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34 Cards in this Set

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Often fatal if injury to this level of spinal cord, able to move neck and above must use electric wheelchair with mouth stick or chin control, 24hr attendent needed.
Injury to C1-3
level of tetraplegia you can move your neck and able but can breathe without a vent, must use electric wheelchair with mouth and chin control with 24hr attendent.
C4
Vagus nerve domination of heart, respirations, and all vessels and organs below injury may only move neck partial shoulder, back and biceps gross elbow can not roll over or use hands, wheelchair with mobile hand supports
C5
Can move shoulder and upper back abduction and rotate shoulder. Full biceps to elbow flexion, wrist and weak grasp of thumb, assit with transfer and do some ADLS with assist, can use manual (on flat surface) and automatic wheelchair.
C6
all triceps to elbow extension movement figer extensors and flexors can grasp with decreased strength, can transfer self to wheelchair, sit up in bed, use manual wheelchair ability to drive car with powered hand controls may or may not need attendant care
C7-8
Paraplegia injury where you have full innervation of ^ extremities, back, and intrinsic muscles of hand, full strength of grasp and decreased trunk stability can independently stand in standing frame
T1-6
Paraplegia injury to nerves in leg vessels, GI full stable thoracic muscles and upper back, funcitonal intercostals resulting in ^ respiratory reserve. Stand erect with full leg brace and ambulate on crutches with swing can not climb stairs.
T6-12
paraplegia injury to vagus nerve domination of leg vessels varying control of legs and pelvis instability of lower back, good sitting balance and can fully use a wheelchair, can ambulate with long leg braces
L1-2
Partial vagus nerve domination to leg vessels and GI and geitourinary organ with movement in quadriceps and hip flexors absence of hamstring function flail ankles, completely independent ambulation with short leg braces and canes can not stand for long periods of time
L3-4
a recurring headache characterized by unilateral or bilateral throbbing pain caused by a triggering event or facor or strong family history. can be preceded by prodrome and aura
Migrane Headache
a headache does not involve nausea or vomiting but may involve __________ and/or ___________.
sensitivity to light (photophobia) or sound (phonophobia)
sensation of light or warmth
aura
early manifestation of impending disease
prodrome
True or False a migrane with a aura is the most common type of migraine
False
The best indicator or test for the diagnosis of a migraine is _________.
made from a good patient history.
What type of headache is usually treated with 100% Oxygen?
Cluster Headache
Bone crushing pain, unilateral pain starts usually at night and last one to so hours happens in spurts of 3-4 times a week for a month or so then has a time frame of remission.
Cluster Headaches
Most headache medicines have severe ____ ________.
side effects such as a decrease in blood sugar, weight loss, cognitive changes, and some may cause parathesia (numbness)
A bilateral bandlike pressure at base of skull and/or face. Feels like a constant tightening, may show symptoms like stiff neck, tenderness and palpable nekc and shoulder muscles.
Tension headaches
a person who has recurring seizures caused by a chronic underlying condition is ______
Epilepsy.
a loss of consciousness and falling to the ground followed by stiffening of the body for 10 to 20 seconds and jerking of the extremitites for another 30-40 seconds are called
tonic clonic or grand mal seizures
in the ________ seizures a person may experience canosis excessive salivation tongue or cheek biting with a seizure.
tonic clonic or grand mal
The 2 complications for the patients include _______ and ____________
physical (tonic clonic- cardiac dysrhythmias, hypoxiema, hyperthermia, and systemic acidosis) and psychosocial- lifestyle changes due to seizures.
When a patient in the hospital or outside of the hospital has a seizures what do you do?
carefully observe and record details of the event (how long did each phase last, when did it occur, what occured during each phase)You may need to support the head to support airway but you should not try to hold down or put something in their mouth you must let it run its course.
disease where nerve fibers in the brain and spinal cord are damaged throughout.
Multiple Sclerosis
Motor sensory cerebellar and emotional problems are common signs and symptoms for what chronic progressive neurological disorder
MS
what type of nutritional therapy would you expect for a patient with MS?
Low fat, gluten free food and raw veggies with multiple megavitamin therapies. May have high protein.
3 clinical manifestations:
Tremor
Rigidity
Bradykinesia
Parkinson's Disease
Which of the three clincial manifestations of parkinsons is often the first sign?
Tremors
neuromuscular disease that is characterized by the fluctuating weakness of certain skeletal muscle groups.
Myasthenia Gravis (MG)
Increased blood pressure restlessness, tachycardia, apprehension, ^ broncial secreations, lacrimation and sweating, muscles weakened, absent cough reflex, dyspnea, difficulty swallowing and speaking.
Myasthenic Crisis
Bradycardia, Decreased blood pressure, restlessness, apprehension, increased secretions esp. profuse sweating, generalized muscle weakness, fasciculations, dyspnesa, difficulty speaking and swallowing, blurred vision, nausea and vomiting and abdominal cramps and diarrhea.
Cholinergic crisis
rare progressive neurologic disorder characterized by loss of motor neurons.
ALS (Amyotrophic Lateral Sclerosis)
What disease have they now found a gene for and is genetically transmitted while if having it you have 50% chance to pass along to your children it shows up at ages 30-50 years of age.
Huntingtons Disease