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ALS
pn 141 test 3 book burke: pg 949
Question | Answer |
---|---|
what is is AKA; who is it names after | lou gehrig's disease; a famous baseball player who suffered from it |
what is it | a rapidly progressive, fatal neurologic disease |
cause | unknown |
who is most effect | men, ages 40-70 |
it involve the loss of motor neurons where | inthe spinal cord and brainstem |
what happens when electrical impulses cannot be sent from teh brain to the voluntary muscles | the muscle lose their strength and atrophy |
although body function decreases , whatis still intact | they are with it ,mentally alert |
s/s: of the muscles | weakness, fasciculations, muscle wasting of the arms, legs and trunk |
what is fasciculations | involuntary contractions of the voluntary muscles or twitching |
s/s: brainstem involvement causes what issures | speech and swallowing issue |
s/s: what happens towards the end (what system in targeted) | the respirarory system, death from aspiration PNA, or respiratory failre |
how long does it last | 50% die with in 2-5 years of Dx |
Dx: what is it based on | pt s/s |
Dx: why are other tests done | to rule out other diseases |
Dx: what does an EMG confirm | muscle weakness |
Dx: what will a muscle biopsy show | loss of muscle fibers |
is there a cure | no |
meds: what one seems to slow the destruction of motor neurons | rilutek (riluzole) |
teaching for pt fam at home | suctioning tech, heimlick manuever, bowel and cath care, enteral feedings, skin care, turning and positioning the pt |
A-myo-trophic means what | no muscle nourishment |