Free unfinished flashcards about rcp 210 exam 5 brain anoxia

RCP 210 exam 5 disease exam 5 question

Answer

Autoimmune disorder causing inflammation and deterioration of patients peripheral nerves

Guillian-barre syndrome

What nerves are affected by gillian-barre syndrome?

Peripheral nerves

Pertaining to guillain-barre syndrome, WBC’s attack the nerve and strip off ___________________.

Myelin sheath

Guillian-barre is often onset by a ____________.

Febrile episode

What are the 7 clinical manifestations of guillian-barre syndrome?

1.Ascending paralysis 2.Tingling sensation and numbness 3.Loss of deep tendon reflex 4.Sensory nerve impairment 5.Decreased gag reflex 6.Peripheral nerve weakness 7.Decreased ability to swallow


What are the 2 ways to diagnose guillian-barre?Brain anoxia

1.History of neuro symptoms 2.Exam of CSF showing increased protein

What are the 5 ways to treat guillian-barre syndrome?

1.Plasmapheresis 2.Infusion of immunoglobulin 3.Corticosteroids 4.Oxygen,bronchial hygiene 5.Physical therapy

Autoimmune disorder which causes antibodies to attack the neurotransmitters at the neuromuscular junction.

Myasthenia gravis

What are the 5 clinical manifestations of myasthenia gravis?

1.Drooping upper eyelids, double vision 2.Speech impairment 3.Dysphagia 4.Weakness in arms and legs 5.Mucus accumulation, airway obstruction, alveolar consolidation atelectasis

What are the 5 listed ways to diagnose myasthenia gravis?

1.Clinical history 2.Tensilon test 3.Electomyography 4.Neuro exam 5.Blood test to check for antibodies

brain anoxia

What are the 6 listed ways to treat myasthenia gravis?

1.Drug treatment 2.Thymectomy 3.Oxygen therapy 4.Secretion mobilization 5.Mechanical ventilation

What are 3 drug categories used to treat myasthenia gravis?

1.Cholinesterase inhibitors

2.Corticosteriods

3.Adrenocorticotropic hormone therapy

What are some cholinesterase inhibitor drugs used to treat myasthenia gravis?

1.Tensilon 2.Prostigmin 3.Regonol 4.Mestinon

A clinical syndrome produced by acute interruption of the normal blood flow to an area of the brain, leading to persistent dysfunction related to the affected structures.

Stroke

Stroke can be related to a _______ or ________.

Blood clot or hemorrhage

The effect of stroke on respiration depends on which control element of ___________ is/are damaged.Brain anoxia

Ventilation

Which part of the brain is the common area damaged from a stroke?

Cerebral cortex

Cerebral cortex-hemispheric infarct:1.__________ 2._________ 3.____________ 4.______________

1.Mild hyperventilation 2.Contralateral decreased chest wall movement 3.Decreased diaphragm excursion 4.Sleep apnea

Bilateral hemisphere infarct:____________

Cheyne-stokes respirations

Lateral medulla and tegmentum (rare):____________

Apnea

Midpons (rare):___________

Loss of conscious control of respiration with preserved automatic ventilation

Cessation of breathing for at least 10 seconds.

Apnea

What are the 2 types of sleep apnea?

1.Obstructive sleep apnea

2.Central sleep apnea

What is the most common type of sleep apnea?

Brain anoxia

Obstructive sleep apnea

Caused by upper airway obstruction in combination with continued respiratory effort, followed by violent awakening.

Obstructive sleep apnea

Obesity, snoring and daytime sleepiness

Pickwickian syndrome

Pts with OSA are not able to sustain what?

REM sleep

What are 6 things that predispose a person to OSA?

1.Obesity 2.Narrowing of upper a/w 3.Enlarged tonsils and/or adnoids 4.Deviated septum 5.Down’s syndrome 6.Micrognathia- small jaw

What are 4 manifestations of OSA?

1.Loud snoring 2.Hypertension 3.Personality change/short term memory loss 4.Sexual dysfunction

What are 5 signs associated with OSA?

1.Morning headaches 2.Bed wetting 3.Dry mouth and awakening 4.Hypersomnolence 5.Flushed appearance

brain anoxia

What are 4 things a sleep study show in regards to OSA?

1. 5 episodes of apnea lasting more than 10 seconds per hour of sleep

2.Desaturations of =4% associated with apnea 3.Frequent arousals, PVC’s, bradycardia, asystole 4.Mean sleep latency of 200

When there is carbon monoxide being carried on hgb, then the oxygen carrying capacity is ___________.

Reduced

When there is carbon monoxide being carried on hgb, the dissociation curve shifts to the _______, further limiting oxygen availiblity to tissues.

LEFT

Carbon monoxide… _____%= asymptomatic

20%

Carbon monoxide… _____%= h/a, impaired judgement, N/V

20-60%

Carbon monoxide… _____%= unconsciousness, convulsions, coma

60-80%

Cyanide poisoning is determined by…Brain anoxia

A blood test

Cyanide poisoning inhibits…

Metabolism of oxygen

What are the stages of burns?

Early stage (0-24h hrs), intermediate stage (2-5 days), late stage (5 or more days)

What is the time frame for early burn stage?

0-24 hours

What is the time frame for intermediate burn stage?

2-5 days

What is the time frame for late burn stage?

5 days or more

What are the 5 listed effects of burns in the early stage?

1.Inflammation 2.Bronchospasm (too many bronchial secretions) 3.Impairment of mucociliary escalator from toxic effects of smoke 4.Pulmonary edema 5.ARDS

What are the 6 listed effects of burns in the intermediate stage?

1.Mucus productincr’s, mucociliary escalator clear of secretions decr 2.Mucosa become necrotic and sloughs off 3.Mucus plugging/atelectasis 4.Bacteria colonization (bronchitis/pneumonia) 5.Pulm edema/ARDS 6.Pt unable to breathe deeply/cough effective

brain anoxia

What are the 6 listed effects of burns in the late stage?

1.Infection from skin wounds 2.Pneumonia 3.Pulmonary embolism 4.Alveolar fibrosis/chronic atelectasis 5.Incr/chronic secretions 6.Bronchial stenosis and bronchiectasis

Children ______% of deaths from fires

50%

Scalding ________% of thermal burns in children

80%

Prognosis depends on (6)?

1.Extent/duration of smoke exposure 2.Chemical composition of smoke 3.Extent/degree of burns 4.Temperature of gas inhaled 5.Age of pt 6.Pre-existing health

What are some ways to manage thermal injury?

1.Infection control procedures 2.Fluid resuscitation 3.Intubation of pt w/ upper a/w thermal injury 4.Antibiotics 5. Pain meds 6.Oxygen 7.Bronchial hygiene 8.Aerosolized meds 9.Hyperinflation 10.Mechanical ventilation