RTH256 Mod 1 Exam NEURO, GBS, MG Flashcards Preview

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Flashcards in RTH256 Mod 1 Exam NEURO, GBS, MG Deck (33)
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1

What is a common pulmonary sequence?

Aspirate
Core Pulmunal ( R side ❤ failure )
Central sleep apnea

2

Respiratory muscle weakness is associated with?

Ventilatory Insufficiency
Atelectasis and Hypoxemia
Neurological

3

Muscle weakness is associated with?

Neuromuscular disease
Orthopnea
dyspnea
Fatigue

4

Peripheral nerve disorders that cause respiratory muscle dysfunction may be caused by

Inflammatory process
vascular disorders
metabolic disorders

5

Where is the peripheral nerve located?

Peripheral nerves go from your spinal cord to your arms, hands, legs and feet.

6

what is the main function of the peripheral nerve?

s a network of 43 pairs of motor and sensory nerves that connect the brain and spinal cord (the central nervous system) to the entire human body. These nerves control the functions of sensation, movement and motor coordination.

7

Why do we use spirometry?

Because we can use the spirometry results and transfer them to the mechanical ventilator.

8

What is spirometry?

It s an assessment tool for MV

9

Incentive spirometry is used to

To evaluate the effects of diaphragmatic breathing exercises and flow and volume-oriented

10

How can we diagnose diaphragm paralysis?

PFT (pulmonary function test)

11

BGS results in?

Flaccid paralysis of the skeletal muscles
Loss of reflexes that result from peripheral nerve damage.

12

Severe cases of GBS may result in

VENTILATORY FAILURE due to paralysis of the diaphragm.
NERVES MAY demonstrates Demyelination, Inflammation, and Edema.

13

Major pathological, structural and ventilatory changes to the lungs are due to

Alveolar consolidation from atelectasis

14

what demographic is most likely to be affected by GBS?

Incidence is greater in people over the age of 50.
50-60% more common in white males.

15

What antibody is elevated with GBS?

( IgM ) Immunoglobulin M

16

Immunoglobulin M

is one of several isotypes of antibodies that are produced by vertebrates. IgM is the largest antibody, and it is the first antibody to appear in response to initial exposure to an antigen.

17

In regards to GBS campylobacter jejumi is associated with what bacteria? Not chickenpox

Mononucleosis
Measles and mumps NOT CHICKENPOX
Mycoplasm pneumonie
Chlamydia psittaci

18

Common noncardiopulmonary manisfistations

Ascending paralysis. ( Muscle weakness or loss of muscle function (paralysis) affects both sides of the body. In most cases, the muscle weakness starts in the legs and spreads to the arms. This is called ascending paralysis

19

What is the most common respiratory muscle affected with GBS?

Diaphragm

20

What is the functional spontaneous recovery?

Functional spontaneous recovery in about 90% of cases.

21

GBS is peripheral so the strip of what is no longer present?

Myelin sheath

22

common non cardiopulmonary manifestations associated with GBS?

Distal Paresthesia or dysesthesias ( numbness or tingling)
Back, Buttocks, Leg pain
Absence of reflux
Difficulty swallowing

23

Diagnosis of GBS is based on

Elevated protein levels in cerebral fluid ( Spinal fluid)
Abnormal electromyography EMG

24

ABG of Acute ventilator y Failure

PH: ⬇ below 7.35 CO2 ⬆ above 45 use monometer for Vital Capacity

25

Vital capacity is

the greatest volume of air that can be expelled from the lungs after taking the deepest possible breath. ⬇ less than -20ml/kg NIF ⬇ less than 2525cm H2O

26

Any pulmonary pt's is susceptible

Pulmonary Thrombosis / Thromboembolism

27

Severe Treatment of GBS

plasmapheresis

28

Auscultating Pt with GBS, findings

Crackles wheeze Diminished crackles and Ronchi

29

GBS is part of what nerve dysfunction?

autonomic nervous dysfunction 2

30

GBS hart rate

Tachy and Brady Hypotension