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65 Cards in this Set

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In AD, excess ___ levels in inhibits memory in AD.
galantine
In AD, the first nerves to die are in the ___ system, the center for emotion and memory.
limibic
In AD, ___, found on the outside of dead and damaged neurons, consist of bits of dying cells mixed with beta-amyloid protein.
plaques
In AD, ___are thick, insoluble clots in protein inside damaged brain cells or neurons.
tangles
Decreased ___, ___, ___, and increased ___ are the neurotransmitters associated with the effects of AD.
serotonin, dopamine, ACh, norepinephrine
Stage 1 AD:
-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
In AD, excess ___ levels in inhibits memory in AD.
galantine
Stage 2 AD:
-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
Stage 3 AD:
-Hyperorality with periodic binge eating
-Hyperetamorphosis
-Extreme deterioration in motor ability
The need to taste, chew, and examine any object small enough to be placed in the mouth is called?
hyperorality
The inability to carry out skilled and purposeful movement or the inability to use objects properly is called?
apraxia
Repetitive behaviors which may include lip licking, tapping of fingers, pacing, or echoing others' words are referred to as?
perseveration phenomena
In AD, the first nerves to die are in the ___ system, the center for emotion and memory.
limibic
In AD, ___, found on the outside of dead and damaged neurons, consist of bits of dying cells mixed with beta-amyloid protein.
plaques
Disorientation at the end of the day is called?
sundown syndrome
In AD, excess ___ levels in inhibits memory in AD.
galantine
The need to compulsively touch and examine every object in the environment is called?
hyperetamorphosis
In AD, ___are thick, insoluble clots in protein inside damaged brain cells or neurons.
tangles
Affective characteristics of AD - Stage 1:
-Anxiety
-Depression
-Helplessness, frustration, shame
-Lack spontaneity
-Apathetic affect
In AD, the first nerves to die are in the ___ system, the center for emotion and memory.
limibic
Decreased ___, ___, ___, and increased ___ are the neurotransmitters associated with the effects of AD.
serotonin, dopamine, ACh, norepinephrine
In AD, ___, found on the outside of dead and damaged neurons, consist of bits of dying cells mixed with beta-amyloid protein.
plaques
Stage 1 AD:
-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
Affective characteristics of AD - Stage 2:
-Lability of emotions
-Delusions of persecution present
-Catastrophic reactions to everyday events
In AD, ___are thick, insoluble clots in protein inside damaged brain cells or neurons.
tangles
Stage 2 AD:
-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
Stage 3 AD:
-Hyperorality with periodic binge eating
-Hyperetamorphosis
-Extreme deterioration in motor ability
Decreased ___, ___, ___, and increased ___ are the neurotransmitters associated with the effects of AD.
serotonin, dopamine, ACh, norepinephrine
The need to taste, chew, and examine any object small enough to be placed in the mouth is called?
hyperorality
Stage 1 AD:
-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
The inability to carry out skilled and purposeful movement or the inability to use objects properly is called?
apraxia
Stage 2 AD:
-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
Repetitive behaviors which may include lip licking, tapping of fingers, pacing, or echoing others' words are referred to as?
perseveration phenomena
Stage 3 AD:
-Hyperorality with periodic binge eating
-Hyperetamorphosis
-Extreme deterioration in motor ability
Disorientation at the end of the day is called?
sundown syndrome
The need to taste, chew, and examine any object small enough to be placed in the mouth is called?
hyperorality
The need to compulsively touch and examine every object in the environment is called?
hyperetamorphosis
Affective characteristics of AD - Stage 1:
-Anxiety
-Depression
-Helplessness, frustration, shame
-Lack spontaneity
-Apathetic affect
The inability to carry out skilled and purposeful movement or the inability to use objects properly is called?
apraxia
Affective characteristics of AD - Stage 2:
-Lability of emotions
-Delusions of persecution present
-Catastrophic reactions to everyday events
Repetitive behaviors which may include lip licking, tapping of fingers, pacing, or echoing others' words are referred to as?
perseveration phenomena
Disorientation at the end of the day is called?
sundown syndrome
The need to compulsively touch and examine every object in the environment is called?
hyperetamorphosis
Affective characteristics of AD - Stage 1:
-Anxiety
-Depression
-Helplessness, frustration, shame
-Lack spontaneity
-Apathetic affect
Affective characteristics of AD - Stage 2:
-Lability of emotions
-Delusions of persecution present
-Catastrophic reactions to everyday events
Affective characteristics of AD - Stage 3:
-Decreased response to environmental stimuli
-Finally become nonresponsive
Cognitive characteristics of AD - Stage 1:
-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)
___ is the inability to understand language.
aphasia
___ is the inability to read or write.
agraphia
___ is the inability to recognize famililar situations, people, or stimuli.
agnosia
Tactile agnosia is called?
astereoagnosia
Visual agnosia is called?
alexia
Cognitive characteristics of AD - Stage 2:
-Progressive memory loss (recent and remote)
-Confabulation
-Disoriented X 3
-Psychotic symptoms
-Misidentification syndrome (familiar people unfamiliar and vice versa)
-Aphasia
-Agraphia
-Agnosia
Cognitive characteristics of AD - Stage 3:
-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
These 3 meds increase the availability of ACh in the brain:
-Aricept
-Reminyl
-Exelon
S/E of Aricept, Reminyl, Exelon?
-Transient
-N/V, diarrhea, sweating, bradycardia, insomnia
-Take after breakfast to reduce S/E
___ may reduce the inflammatory response to amyloid protein deposits.
NSAIDS
S/E of NSAIDS?
-dizziness
-fluid retention
-GI problems
-nervousness
Eldepryl (selegiline):
-Antipsychotic
-Selective MAO B inhibitor
-May delay functinal decline
-Does not improve cognition
Risperdal (resperidone):
-Antipsychotic
-Promotes sleep
-Regulates agitated and aggressive behavior
4 medications for agitation and aggression?
-Desyrel (trazodone)
-Depakote (valproate)
-BuSpar (buspirone)
-Tegretol(carbamazapine)
-(
2 meds for delirium?
-Haldol
-Ativan
Usual dose of Haldol for delirium is ___ mg.
1-2
When giving Haldol with ___ there is a rapid reduction in delirium.
Ativan
IM ___ for delirium has an unpredictable absorption rate and is more likely to produce EPS.
Haldol