyperlipidemia

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11
Q

what is the onset of dementia

A

gradual (years)

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12
Q

what is the duration of dementia

A

years

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13
Q

the loss of ablility to express thoughts in writing

A

agraphia

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14
Q

inability to understand written language

A

alexia

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15
Q

loss of perceptual ability to recognize objects

A

agnosia

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16
Q

pt repeats the same word, phrase, or question over and over

A

perservation

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17
Q

occurs as dementia progresses & pt tells stories to cover thier time lapses

A

confabulation

18
Q

which stage of alzheimers is ther disorientation of time

19
Q

which stage of alzheimers has difficulty with judgement

20
Q

which stage of alzheimers has depression & anxiety

21
Q

which stage of alzheimers is the pt aware of the losses

22
Q

which stage of alzheimers does the pt have difficulty w/ math, attention, planning

23
Q

which stage of alzheimers can new information not be retained

24
which stage of alzheimers has remote memory loss; gaps in memory
stage II
25
which stage of alzheimers has an ⬆️ in incontinence
stage II
26
which stage of alzheimers may cause sundowning
stage II
27
which stage of alzheimers has hyperorality
stage III
28
which stage of alzheimers has hyperetamorphosis
stage III
29
which stage of alzheimers has personality changes
stage III
30
which type of med may be effective in slowing the progression of dementia
cholinesterase inhibitors
31
what are good ways to help w/ nutrition in dementia pts
observe for swallowing problems finger foods offer fluids frequently
32
what hormone is ⬆️ w/ cholinesterase inhibitors
acetylcholine
33
which mad has s/e N, D, ha, insomnia, dizziness, abnormal dreams, depression
acholinesterase inhibitors
34
what causes a cholinergic reaction
cholinesterase inhibitors
35
what are s/s of cholinergic reaction
N, sweating, ⬇️ pulse, ⬇️ BP, respiratory depression, seizure, death
36
what type of drug is Cognex
cholinesterase inhibitor
37
what type of drug is Reminyl
cholinesterase inhibitor
38
what type of drug is Exelon
cholinesterase inhibitor
39
what type of drug is Aricept
cholinesterase inhibitor
40
what do neurotransmitter inhibitors increase
Glutamate
41
which med slows the progression of dementia in the mid-late stages
neurotransmitter inhibitors
42
what med has s/e - ha, dizziness, confusion, constipation, htn, cough
neurotransmitter inhibitors
43
what type of drug is Namenda
neurotransmitter inhibitor