Silk1413

Card Set Information

Author:
silk1413
ID:
70848
Filename:
Silk1413
Updated:
2011-03-05 09:55:51
Tags:
Degenerative Diseases
Folders:

Description:
Degenerative Diseases Review
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user silk1413 on FreezingBlue Flashcards. What would you like to do?


  1. A neurotransmitter that affects motor function and is involved in movements of the skeletal muscles is known as:
    Dopamine

    Rationale- In Parkinson’s disease, there is a deficiency of dopamine, and the patient suffers from tremors or involuntary trembling movements
  2. Parkinson’s disease
    is a syndrome that consists of a slowing down in the initiation and execution of movement, increased muscle tone (rigidity), tremor, and impaired postural reflexes.
  3. Myasthenia Gravis
    is an autoimmune disease of the neuromuscular junction characterized by the fluctuation weakness of certain skeletal muscle groups
  4. Huntington disease
    genetically transmitted autosomal dominant disorder that affects both men and women of all races.


    The goal of nursing is to provide the most comfortable environment possible for the patient and the family by maintaining physical safety, treating the physical symptoms, and providing emotional and psychological support
  5. Multiple sclerosis
    is a chronic, progressive degenerative neurological disease.

    The goal of treatment is to put the patient into remission
  6. Amyotrophic Lateral Disease
    motoneurons in the brain stem and spinal cord gradually degenerate.

    Nursing is to support the patient’s cognitive and emotional functions by facilitating communication, providing diversional activities such as reading and family with advance care planning and anticipatory grieving related to loss of motor function and ultimate death
  7. Discuss what classifications of medications are used, what it is used for and nursing interventions related to its use:
    Multiple sclerosis:
    • Deltasone (prednisone), Decadron- to reduce inflammation
    • Urecholine- cholinergic- relaxes the bladder in case of retention
    • Baclofen and Valium for spasticity
    • Septra- for UTI
    • Colace- for constipation
  8. Discuss what classifications of medications are used, what it is used for and nursing interventions related to its use:
    Myasthenia Gravis
    • immuno suppressant- Imuran, Sandimmune, cytoxan
    • Corticosteroids
    • Anticholinesterase- promotes nerve impulse transmission.
    • Tensilon
    • (short acting, used for testing)
    • (Mestinon, Prostigmin) patient is taught to adjust meds
    • Plasmapheresis- used to separate blood and filter antibodies (1976)

    Many drugs are contraindicated – antidysrhythmic, antibiotics, quinine, antipsychotics, barbiturates, sedatives, hypnotics, opioids
  9. Discuss what classifications of medications are used, what it is used for and nursing interventions related to its use.
    Parkinson’s disease
    • carbidopa- levodopa (Sinemet)
    • Selegiline HCL
    • Artane- anti dyskinesia med don’t give with antacids
    • Symmetrel- CNS depressant and no alcohol take after you eat
    • Large list on page 1960-
    • Drug holiday is necessary because side effect can be sever (things like
    • dyskinesia)
  10. Discuss what classifications of medications are used, what it is used for and nursing interventions related to its use:
    ALS-
    • Rilutek - (slows the progression of ALS)
    • As well as drugs to treat the symptoms
  11. Discuss what classifications of medications are used, what it is used for and nursing interventions related to its use:
    Huntington’s disease-
    • antipsychotic, antidepressants, and anti- chorea
    • Increase caloric intake because of chorea movement
    • Examples of meds: Seroquel – antipsychotic
    • Lexapro- antidepressant
    • Anti- chorea Tetrabenazine
  12. When caring for a patient with multiple sclerosis what is appropriate nursing care...
    Rationale- appropriate nursing care for a patient with multiple sclerosis includes encouraging a well-balanced diet high in fiber and adequate fluids (at least 2liter of fluid per day or more). Supplemental vitamins are usually encouraged. Obesity will make it more difficult for the patient to meet daily needs and maintain mobility; the patient who is obese will probably be referred to a dietitian and placed on a caloric-restricted diet.
  13. initial clinical manifestation of Amyotrophic lateral sclerosis (ALS).
    Rationale- the initial manifestation of ALS is a mild clumsiness usually in the distal portion of one extremity. The client may complain of tripping and my drag one leg when the lower extremities are involved. Mentation and intellectual function are usually normal. Diminished gag reflex and muscle wasting are not initial clinical manifestation
  14. The autoimmune disease of the neuromuscular junction characterized by fluctuating weakness of certain muscle groups is known as:
    Myasthenia gravis- is the autoimmune disease of the neuromuscular junction characterized by fluctuating weakness of certain muscle groups, it is an unpredictable disease with lower motor neuron characteristics. Although there is no observable structural changes in the muscle or nerve, nerve impulses fail to pass at the myoneural junction, resulting in muscle weakness
  15. Huntington’s disease
    Rationale- early symptoms of Huntington’s disease include restlessness, forgetfulness, clumsiness, falls, balance and coordination problems, and altered speech and handwriting. Difficulty with swallowing occurs in the later stages. Aphasia and agnosia do not occur

What would you like to do?

Home > Flashcards > Print Preview