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49 & 50
| Question | Answer |
|---|---|
| What monitor for plasmapheresis | Monitor for electrolytes, asses for hypotension |
| Azathioprine (Imuran) | Monitor blood counts. Protect from bleeding and infection Administer w/ meals to reduce nausea |
| Pseudobulbar affect (PBA) | Administer Nudexta |
| Major cause of death in ALS | Respiratory depression and suicide |
| Respiratory failure leading to death | ALS, MG, MS |
| Allowable timeframe for Tpa administration? | 4.5hrs. Don't administer to hemorrhagic stroke or if stroke not caught within allowable timeframe |
| Alteplase | |
| S/S of stroke | Changed vision, confusion, severe headache, sudden dizziness |
| Diagnostic tests for stroke | CAT scan, barium swallow, dysphagia screening |
| Pt cannot receive Tpa, what is next intervention | Permissive hypertension. Cannot exceed 220/120. Needs to be 185/110. Monitor for bleeding |
| What cranial nerve is affected w/ Bells Palsy | 7 |
| What is used to manage constipation in MS pt | Stool softeners (docusate sodium) |
| What disorder is a response to flu vaccine or other illnesses? | Gullian Barre syndrome |
| Medical terminology for droopy eye and interventions | Ptosis. They look up for 2-3 mins and close eyes and ptosis is gone. |
| MS manifestation including eyes | Nystagmus |
| Stages of GBS | Stage 1- onset of symptoms. Last 24hrs- 3 wks Stage 2- Plateau Stage 3- Recovery. Descending resolution, pain, cramping or numbness |
| Complications of GBS | Prone to pneumonia Immobility complications Discussion of mechanical ventilation- pt expected to recover Last thing vent, first thing off is vent |
| Myasthenic crisis | Too little medication. S/S: ptosis, difficulty swallowing, difficulty speaking, dyspnea, weakness |
| Cholinergic crisis | Too much medication. S/S: salivation, lacrimation, urinary incontinence, diarrhea, gastrointestinal cramping, emesis, increased bronchial secretions, sweating, bradycardia, increasing muscle weakness, dyspnea |
| MS s/s | Muscle weakness Muscle paralysis Visual disturbances Fatigue |
| ALS s/s | Progressive muscle weakness decreased coordination muscle twitching muscle spams emotional outbursts difficulty w/ speech |
| MG s/s | Progressive severe weakness of voluntary muscles muscle regain strength w/ rest Masklike face |
| Bells Palsy | Nerve trauma from viruses such as herpes zoster, HSV, Epstein Barr |
| MS therapeutic interventions | Interferon therapy immunosuppressants (azathioprine) plasmapheresis anticonvulsants (Dilantin, Tegretol) antispasmodics (dantrolene, baclofen) |
| MG therapeutic interventions | Plasmapheresis Thyrectomy Steroids Anticholinesterase ( |
Created by:
SamarhaP