Cbis Test Chapter 4

Front 1

3 R's of medication passing

Back 1

Right Med
Right Person
Right Dosage
Right Route
Right Time

Front 2

Heart or respiratory abnormalities have been reported in up to how many of person's with dsabilities?

Back 2

1/3

Front 3

Hypertension (elevated blood pressure) exceeds what number?

Back 3

140/90 mm Hg

Front 4

Hypertension is reported in what percentage of persons with TBI

Back 4

11-25% of individuals

Front 5

Signs of peripheral nerve injury

Back 5

weakness, numbness, muscle wasting, and uncoordinated, uncontrollable twitching of a single muscle group.

Front 6

Involuntary increase in muscle tone that causes the muscle to resist being stretched

Back 6

Spasticity

Front 7

Abnormal, usually permanent condition of a joint characterized by flexion and fixation due to wasting away and abnormal shortening of muscle fibers and loss of skin elasticity

Back 7

Contractures

Front 8

Oral Spasticity meds

Back 8

Baclofen (Lioresal)
Diazepam (Valium)
Dantrolene Sodium (Dantrium)
Tizanidine (Zanaflex)

Front 9

A person's metabolism increases after brain injury

Back 9

True

Front 10

Swallowing disorders after brain injury are common

Back 10

True

Front 11

3 of the most common abnormal swallowing characteristics

Back 11

Loss of bolus control
Reduced lingual control
Decreased tongue base retraction

Front 12

Gastrostomy Tube

Back 12

A tube placed through a surgical opening into the stomach to administer liquid feedings. Need to be closely monitored and cleaned.

Front 13

Medications for gastrointestinal problems

Back 13

These may include cognitive impairments:
Metoclopramide (Reglan)
Cimetidine (Tagamet)
Famotidine (Pepcid)
Ranitidine (Zantac)

Less signs of cognitive impairment:
Omeprazole (Prilosec)
Rabeprazole (Aciphex)

Front 14

Most common form of bladder incontinence after brain injury

Back 14

Disinhibited type of neurogenic bladder. Neurological impairment that affects bladder function.

Front 15

Foley Catheter

Back 15

Indwelling catheter. It remains in the bladder and drains urine continuously. Should be removed as soon as possible.

Front 16

Most common neurological condition reported after brain injury

Back 16

Headaches

Front 17

Persistent headaches may continue in what % of persons with brain injuries

Back 17

15-20%

Front 18

Enlargement of fluid-filled cavities in the brain, caused by excess CSF.

Back 18

Hydrocephalus

Front 19

A tube that moves excess spinal fluid out of the skull

Back 19

shunt

Front 20

Incidence of late seizures in persons with TBI

Back 20

5%

Front 21

Disturbances in specific, localized areas of one hemisphere of the brain

Back 21

Partial seizures

Front 22

Sudden burst of abnormal discharges that usually affect both hemispheres of the brain

Back 22

Generalized seizures

Front 23

Seizures with no alteration or loss of consciousness. May have stiffening or jerking of muscles, move eyes from side to side, and have unusual movement of the tongue, blinking, and facial twitching.

Back 23

Simple partial seizures (focal seizures)

Front 24

Seizures that impair consciouness. May receive an aura prior to seizure. The person may seem to be dreaming with open eyes and vacant stare. Will not remember details of incident.

Back 24

Complex partial seizures (psycho-motor or temporal lobe seizures)

Front 25

Abrupt loss of consciouness. Body stiffens in tonic contraction. The clonic phase consists of violent jerking of the head, face, and extremities with gradual slowing in frequency and intensity.

Back 25

Tonic-clonic seizures (grand mal)

Front 26

Transient loss of consciousness for several seconds. Short duration.

Back 26

Absence seizures (petit mal)

Front 27

Sudden, brief contractions of muscle groups which produce rapid, jerky movements in one or more extremities.

Back 27

Myoclonic seizures

Front 28

Status epilepticus

Back 28

Continuous type of seizure that lasts 5 minutes or longer, or two or more seizures without time between for the person to recover consciousness.

