Term
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Definition
most common- motor vehicle crashes, sports injuries, birth trauma, and nonaccidental trauma.
(MVC)- 67.7 not properly restrained |
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Term
| Transverse myelitis (inflammation of the spinal cord) |
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Definition
| caused my illness and has also been reported to develop from inadvertent intraarterial administration of long-acting penicillin injected into the buttocks. May result to paraplegia or even lower limb amputation. |
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Term
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Definition
| hyperflexion or hyperextension of the neck, ofen combined with rotational force. |
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Term
SCIWORA
SCI without radiographic abnormality |
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Definition
| trauma to the spinal cord without evidence of vertebral fracture or dislocation. (high in not properly restrained) |
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Term
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Definition
| SCIWORA is more common in children because of suppler, weaker, and more mobile than those of adults. |
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Term
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Definition
stroke- change in the normal blood supply to the brain.
Any stroke is a medical emergency that strikes suddenly, and it should be treated immediately to prevent neurologic deficit and permanent damage |
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Term
Stroke- ____ cause of death in US
_______ die each year from stroke |
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Definition
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Term
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Definition
- cannot store O2 or glucose- constrant flow of blood to provide these
- blood flow- removes metabolic waste (CO2, lactic acid)
- More than a few minutes- infarction
- Brain metabolism and blood flow after a stroke are affected around the infarction as weel as in the contralateral (opposite side)- may be from brain sweeling- ICP
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Term
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Definition
| (AIS) occlusion (blockage) of a cerebral artery by either a thrombus (clot) or an embolus (dislodged clot) |
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Term
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Definition
Amyotropic lateral sclerosis
degenerative neurological disorder of the upper and lower motor neurons that result in deterioration and death of the motor neurons. This results in a progressive paralysis and muscle wasting that eventually causes resp paralysis and death. Cognitive function is not usually affected. |
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Term
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Definition
| within 3 to 5 years of inital symptoms |
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Term
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Definition
| genetic counseling is suggested for family members of clients with ALS |
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Term
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Definition
more men than women
between 40 and 70 |
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Term
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Definition
Fatigue
Twitching and cramping of muscles |
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Term
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Definition
Muscle weakness- usually begins in one part of the body
Muscle atrophy
Dysphagia
Dysarthria
Hyperreflexia of deep tendon reflexes |
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Term
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Definition
| increased Creatine kinase (CK-BB) level |
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Term
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Definition
| reduction in number of functioning motor units of peripheral nerves |
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Term
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Definition
| Reduction in number of motor units of peripheral nerves and atrophic muscle fibers |
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Term
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Definition
- Maintain a patent airway and suction and/or intubate as needed
- Monitor ABGs and administer O2, intermittent positive pressure ventilation, bilevel positive airyway presussure, or mechanical ventilation as needed
- Keep the head of bed at 45 degrees, turn, cough, and deep breathe every 2 hr; conduct incentive spirometry/chest physiotherapy.
- Facilitate effective communication (dysarthria) with communication board and speech language therapist referral.
- Assess coping and depression
- Assess swallow reflex and ensure safety with oral intake. Thikcen fluids as needed.
- Meet nutritional needs for calories, fiber, and fluids. Enteral nutrition if can't swallow.
- Utilize energy consercation measures
- Address the client's interest in the establishment of advance directive/living will.
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