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NUR2990 Medsurge 1 Exam #3 Latest Update
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NUR2990 Medsurge 1 Exam #3 LatestUpdate
Myasthenia gravis is a - Answer Autoimmune disorder
Parkinson's is a - Answer Neurodegenerative disease
With Parkinson's the patient has a decrease in? - Answer Dopamine
What is Parkinson's crisis - Answer Severe exacerbation or complication of tremors,
acute anxiety, diaphoresis, and tachycardia
What do you want to avoid giving with levodopa and carbidopa for the treatment of
Parkinson's and why? - Answer Avoid pyridoxine, vit B6, because it competes with
levodopa (protein), to cross the BBB
Parkinson's patients usually have what kind of gait? - Answer Wide based gait
With myasthenia gravis what is a priority teaching? - Answer Medication management
What is the antidote for (anticholinesterase) cholinergic crisis with myasthenia gravis? -
Answer Atropine sulfate
What is a mestinon crisis? For myasthenia gravis - Answer It's from underdosing meds
With my myasthenia gravis, what receptor sites are depleted? - Answer Acetylcholine
With myasthenia gravis how our symptoms relieved? And when are symptoms most
common - Answer Resting and symptoms are most common at the end of the day
What kind of gait do patients with myasthenia gravis have? - Answer Waddling gait
What will the chest x-ray show for a patient with myasthenia gravis? - Answer Enlarged
thymus
What is the first drug of choice to treat myasthenia gravis? - Answer Low-dose
prednisone (slowly increase)
,What is the most common medication for myasthenia gravis? - Answer Pyridostigmine
bromide (most common w/ side effects)
What is a thymectomy and why is it performed? - Answer the removal of the thymus
gland (high risk, complicated surgery), and is performed for patients with myasthenia
gravis.
What is a myasthenia crisis? - Answer When PT doesn't take meds on time or not enough
meds (under dosed)
What is the most common cause of myasthenia crisis? - Answer Surgery, stress,
hypokalemia, & failure to take meds or corticosteroids are tapered too quickly
What is a cholinergic crisis? And what's a severe symptom? - Answer -Results from an
overdose of anticholinesterase drugs resulting in increased Ach at the receptor sites.
-Management would be to give *Atropine*
-severe respiratory failure
Multiple sclerosis is what type of disease? - Answer Chronic autoimmune degenerative
disease in the brain and spinal cord (central nervous system)
With multiple sclerosis what does it destroy? - Answer Myelin sheath (Schwan cells are
destroyed)
What are some typical symptoms of multiple sclerosis? - Answer Intentional tremors,
vision, fatigue, muscle spasms, depression
Multiple sclerosis is more common in which gender & age? - Answer Females (20-40y)
What are the first symptoms of multiple sclerosis? - Answer Nystagmus or nerves in the
eyes
, What can trigger multiple sclerosis? - Answer Viruses-herpes, EBV, mono...
Family or genetic history
Environmental factors
Depression
Heat , infection, trauma, pregnancy, fatigue(idiopathic lassitude), stress
What is the McDonald's criteria for multiple sclerosis? - Answer Looking for 2 episodes,
one month apart
Multiple sclerosis types-what do 85% of patients start with? - Answer Relapsing,
remitting multiple sclerosis (RRMS)
Multiple sclerosis types - Answer Relapsing remitting-85% start with this.
Primary progressive-involves small 10-20% of those with multiple sclerosis never have
an acute exacerbation.
Secondary progressive-10-15 years relapsing remitting leads to secondary
progressive(usually 40+y).
Progressive relapsing
What type of diet is given to a multiple sclerosis PT? - Answer High fiber, low-fat
Immunoregulatory drug treatment for multiple sclerosis (A, B, C, & R) - Answer Avonex
Beta interferon/ betasetron / betaferon
Copaxone
Rebif
Guillian-Barre syndrome affects what system? And what kind of disease is it? - Answer
Peripheral nervous system
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