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22 Cards in this Set
- Front
- Back
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In Myasthenia Gravis, there is a disturbance in transmission of impulses in the _____ _____ |
Neuromuscular Junction |
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The #1 sign of MG is _____ _____ _____ |
Severe muscle weakness |
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What is the unique adjective given to describe the early symptoms of MG? |
BULBAR SIGNS = difficulty swallowing and visual problems |
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MG affects men more than women? (T/F) |
False |
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When women get MG they are usually old or young? |
Young |
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When men get MG they are usually old or young? |
Old |
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What neurotransmitter is problematic in MG? |
Acetylcholine |
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What class of drug is used to treat MG? |
Anticholinesterases |
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What ending do anticholinesterases have? |
-stigmine |
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Are anticholinesterases sympathetic or parasympathetic? |
Parasympathetic |
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Anticholinesterases will have sympathetic or cholinergic side effects? |
Cholinergic -They will mimic the parasympathetic nervous system |
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What surgery can be done for MG? |
Thymectomy = removal of the thymus |
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The severe muscle weakness with MG will get better with exercise? (T/F) |
False -It WORSENS with activity |
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What will the facial appearance of a person with MG look like? |
Mask-like with a snarling smile -This is called a myasthenic smile |
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If a patient has MG, what will be the result of the Tensilon Test? |
The patient will show a dramatic sudden increase in muscle strength |
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Besides the Tensilon Test, what other diagnostic tests confirm the diagnosis of MG? |
Electromylogram (EMG) |
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What is the MOST important thing to remember about giving Mestinon and other anticholinesterases? |
They must be given EXACTLY ON TIME; at home the patient might need to set their alarm |
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Do you give anticholinesterases with or without food? |
With food -Give about 1/2 hour before meals -Giving before meals helps strengthen the muscles of swallowing |
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What type of diet should the patient with MG be on? |
Soft |
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What equipment should be at the bedside of MG patient? |
-Suction apparatus (for meals) -Tracheostomy/endotube (for ventilation) |
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Name two types of crises that a MG patient can have |
1. Cholinergic (too much Mestinon) 2. Myasthenic (not enough Mestinon) |
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The #1 danger in both Myasthenic and Cholinergic crisis is _____ _____ |
Respiratory arrest |
