Auto-Immune Disorders

Multiple Sclerosis

100

Fatigue

This clinical manifestation affects about 85% of people with MS?

200

b.Primary progressive

Which type of MS is described below: Affects 10% of people, continued worsening of neurological symptoms, general without remission or exacerbation a.Progressive-relapsing b.Primary-Progressive c.Relapsing-remitting d.Secondary progressive

300

Methlprednisolone (solumedrol) Steroid

Which drug or drug class is an anti-inflammatory that decreases length of each exacerbation?

400

Lack of coordination Ataxia Falling Muscle weakness Muscle spasticity Vertigo Tinnitus Fatigue Intention tremors Muscle atrophy

Please name 2 MOTOR clinical manifestations of MS?

500

Decreases bladder spasticity Decreases frequency Urgency to void

What is Oxybutynin (Ditropan) & Probanthene used for?

Guillain-Barre Syndrome

100

c. 85-95%

The outcome of GBS is generally excellent if appropriate care given in what percentage of patients? a.5-10% b.40-50% c.85-95% d. none of the above

200

Urinary retention incontinence constipation

What bowel or bladder complications are possible in pts with GBS?

300

Immunoglobulin (IVIG)

This medication is used for ambulatory pts who seek treatment within 2 weeks of symptoms?

400

Plasma is selectively separated from whole blood Removes the circulating antibodies Blood cells are returned without the plasma

What is plasmapheresis?

500

Viral infections HIV Immunizations Epstein Barr Herpes Varicella zoster Trauma/Surgery

GBS is usually preceded by immune stimulation from____?

Amyotrophic Lateral Sclerosis

100

Lou Gehrig’s Disease

Another name for Amyotrophic Lateral Sclerosis (ALS) is?

200

d. 40-70 years

ALS occurs____? a. 0-6 months b. 1-5 years c. 20-40 years d. 40-70 years

300

Aspiration Choking

Dysphagia & Dysarthria may put a patient at risk for what?

400

Chronic, progressive neuromuscular disorder Progressive degeneration of motor neurons

What is ALS?

500

Riluzole (Rilutek)

This drug is a glutamate antagonist which slows the deterioration of motor neurons in ALS. It extends survival by about 2 months.

Myasthenia Gravis

100

Thymus

Patients with MG have an abnormal______? What gland?

200

Ineffective airway clearance Ineffective breathing Impaired verbal communication Impaired swallowing Activity intolerance

Name 1 nursing diagnoses?

300

Eye muscles (will also accept facial expressions, speech, face, jaw, throat, neck & hip)

Which muscle is affected in most patients with MG?

400

hypotension, bradycardia, severe muscle weakness, copious secretions, respiratory distress, blurred vision, N&V, diarrhea, abdominal cramps, cardiac arrest

Name 2 signs and symptoms of Cholinergic crisis?

500

Under medication Missed doses of medication Infection

What is the cause of a Myasthenic crisis?

Systemic Lupus Erythematous

100

Psychosis Migraines Peripheral neuropathies seizures mental changes cognitive impairment

Name 1 neurologic manifestation of lupus?

200

Women of child bearing age African Americans Hispanics Asian Native Americans A twin if the other one has it (increases chance 60-70%)

Incidence of Lupus has a higher frequency in______?

300

Inflammation Joint inflammation Arthralgia

An elevated Erythrocyte Sedementation Rate (ESR) is indicative of which manifestations?

400

NSAIDS Antimalarial Steroids Steroid sparing drugs Immunosuppressive drugs

Name 1 class of drugs to help treat symptoms of Lupus?

500

Discoid Lupus= skin rash only, < 10% of patients Systemic Lupus= Chronic, progressive inflammatory disorder, causes major body organs and systems to fail, multisystem autoimmune disorder

What is the difference between discoid lupus and systemic lupus?