Cognitive Impairment

Front 1

In AD, excess ___ levels in inhibits memory in AD.

Back 1

galantine

Front 2

In AD, the first nerves to die are in the ___ system, the center for emotion and memory.

Back 2

limibic

Front 3

In AD, ___, found on the outside of dead and damaged neurons, consist of bits of dying cells mixed with beta-amyloid protein.

Back 3

plaques

Front 4

In AD, ___are thick, insoluble clots in protein inside damaged brain cells or neurons.

Back 4

tangles

Front 5

Decreased ___, ___, ___, and increased ___ are the neurotransmitters associated with the effects of AD.

Back 5

serotonin, dopamine, ACh, norepinephrine

Front 6

Stage 1 AD:

Back 6

-Difficulty performing complex tasks r/t decline in recent memory
-Decline in personal appearance
-Awareness of their confusion
-Attempt to cover up or rationalize their symptoms

Front 7

In AD, excess ___ levels in inhibits memory in AD.

Back 7

galantine

Front 8

Stage 2 AD:

Back 8

-Behavior deteriorates markedly
-Safety becomes an issue
-Wandering behavior
-Poor impulse control
-Need assistance with ADLS
-Apraxia
-Hyperorality
-Perseveration phenomenon
-Sundown syndrome
-Agitation
-Apathy
-Hyperetamorphosis
-Dissociation

Front 9

Stage 3 AD:

Back 9

-Hyperorality with periodic binge eating
-Hyperetamorphosis
-Extreme deterioration in motor ability

Front 10

The need to taste, chew, and examine any object small enough to be placed in the mouth is called?

Back 10

hyperorality

Front 11

The inability to carry out skilled and purposeful movement or the inability to use objects properly is called?

Back 11

apraxia

Front 12

Repetitive behaviors which may include lip licking, tapping of fingers, pacing, or echoing others' words are referred to as?

Back 12

perseveration phenomena

Front 13

In AD, the first nerves to die are in the ___ system, the center for emotion and memory.

Back 13

limibic

Front 14

In AD, ___, found on the outside of dead and damaged neurons, consist of bits of dying cells mixed with beta-amyloid protein.

Back 14

plaques

Front 15

Disorientation at the end of the day is called?

Back 15

sundown syndrome

Front 16

In AD, excess ___ levels in inhibits memory in AD.

Back 16

galantine

Front 17

The need to compulsively touch and examine every object in the environment is called?

Back 17

hyperetamorphosis

Front 18

In AD, ___are thick, insoluble clots in protein inside damaged brain cells or neurons.

Back 18

tangles

Front 19

Affective characteristics of AD - Stage 1:

Back 19

-Anxiety
-Depression
-Helplessness, frustration, shame
-Lack spontaneity
-Apathetic affect

Front 20

In AD, the first nerves to die are in the ___ system, the center for emotion and memory.

Back 20

limibic

Front 21

Decreased ___, ___, ___, and increased ___ are the neurotransmitters associated with the effects of AD.

Back 21

serotonin, dopamine, ACh, norepinephrine

Front 22

In AD, ___, found on the outside of dead and damaged neurons, consist of bits of dying cells mixed with beta-amyloid protein.

Back 22

plaques

Front 23

Stage 1 AD:

Back 23

-Difficulty performing complex tasks r/t decline in recent memory
-Decline in personal appearance
-Awareness of their confusion
-Attempt to cover up or rationalize their symptoms

Front 24

Affective characteristics of AD - Stage 2:

Back 24

-Lability of emotions
-Delusions of persecution present
-Catastrophic reactions to everyday events

Front 25

In AD, ___are thick, insoluble clots in protein inside damaged brain cells or neurons.

Back 25

tangles

Front 26

Stage 2 AD:

Back 26

-Behavior deteriorates markedly
-Safety becomes an issue
-Wandering behavior
-Poor impulse control
-Need assistance with ADLS
-Apraxia
-Hyperorality
-Perseveration phenomenon
-Sundown syndrome
-Agitation
-Apathy
-Hyperetamorphosis
-Dissociation

Front 27

Stage 3 AD:

Back 27

-Hyperorality with periodic binge eating
-Hyperetamorphosis
-Extreme deterioration in motor ability

Front 28

Decreased ___, ___, ___, and increased ___ are the neurotransmitters associated with the effects of AD.

Back 28

serotonin, dopamine, ACh, norepinephrine

Front 29

The need to taste, chew, and examine any object small enough to be placed in the mouth is called?

Back 29

hyperorality

Front 30

Stage 1 AD:

Back 30

-Difficulty performing complex tasks r/t decline in recent memory
-Decline in personal appearance
-Awareness of their confusion
-Attempt to cover up or rationalize their symptoms

Front 31

The inability to carry out skilled and purposeful movement or the inability to use objects properly is called?

