Science Medicine Neurology
Mark Klimek Blue Book Part 1.3
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What is the #1 finding with Guillian-Barre? Progressive ascending paralysis
What causes the paralysis of GBS? Demyelination of peripheral nerves (unknown cause)
What kind of infection precedes Guillian-Barre? Viral
The patient completely recovers from Guillian-Barre. (T/F) False, there are usually residual effects but they do recover most of what was lost.
Recovery usually occurs within ______ to _____ months for 4 to 6
patients with Guillian Barre.
What is the first symptom of Guillian-Barre? Clumsiness in ambulation (function in legs and feet is lost first. )
What is the biggest danger of Guillian-Barre? Respiratory arrest secondary to diaphragmatic paralysis
In the acute phase of Guillian-Barre, it is very important to Motor function of all muscles (especially the diaphragm)
assess _______ _________ every 2 hours.
Before feeding in a patient with Guillian-Barre you Check the gag reflex
must_________.
What is the most aggressive medical therapy for GBS? Plasma phoresis-- to remove antibodies fromt the blood.
What information does the measurement of skin fold The amount of body fat
thickness yield?
In general, males have a higher risk of heart disease than True
females. (T/F)
, Post-menopausal females have a lower risk of heart False. They have a higher risk.
disease than males aged 25-40. (T/F)
Family history of diabetes increases the risk fo heart True
disease. (T/F)
Family history of liver disease increases the risk of heart False
disease. (T/F)
Cigarette smoking increases the risk of heart disease. True
(T/F)
Oral contraceptives decrease the risk of heart disease. False, use increases the risk
(T/F)
Routine exercise decreases the risk of heart disease. (T/F) True
What is done in a graft for hemodialysis? A blood vessel is sutured between an artery and a vein.
What is done in an AV fistual? A surgical anastomosis is made between the artery and a vein.
Does anything exit the skin in an AV fistula? No
How long can an AV fistula be used? Indefinitely
Who is the most likely to receive a graft for dialysis? People with diabetes mellitus.
How often do clients with renal failure undergo dialysis? 3 times per week
Is hemodialysis short term or long term? Both- but most short term dialysis is achieved by hemodialysis
How long does the average dialysis last? 4 to 6 hours
What are 3 ways to gain access to the circulation in AV shunt
hemodialysis? AV fistula
AV graft
What is the most common site for an AV shunt? Radial artery to radial vein
What should be avoided in the arm of the client with an No venipuncture or blood pressure allowed in the arm with a shunt, graft or
AV shunt? fistula.
What syndrome results when too much fluid is Disequilibrium syndrome
exchanged during hemodialysis too quickly?
What are the symptoms of disequilibrium syndrome? Change in LOC
N/V
Headache
Twitching
Mark Klimek Blue Book Part 1.3
Save
Students also studied
Mark Klimek Blue Book Part 1.2 NCLEX EXAM PREVIEW Mark Klimek Blue Book Part 1 Mark K
548 terms 110 terms 1,994 terms 486 term
srauh1 Preview kandykat1012 Preview srauh1 Preview srau
What is the #1 finding with Guillian-Barre? Progressive ascending paralysis
What causes the paralysis of GBS? Demyelination of peripheral nerves (unknown cause)
What kind of infection precedes Guillian-Barre? Viral
The patient completely recovers from Guillian-Barre. (T/F) False, there are usually residual effects but they do recover most of what was lost.
Recovery usually occurs within ______ to _____ months for 4 to 6
patients with Guillian Barre.
What is the first symptom of Guillian-Barre? Clumsiness in ambulation (function in legs and feet is lost first. )
What is the biggest danger of Guillian-Barre? Respiratory arrest secondary to diaphragmatic paralysis
In the acute phase of Guillian-Barre, it is very important to Motor function of all muscles (especially the diaphragm)
assess _______ _________ every 2 hours.
Before feeding in a patient with Guillian-Barre you Check the gag reflex
must_________.
What is the most aggressive medical therapy for GBS? Plasma phoresis-- to remove antibodies fromt the blood.
What information does the measurement of skin fold The amount of body fat
thickness yield?
In general, males have a higher risk of heart disease than True
females. (T/F)
, Post-menopausal females have a lower risk of heart False. They have a higher risk.
disease than males aged 25-40. (T/F)
Family history of diabetes increases the risk fo heart True
disease. (T/F)
Family history of liver disease increases the risk of heart False
disease. (T/F)
Cigarette smoking increases the risk of heart disease. True
(T/F)
Oral contraceptives decrease the risk of heart disease. False, use increases the risk
(T/F)
Routine exercise decreases the risk of heart disease. (T/F) True
What is done in a graft for hemodialysis? A blood vessel is sutured between an artery and a vein.
What is done in an AV fistual? A surgical anastomosis is made between the artery and a vein.
Does anything exit the skin in an AV fistula? No
How long can an AV fistula be used? Indefinitely
Who is the most likely to receive a graft for dialysis? People with diabetes mellitus.
How often do clients with renal failure undergo dialysis? 3 times per week
Is hemodialysis short term or long term? Both- but most short term dialysis is achieved by hemodialysis
How long does the average dialysis last? 4 to 6 hours
What are 3 ways to gain access to the circulation in AV shunt
hemodialysis? AV fistula
AV graft
What is the most common site for an AV shunt? Radial artery to radial vein
What should be avoided in the arm of the client with an No venipuncture or blood pressure allowed in the arm with a shunt, graft or
AV shunt? fistula.
What syndrome results when too much fluid is Disequilibrium syndrome
exchanged during hemodialysis too quickly?
What are the symptoms of disequilibrium syndrome? Change in LOC
N/V
Headache
Twitching
