In ALS, which senses are reported to have no change? -3
- Senses
- Bowel/bladder
- Autonomic
Name two assessments used for ALS.
- ECAS
- ALSFRS-R
What are two advance directives mentioned for ALS management?
- PEG
- BIPAP
What kind of interventions is used for decreased cognition in ALS
non pharm
List some symptoms of ALS -6
Dysphagia
Dysarthria
Resp. failure/ dyspnea
Sialorrhea
Pba/depression/anxiety
Pain
What is a common cause of death in ALS patients?
Respiratory failure
What medication can be used to manage secretions in ALS?
Mucolytics (Mucomyst)
What medication is used to manage spasticity in ALS?
Muscle relaxants (baclofen)
What medications are used for PBA/depression/anxiety in ALS and MS? -3
- Sertraline
- Amitriptyline
- Neudexta
What is a common treatment for neuropathic pain in ALS? -2
- Gabapentin
- TCA (amitriptyline)
What is recommended for managing cramps/spasms in ALS (pharm+non)?-3
- Routine stretching
- Scheduled dose of analgesia
- Quinine
What is a common symptom of diaphragmatic weakness in ALS?
Fatigue
changes in cognition in ALS-4
insight, apathy, executive, aggression
first line treatment for ALS
Riluzole
Edaravone (expensive, slow progression)
how to treat dyspnea in ALS -2
normal
glycopyrrolate to ↓ secretions
how to manage resp failure in ALS-2
BIPAP, LTMV
how to manage pain from immobility in ALS-2
ROM, weight shifting
what is Botox used for-4
pain from spasticity, hemiplegic, or cramping
sialorrhea
what does glycopyrrolate do
decrease secretions (anticholinergic)
what is used to treat sialorrhea (ALS vs PD)-3
Botox
scopolamine- ALS
glycopyrrolate, atropine-PD
what does glycopyrrolate treat -3
secretion-MS
sialorrhea- PD
dyspnea- ALS