Back 31

apraxia

Front 32

Stage 2 AD:

Back 32

-Behavior deteriorates markedly
-Safety becomes an issue
-Wandering behavior
-Poor impulse control
-Need assistance with ADLS
-Apraxia
-Hyperorality
-Perseveration phenomenon
-Sundown syndrome
-Agitation
-Apathy
-Hyperetamorphosis
-Dissociation

Front 33

Repetitive behaviors which may include lip licking, tapping of fingers, pacing, or echoing others' words are referred to as?

Back 33

perseveration phenomena

Front 34

Stage 3 AD:

Back 34

-Hyperorality with periodic binge eating
-Hyperetamorphosis
-Extreme deterioration in motor ability

Front 35

Disorientation at the end of the day is called?

Back 35

sundown syndrome

Front 36

The need to taste, chew, and examine any object small enough to be placed in the mouth is called?

Back 36

hyperorality

Front 37

The need to compulsively touch and examine every object in the environment is called?

Back 37

hyperetamorphosis

Front 38

Affective characteristics of AD - Stage 1:

Back 38

-Anxiety
-Depression
-Helplessness, frustration, shame
-Lack spontaneity
-Apathetic affect

Front 39

The inability to carry out skilled and purposeful movement or the inability to use objects properly is called?

Back 39

apraxia

Front 40

Affective characteristics of AD - Stage 2:

Back 40

-Lability of emotions
-Delusions of persecution present
-Catastrophic reactions to everyday events

Front 41

Repetitive behaviors which may include lip licking, tapping of fingers, pacing, or echoing others' words are referred to as?

Back 41

perseveration phenomena

Front 42

Disorientation at the end of the day is called?

Back 42

sundown syndrome

Front 43

The need to compulsively touch and examine every object in the environment is called?

Back 43

hyperetamorphosis

Front 44

Affective characteristics of AD - Stage 1:

Back 44

-Anxiety
-Depression
-Helplessness, frustration, shame
-Lack spontaneity
-Apathetic affect

Front 45

Affective characteristics of AD - Stage 2:

Back 45

-Lability of emotions
-Delusions of persecution present
-Catastrophic reactions to everyday events

Front 46

Affective characteristics of AD - Stage 3:

Back 46

-Decreased response to environmental stimuli
-Finally become nonresponsive

Front 47

Cognitive characteristics of AD - Stage 1:

Back 47

-Impaired memory
-Decreased concentration
-Disoriented about time
-Increased distractibility
-Appears absent-minded
-Difficulty managing finances
-Transitory delusions of perception and/or persecution
-Deterioration of language skills (word-finding and object-naming difficulties)

Front 48

___ is the inability to understand language.

Back 48

aphasia

Front 49

___ is the inability to read or write.

Back 49

agraphia

Front 50

___ is the inability to recognize famililar situations, people, or stimuli.

Back 50

agnosia

Front 51

Tactile agnosia is called?

Back 51

astereoagnosia

Front 52

Visual agnosia is called?

Back 52

alexia

Front 53

Cognitive characteristics of AD - Stage 2:

Back 53

-Progressive memory loss (recent and remote)
-Confabulation
-Disoriented X 3
-Psychotic symptoms
-Misidentification syndrome (familiar people unfamiliar and vice versa)
-Aphasia
-Agraphia
-Agnosia

Front 54

Cognitive characteristics of AD - Stage 3:

Back 54

-Severe decline in cognitive functioning
-Oblivious to others
-May scream or yell spontaneously
-Few or no words
-No nonverbal response to stimuli
-Degenerates to vegetative state

Front 55

These 3 meds increase the availability of ACh in the brain:

Back 55

-Aricept
-Reminyl
-Exelon

Front 56

S/E of Aricept, Reminyl, Exelon?

Back 56

-Transient
-N/V, diarrhea, sweating, bradycardia, insomnia
-Take after breakfast to reduce S/E

Front 57

___ may reduce the inflammatory response to amyloid protein deposits.

Back 57

NSAIDS

Front 58

S/E of NSAIDS?

Back 58

-dizziness
-fluid retention
-GI problems
-nervousness

Front 59

Eldepryl (selegiline):

Back 59

-Antipsychotic
-Selective MAO B inhibitor
-May delay functinal decline
-Does not improve cognition

Front 60

Risperdal (resperidone):

Back 60

-Antipsychotic
-Promotes sleep
-Regulates agitated and aggressive behavior

Front 61

4 medications for agitation and aggression?

Back 61

-Desyrel (trazodone)
-Depakote (valproate)
-BuSpar (buspirone)
-Tegretol(carbamazapine)
-(

Front 62

2 meds for delirium?

Back 62

-Haldol
-Ativan

Front 63

Usual dose of Haldol for delirium is ___ mg.

Back 63

1-2

Front 64

When giving Haldol with ___ there is a rapid reduction in delirium.

Back 64

Ativan

Front 65

IM ___ for delirium has an unpredictable absorption rate and is more likely to produce EPS.

Back 65

Haldol