Neuromuscular Part Thirteen Flashcards Preview

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Flashcards in Neuromuscular Part Thirteen Deck (37)
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1
Q

purpose of proton pump inhibitor agents

A

prevent erosive esophagitis

2
Q

reflex bladder AKA

A

upper motor neuron bladder

3
Q

parameters for pressure relief to prevent decubitis ulcers

A

four times per hour

every 15-20 minutes

4
Q

for SCIs, the inability to cough effectively allows for secretions to build in the lungs resulting in what

A

decreased forced expiration

5
Q

how is heterotopic bone formation different from myositis ossificans

A

MO - results from trauma to muscle tissue and presents with bony deposits within the muscle tissue

6
Q

who uses static wrist-hand orthosis

A

C1-C5

7
Q

most common cause of autonomic dysreflexia

A

bladder distension

8
Q

a cord injury that interupts communication with the ______ can cause hypothermia

A

hypothalamus

9
Q

symptoms of autonomic dysreflexia

A

sudden increase in BP

bradycardia

headache

flushing

profuse sweating

anxiety

10
Q

what should be checked immediately with autonomic dysreflexia

A

bladder drainage system

11
Q

following a SCI, what specific parts of breathing will be reduced

A

tidal volume

vital capacity

12
Q

autonomous/nonreflex bladder AKA

A

lower motor neuron bladder

13
Q

side effects laxative agents

A

nausea

abdominal discomfort

cramping

dehydration

14
Q

should elastic stockings be used for DVTs

A

yes

15
Q

because sweating doesn’t occur lower than the LOI following SCI, what is the compensation

A

diaphoresis above the level of the lesion

16
Q

in order to sustain life after a diaphragm issue following SCI, what should be implemented

A

artificial ventilator

phrenic nerve stimulator

17
Q

diaphragm nerve roots

A

C3-C5

18
Q

what do anticholinergic agents do

A

decrease release of gastric acid

19
Q

level of patients that use head/mouth stick

A

C3-C4, sometimes C5

20
Q

what is autonomous/nonreflex bladder

A

only emptied by increasing intraabdominal pressure or by manually compressing the lower abdomen

21
Q

purpose of head or mouth stick for SCIs and who is it used by

A

used by patients with quadriplegia to hold utensils or devices such as pencils

22
Q

following initial hypothermia resulting from hypothalamus issue with SCI, what will happen and why

A

hyperthermia because of loss in sympathetic control of sweat glands

23
Q

effects on fertilitiy on males and females following SCI in the lumbosacral area

A

males - infertile

females - no real changes

24
Q

purpose of mobile arm support

A

helps with self-care, recreation, use of hand control in power chair

25
Q

what level of SIC leads to loss of voluntary control of urination and defecation

A

S2-S4

26
Q

below the level of the lesion in a SCI, what does NOT occur (other than motor/sensory)

A

sweating

27
Q

side effects of anticholinergic agents

A

dry mouth

constipation

urinary retention

28
Q

what position should the patient be while having autonomic dysreflexia and why

A

sit them up to lower BP

29
Q

what happens to reflex after spinal shock has resolved

A

they return and progressively come back stronger (results in spasticity)

30
Q

most common places for decubitis ulcers

A

sacrum

heels

trochanters

ischium

31
Q

two best ways to prevent contractures for SCIs

A

AROM - periodically through available ROM

second best is PROM

32
Q

who uses mobile arm support

A

patients with weak proximal UE muscles

33
Q

side effects of proton pump inhibitor agents

A

acid rebound phenomenon (when discontinued after prolonged use)

34
Q

out of all the below drugs, which would prevent a patient from participating in an outpatient setting:

anatacid agents

anticholinergic agents

laxative agents

proton pump inhibitor agents

A

laxatives

35
Q

what is heterotopic bone formation with SCIs

A

formation of new bone within muscles or other connective tissue BELOW the lesion

36
Q

what is reflex bladder

A

empties in response to a certain level of filling pressure

37
Q

who can get autonomic dysreflexia

A

SCIs above T6

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