Front 29

Medications for seizures

Back 29

Carbamazepine (Tegretol)
Valproic Acid (Depakote)
Phenytoin (Dilantin)
Phenobarbital
Clonanzepam (Klonopin)
Gabapentin (Neurontin)
Topiramate (Topamax)

Front 30

Medications should never be used as a substitute for appropriate treatment planning and levels of staffing.

Back 30

True

Front 31

Monitoring of meds must occur to see if drug is:

Back 31

Producing intended effect
Still needed
Causing adverse effects

Front 32

If there is not enough environmental stimulation a person with hypo-arousal may not recover to maximum capacity

Back 32

True

Front 33

If a person is demonstrating irritability, agitation, impulsivity, and anxiety they may require this environment

Back 33

More structured, less stimulating environment

Front 34

Anti-Parkinsonian Medications

Back 34

Carbidopa-Levodopa (Sinemet)
Bromocryptine (Parlodel)
Pergolide (Permax)
Amantadine (Symmetrel)
Selegiline (Eldepryl)

Front 35

Stimulants

Back 35

Methylphenidate (Ritalin)
Dextroamphetamine (Dexedrine)
Adderall
Modafinil (Provigil)

Front 36

Alzheimer's Medications for use in TBI

Back 36

Donepezil (Aricept)
Rivastigmine (Exelon)

Front 37

Medications for post-tramatic agitation, aggression, and bipolar illness precipitated by brain injury

Back 37

Anti Convulsants:
Carbamazepine (Tegretol)
Valpric acid (Depakote)Trazodone (Desyrel)

Antihypertensive:
Propranolol (Inderal)
Clonidine (Catapress)

Bipolar:
Lithium

Anxiety (Axiolytics):
Buspirone (Buspar)

Front 38

Anti-psychotics

Back 38

Risperidone (Risperdal)
Olanzapine (Zyprexa)
Quetiapine (Seroquel)

Front 39

Anti-Depressants: SSRI's

Back 39

Paroxetine (Paxil)
Sertraline (Zolof)
Fluoxetine (Prozac)
Citalopram (Celexa)
Escitalopram (Lexapro)

Front 40

Anti-Depressants: SNRI's

Back 40

Duloxetine (Cymbaltal)
Venlafaxine (Effexor)

Front 41

Other antidepressants

Back 41

Trazodone (Desyrel)
Bupropion (Wellbutrin)

Front 42

Tricyclic Antidepresseants

Back 42

Nortriptyline (Pamelor)
Imipramine (Tofranil)
Amitryptyline (Elavil)
Desipramine (Norpramin)
Clomipramine (Anafranil)
Doxepin (Sinequan)
Protyptoline (Vivactil)

Front 43

MAOI's

Back 43

Tranylcypromine (Parnate)
Phenelzine (Nardil)

Front 44

Anti-anxiety meds

Back 44

Lorazepam (ativan)
Alprazolam (Xanax)
Oxazepam (Serax)
Clonazepam (Klonopin)

Front 45

Atypical antipsychotics

Back 45

Risperidone (Risperdal)
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Clozapine (Clozaril)
Ariprazole (Abilify)

Front 46

Conventional antipsychotics

Back 46

Chlorpromazine (Thorazine)
Thioridazine (Mellaril)
Mesoridazine (Serentil)
Fluphenazine (Prolixin)
Perphenazine (Trilafon)
Trifluoperazine (Stelazine)
Clopromazine (Compazine)
Nonphenothiazines
Haloperidal (Haldol)
Loxapine (Loxitane)
Molindone (Moban)
Thiothixene (Navane)

Front 47

Medications in treating sleep disturbances with low side effects

Back 47

Trazadone (Desyrel)
Zolpidem (Ambien)

Front 48

Most common mood disorder following TBI

Back 48

Depression

Front 49

First medication considered for depression

Back 49

SSRI's

Front 50

% of individuals with ABI with a history of alcohol abuse or dependence prior to injury

Back 50

58%

Front 51

% of individuals with an ABI who will return to using drugs and alcohol post injury

Back 51

50%