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Neuromuscular

neuro

QuestionAnswer
R or L CVA? Decreased attention span Right
Deceased awareness and judgement? R or L CVA? Right
Memory deficits? R or L CVA?? Right
Left inattention? R or L CVA? Right
Decreased abstract reasoning? R or L CVA? Right
Emotional lability? R or L CVA? Right
Impulsive behavior? R or L CVA Right
Decreased spatial orientation Right
Increased frustration? R or L CVA? Left
Decreased processing? R or L CVA? Left
Possible aphasia? R or L CVA? left
Possible dysphagia? R or L CVA? Left
Possible motor apraxia? R or L CVA? Left
Decreased discrimination between l and r? R or L CVA? Left
Impulsive behaviors? R or L CVA? Right
Anterior Cord Syndrome Loss of motor function and pain and temperature
Brown-Sequard's Syndrome Paralysis on same side, loss of pain and temperature on the opposite side
Central Cord Syndrome UE greater than LE, greater motor than sensory
Cauda Equina Below L1, flaccidity, areflexia, impaired B
Posterior-Cord Syndrome Loss of sensory; motor function is preserved
Glasgow Coma score = severe 8 or less
Glasgow Coma score = moderate 9-12
Glasgow Coma score = mild 13-15
Antiepileptic Agents - Action, SE, Examples -Reduce or eliminate seizure activity within the brain -Ataxia, skin issues,behavioral changes, gi disress, headache, blurred vision, weight gain -Dilantin, Tegretol
Antispasticity Agents - Action, SE, Examples - Promote relaxation in a spastic muscle - drowsiness, confusion, headache,dizziness, muscle weakness, -Baclofen, Valium, Dantrium
Dopamine Replacement Agents - Action, SE, Examples -Assist to relieve the symptoms of Parkinson's -Arrhythmias, GI distress, OH, dyskinesias, mood and behavioral changes, tolerance -Sinemet, Lavodopa
Muscle Relaxant Agents - Action, SE, Examples -Promote relaxation in muscles -sedation, drowsiness, dizziness, nausea, vomiting, headache, tolerance, dependence -Valium, Flexeril
Amyotrophic Lateral Sclerosis - what it is, S&S -Chronic degeneration disease affect upper and lower motor neurons -LM: muscle weakness, fasciculations, cramping, atrophy UM: incoordination of movement, spasticity, clonus, positive Babinski reflex
Myasthenia Gravis - what it is, S -A defect in the transmission of nerve impulses to the muscles at the NM junction -Extreme fatigue and mm weakness that fluctuates, ocular muscles affected first, Dysphagia, dysarthria, cranial nerve weakness -Focus on pulmonary interventions
Berg Balance test max score of 56, score less than 45 = risk for falling
Functional reach test Less than 10.5=fall risk
TUG test >20 sec increased fall risk <30 sec high fall risk
Tinetti less than 19=high fall risk
Dilantin Antiepileptic agents reduce or eliminate seizure activity within the brain SE-blurred vision, headache, ataxia
Tegretol Antiepileptic agents reduce or eliminate seizure activity within the brain SE-blurred vision, headache, ataxia
Baclofen Antispasiticy agent SE-drowsiness, generalized muscle weakness
Valium Antispasiticy agent SE-drowsiness, generalized muscle weakness
Dantrium Antispasiticy agent SE-drowsiness, generalized muscle weakness
Sinemet Dopamine replacemetn agent SE: arrhthmias, GI distress,dyskinesias, mood and behavioral changes
Flexeril Muscle relaxant agents SE: SE-drowsiness, generalized muscle weakness
Spinothalamic tracts light touch, pressure, pain and temperature
spinocerebellar tracts proprioception
Reticulospinal tract Reflexes
Rubrospinal tract Postural tone
Tectospinal Contralateral postural muscle tone assoc. with auditory visual stimul
Whats the highest level of SCI can use a sliding board? C5
Presents with cycles of exacerbation/remission with long periods of stability; may have minimal long-term impairment Relapsing-remitting MS
Progresses from onset with no or occasional plateaus; may experience temporary, minor improvements Primary-progressive MS
Begins as relapsing-remitting MS and turns into progressive course Secondary-progressive MS
Progressive course with periodic acute relapses; loss of function and progressive worsening with each exacerbation Progressive-Relapsing
What artery is occluded to present symptoms such as personality changes, paraplegia, incontinence, akinetic mutism (i.e. conscious unresponsiveness.) Anterior cerebral artery
What artery is occluded to present symptoms of contralateral hemiplegia and sensory impairment, aphasia Middle cerebral artery
What artery is occluded to present symptoms of thalamic pain syndrome and cortical blindness. Thalamic pain presents with abnormal sensation of pain, temperature, touch, and proprioception Posterior cerebral artery
Created by: ckdabne