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63 Cards in this Set
- Front
- Back
What are the Biological Aspects of Autism
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Elevated Serotonin, Cerebellar adbnormalities
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Explain Savants related to Autism
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Individual may excel in some area such as music, math, puzzles, art, memory.
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Adolescence may have an increased or decreased severity of symptoms
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Increased.
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Rate Mental Retardation in children with Autism
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Moderate to Severe
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True or False a child with Autism with present with the following social deficits, Lack of the following affect, eye contact, social/ emotional reciprocity
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True
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When the Parent of a PT with Autism states “ I now understand we need to follow a daily routine and stick to it” the PT teaching has been successful, True or False
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True
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When working with Autism the Nurse should recognize the following about her PT
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Minimize Stimulation, Limit Physical Contact, Plan for Procedures, Give Simple Instructions, Consider Nutrition
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ADHD
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Attention Deficit Hyperactivity Disorder
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The Etiology of ADHD
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Neurotransmitter deficit of Dopamine & Norepi, Serotonin
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The Mental Health Organization speaks and gives criteria of inattention & or hyperactivity in Mental Health DX book
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DSM IV
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True or False to be DX with ADHD you must have the following Comp Physical Exam, EEG,
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False also need Psych Testing, Neuro Work up
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True or False Stimulants related to ADHD cause tics?
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Currently NO Stimulants do not cause Tics, but can exacerbate them.
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List CNS Stimulants that can be use
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Ritalin, Dexedrine, Adderall, Metadate ER, Cylert
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Suppressed Appetite & Sleep interference as well as nervousness & hyperactivity are all signs of what
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CNS Stimulant S/E
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True or False Stimulates are Addicting
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False Stimulants have not been found to have addictive properties
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True or False Subjects taking Stimulates will eventually build up a tolerance to the drug
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False No physical tolerance of stimulants at this time
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Adolescence with untreated and unDX ADHD generally will tend to us what two forms of recreational support
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Alcohol, Marijuana
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True or False Stimulants will not stunt a child’s growth
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True Long term studies show minimal or no difference
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What is the key concern of Stimulant use in adolescents and adults
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Abuse (Overdose w depression)
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As the Nurse I need to educate my parents of a child with ADHD of the following
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Suppress Appetite (give w or after meal), Monitor Growth, Administer last dose 5 hr before bedtime, Avoid Caffeine, Monitor Drug Supply.
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When taking Cylert what which lab value for toxicity
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Liver – Hepatic Toxicity
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List common S/E of Wellbutrin
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Abd Cramping & Leg Ache,
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Wellbutrin should be given AM or PM
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AM
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Wellbutrin helps to decrease Hyperactivity & Distractibility
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Hyperactivity & Impulsiveness also Antidepressant, DOES NOT help with Inattention & Distractibility
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Give Obstacles of Care for PT with ADHD as a Nurse
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Lack of Policies on Care of Psych PT, Limitations of Staff Skill, Time, Lack of access to MH Records,
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This is the earliest and most sensitive indicator of Pediatric Coma Scale assessment
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LOC level of consciousness
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The Pediatric Comas Scale looks at three things primarily
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LOC, Pupils, Motor(posturing)
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In the Pediatric Comas Scale what do E, V, M stand for
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Eye, Verbal, Motor
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True or False and thing <6 represents a significant risk of mortality
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False <8
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Total Ped Glascow Coma Scale is
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15
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This invasive Diagnostic Test provides information such as Fluid cell count, Bacteria, Pressure of CSF, what is
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Lumbar Puncture
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Brain Waves, SZ activity, can all be evaluated with this Diagnostic Test what is
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EEG Electroencepholgraphy
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List Diagnostic Test that show blood flow, structure
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MRI, CT, XRAY, Angiography
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List Signs & Symptoms of ICP in Infant
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Poor Feeding, Vomiting, Irritability, Restlessness, Lethargy, High Ptiched Cry, Bulging Fontanel, Inc Head Cir, Separation of Suture, Distended Scalp Veins, Sunset Sign Pupil resting on bottom of Iris.
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Signs of ICP in Children
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HA, Diplopia, Motor Weakness, NV, Mood Swings, Altered LOC, SZ
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If you find your PT in a decorticate position this communicates what result
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Cerebral Hemorrhage
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If you find your PT in a Decerebrate position this communicates what result
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Medulla or Pons Damage
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When a PT presents limp with a lack of posture this indicates
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Brain Stem Damage
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Late Signs /Symptoms of ICP Tachycarida to Bradycardia, Apena, Cushing Triad,
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SZ, Papilledema, Alteration pupil size & reactivity, Decorticate & Decerebrate posturing.
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An Incr in Systolic pressure with widening pulse pressure , bradycardia with decr in respiration rate or change in pattern, What are these three things grouped together called
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Cushing Triad
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There are two ways to Reduce Volume of Cerebral Spinal Fluid
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Ventriculostomy & Shunt (Internal Ventriculoperitoneal
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If an infant has a recorded ICP of >20 which activities should be avoided
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Suctioning, Turning, Bathing, Head Flexion, Valsalva’s Manuever
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A moderately forceful attempt at exhalation against a closed airway is Holding the nose shut and closing the mouth is a test of cardiac function, name this test
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Valsalva’s Manuever
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Ventriculostomy Extraventricular Drain (EVD) must be at a Level 1 or Level 0 at the ear canal
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Level 0
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NSG care related to the EVD is
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DSG & insertion site, Tubing, Clamping Stopcocks Open
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This tubing is just outside the cranium, travels down along the neck ,enters underneath the skin in the chest area and coils in the abdomen or perineum, name this type of shunt (VP)
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Ventriculo-Peritoneal Shunt (VP)
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True or False Neural Tube Defects are related to a deficient genetic or folic acid or viral organism
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True
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What is the recommended Folic Acid intake dose
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400mcg/day
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Spina bifida occulta, Meningocele & Myelomeningocele are all what type of Defects
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Neural Tube Defects
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Neural Tube defects are higher in Girls or Boys, Whites or Blacks?
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Girls, Whites 3x’s.
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During Pre-Op what position will a PT with Meningomyelocele be placed in
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Prone Position
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Children with Neural Tube Defect commonly have this type of allergy
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Latex Allergy
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As the Nurse what Highest Priority for Pre-op Mngt…what are you watching for
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Hydrocephalus / ICP
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As the nurse how do you protect the Meningomyelocele
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Protect integrity of Sac, Wet/Sterile Dressing w/ NS.
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As the Nurse Post-Op care consists of
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Wound Care, Keep Prone, Infection, Sterile DSG Chng, Prevent UTI, Motor & elimination,
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CSF accumulation in the brain due to imbalance between production and absorption what is
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Hydrocephalus
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True or False there are three type of Hydrocephalus
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True Non Communicating, Communicating, Inc CSF
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What is the most common type of Hydrocephalus
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Non Communicating – obstructed flow through ventricles.
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Where does Ventriculoperitoneal drain
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Drain peritoneal cavity
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Where does Ventriculoatrial drain
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Rt Atrium via Jugular vein
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Where does Ventriculopleural drain
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Chest Cavity
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Lumbo-peritoneal is used with ______________ hydrocephalus
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Communicating – impaired absorption subarachnoid space, (Flow but no reabsorption occurring)
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Name most common Treatment Complications of Shunt
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Obstruction or Occlusion
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