degenerative disorders, sararaz
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degenerative disorders, sararaz
degenerative disorders, LS2
to make worse
laying dormant, not active
Given IM. 1-3xa week, store in refridgerator,teach
family to give. .5 ml dose. Before bed time.let it warm up to room temp before giving to prevent burning and irritation. Prefilled syringe. May have to put ice on site for sore and redness.
has to be in a glass container
can make steryle
Parkinsons INTV of ambulation
When walking hands folded behind back.
Dysphagia NSG INTV
chin to chest, double swallow
giving immunosuppressive drugs INTV
IV tensilion test
acting cholinesterase inhibitor, makes acetylcholine available to muscles,
patient response evaluated.
protects damaged motor neurons. Huge side effects. Adds 3 mo to life expectancy. Take
with no food.
what to do
decreased muscle spacity
decrease mucle spacity
huntingtons criteria for dx
DNA, family hx, clinical hx
parkinsons criteria for dx
rule things out, 2/3 signs tremor rigidity, bradykinesia, positive response to antiparkinsons meds
MG criteria for dx
Tensilon test, look up for 2-3 min, serum testing, EMG
early S&S of MS
change in vision=double vision or black spots, complete loss in one eye.
early S&S of Parkinsons
mild tremor, change in handwriting, slight limp, decrease arm swinging
early S&S of MG
Diplopia= double vision.
early S&S of ALS
muscle stiffness of cramping, speech problems,
fatigue, tripping , difficulty ambulating, twitching and spasms. Emotional incontinence- can’t stop crying or laughing.
early S&S of huntingtons
often mood swings, depression, irritability
def of MS
Chronic, progressive, noncontiguous(flairs up and goes away) degenerative disease of the CNS
def of parkinsons
depletion of dopamine that interferes with the inhibition of excitatory muscles
def of MG
Neuromuscular disease characterized by marked weakness and abnormal fatigue of voluntary muscles(autoimmune disease)
def of ALS
Progressive loss of motor neurons in the spinal cord and brain
def of huntingtons
Over activity of the dopamine pathway
triggers of MS
fatigue, extreme heat or cold, emotional stress, physical illnesses.
trigger of parkinsons
triggers of MG
URI, emotional tension, and menstruation
triggers of ALS
triggers of hungtintons
tx of MS
Corticosteroids,Immunosuppressive, antibiotics, anti-seizure meds, muscle relaxants
tx of parkinsons
Symmetrel (amantadine hydrochloride)
Artane (trihexphendidyl hydrochloride)
Cogentin (benztropine mesylate)
Larodopa, Dopar (levodopa)-lot of drug interactions, may become aggressive.
Sinemet (carbidopa/levodopa)-tardive dyskinesia, extrapyramidals.
-Pallidotomy- destroys area
of brain that controls tremors. Helps ambulate better. Use if drugs no longer work.
-Fetal dopamine cell
transplant- help increase dopamine.
tx of MG
Anticholinesterase medications, Corticosteroids Immunosuppressive medications
tx of ALS
rilutek, or specialized hospital
tx of huntingtons
Palliative, treat physical symptoms, higher nutrition requirements
involuntary mvt of the eye
diff with gait
sensation of room moving around, dizzy
uncontrolled spasm of a broup of muscles
difficult speech(brain, jaw and tongue, brocas area)
problem with bladder caused by the nervous sys
get rid of the antibidies in M.G. short term improvement.