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Patient-Centered Care II > Development > Flashcards

Development Flashcards

1
Q

What is the Moro reflex?

A

responds to loud noise by startle

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2
Q

CP Assessment findings

A
  1. feeding difficulties
  2. stiff, rigid arms/legs
  3. primitive infantile reflexes don’t go away
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3
Q

Spastic Cerebral Palsy

A

common
stiff, jerky movements and have a hard time holding things and letting things go

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4
Q

Diplegia CP

A

lower body only

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5
Q

Athetoid CP

A

involuntary movements and interferes with speaking, feeding, reaching, grasping

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6
Q

Dyskinetic CP

A

marked by abnormal posturing, tone, and involuntary movements

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7
Q

Ataxic CP

A

rare
balance and depth perception difficulties

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8
Q

Monoplegia CP

A

one limb

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9
Q

What medications have little effect in improving muscle coordination but are effective in improving overall condition?

A

dantrium, lioresel, valium

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10
Q

Which medication dantrium, lioresel, or valium had a very long half-life?

A

valium

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11
Q

Which medications help decrease muscle spasticity?

A

catapres and zanaflex

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12
Q

How is botulium toxin A (botox) used for CP?

A

goal is to allow stretching of muscle as it relaxes and permits ambulation

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13
Q

Onset of action for botox?

A

24-72hrs

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14
Q

Peak of botox?

A

2 weeks

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15
Q

Duration of botox?

A

3 months

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16
Q

What is the baclofen pump?

A

surrounds spinal cord to provide relief of spasticity

17
Q

What 6 medications prevent seizures and neuropathic pain

A
  1. tegretol
  2. valproate sodium
  3. valproic acid
  4. depakote
  5. laictal
  6. neurotin
18
Q

When is the onset of muscular dystrophy?

A

3-5 years of age

19
Q

What serum enzymes are high with muscular dystrophy?

A

CPK and AST

20
Q

What are 7 manifestations of muscular dystrophy?

A
  1. waddling gait
  2. frequent falls
  3. gower sign
  4. lordosis
  5. enlarged calf muscles
  6. muscular atrophy
  7. foot drop
21
Q

How do you diagnose a cleft lip/palate?

A

insert gloved hand into child’s mouth and feel around

22
Q

What manifestation is unique to CP?

A

increased incidence of dental caries and gingivitis

Patient-Centered Care II (7 decks)

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