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15 Cards in this Set
- Front
- Back
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What lobe of the brain is important in memory storage?
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temporal
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What 'D' can withdrawal lead to?
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delirium
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If a patient is suffering from delirium due to a general medical condition, what will you see?
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-Disturbance of consciousness with reduced ability to focus, sustain, or shift attention
-Change in cognition of teh development of a perceptual disturbance -Develops over short period, fluctuates -H&P or lab evidence |
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T or F: a patient with dementia cannot have delirium
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FALSE: it is possible to have a patient with both dementia and delirium
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Aphasia
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loss of ability to understand or express speech
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Apraxia
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inability to perform particular purposive actions
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Agnosia
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inability to interpret sensations and hence to recognize things
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Disturbance in executive functioning
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lose ability to organize thinking and problem solve
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***Dementia Alzheimer's type (DAT) is characterized by what?***
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Memory impairment and cognitive disturbances
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Explain the connection between increased glutamate and Alzheimer's
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The making of memories is controlled by the level of Ca in cells. In Alzheimers, glutamate is high all the time. this affects the Ca channels, damaging the cell and decreasing memory. New meds affect the NMDA receptor
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Does a genetic link increase or decrease Alzheimer risk?
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BOTH
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***Four stages of ADT***
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1. Mild=forgetfulness, depression common
2. Moderate= confusion, short term memory impairment, ADL's decline, need in-home assistance 3. Severe= ambulatory dementia, reasoning and verbal communication poor, ADL losses, verbal and physical outbursts may occur, significant impairment, this is when they forget how to eat and toilet 4. Late= end stage, as progresses the whole brain is involved, loss of recognition, loss of ability to talk and walk, progresses to stupor and/or coma |
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What type of dementia might have lucid times?
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vascular
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How would you differentiate depression from early to moderate depression when questioning a client?
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-Depressed may seem to have a patchy memory but can answer questions or may say “I don’t know”
-Early to mod dementia will make up an answer b/c they know they should be able to answer NOTE that delirious client won't be able to answer |
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Why should you try not to combine diuretics with psychotropic medications in the elderly?
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Normal liver and renal changes of aging can lead to toxicity and increased paradoxical rxns when these meds are combined
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