Mutiple Sclerosis Flashcards

(82 cards)

1
Q

What two priority concepts relate to MS?

A

Immunity and Mobility

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2
Q

What type of disease is MS?

A

Chronic, progressive, degenerative autoimmune disorder of the CNS

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3
Q

What is the underlying mechanism of MS?

A

Immune system attacks myelin causing demyelination and nerve impulse problems

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4
Q

What happens if demyelination continues?

A

Axonal damage becomes permanent

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5
Q

What does sclerosis mean?

A

Scar tissue

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6
Q

What does multiple sclerosis refer to?

A

Multiple areas of scar tissue in the CNS

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7
Q

What is the treatment goal for MS?

A

Prevent myelin damage

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8
Q

What is the most common type of MS?

A

Relapsing-remitting MS

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9
Q

Describe relapsing-remitting MS.

A

Clear relapses and remissions with near-complete recovery

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10
Q

Describe primary progressive MS.

A

Steady deterioration, no clear relapses or remissions

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11
Q

Describe secondary progressive MS.

A

Follows RRMS, relapses less clear, increasing disability

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12
Q

Describe progressive-relapsing MS.

A

Steady progression with acute relapses, no return to baseline

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13
Q

What three factors contribute to MS?

A

Immune dysfunction, genetics, environment

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14
Q

Who is most at risk for MS?

A

Women 20–49 years old

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15
Q

Which population has higher MS risk?

A

Caucasians of Northern European descent

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16
Q

What environmental factors increase MS risk?

A

Low sunlight, cool climate, low vitamin D

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17
Q

Common visual symptoms?

A

Blurred vision, double vision

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18
Q

Common sensory symptoms?

A

Numbness, tingling

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19
Q

Common motor symptoms?

A

Weakness, spasticity

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20
Q

Common cognitive symptoms?

A

Memory and concentration issues

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21
Q

Common speech symptom?

A

Dysarthria

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22
Q

Most common symptom of MS?

A

Fatigue

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23
Q

What makes MS symptoms worse?

A

Fatigue, stress, overexertion, temperature extremes, hot baths

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24
Q

What CSF test helps diagnose MS?

A

Lumbar puncture showing inflammation

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25
What imaging confirms MS lesions?
MRI showing multiple lesions over time
26
Priority nursing problems?
Impaired immunity, decreased mobility, decreased visual acuity and cognition
27
How to reduce infection risk in MS?
Avoid crowds, handwashing, vaccinations PRN
28
What is disease-modifying therapy for MS?
Immunomodulators
29
What treats MS relapses?
Short-term corticosteroids
30
What referrals improve mobility?
PT, OT, speech language pathology
31
How to plan activities for MS?
Space out activities to manage fatigue
32
What helps with spasticity?
Muscle relaxants
33
Strategies for visual changes?
Eye exams, eye patches, scanning techniques, glasses
34
Strategies for cognition?
Calendars, lists, familiar locations, reminder apps
35
Complementary therapies for MS?
Yoga, massage, acupuncture, aromatherapy, relaxation
36
Medications for MS pain?
Analgesics
37
Medication for spasticity?
Muscle relaxants
38
Medication for fatigue?
CNS stimulants
39
Medication for bowel dysfunction?
Stool softeners
40
Medication for bladder dysfunction?
Antispasmodics
41
Medication for depression?
SSRIs or tricyclic antidepressants
42
What two priority concepts relate to MS?
Immunity and Mobility
43
What type of disease is MS?
Chronic, progressive, degenerative autoimmune disorder of the CNS
44
What is the underlying mechanism of MS?
Immune system attacks myelin causing demyelination and nerve impulse problems
45
What happens if demyelination continues?
Axonal damage becomes permanent
46
What does sclerosis mean?
Scar tissue
47
What does multiple sclerosis refer to?
Multiple areas of scar tissue in the CNS
48
What is the treatment goal for MS?
Prevent myelin damage
49
What is the most common type of MS?
Relapsing-remitting MS
50
Describe relapsing-remitting MS.
Clear relapses and remissions with near-complete recovery
51
Describe primary progressive MS.
Steady deterioration, no clear relapses or remissions
52
Describe secondary progressive MS.
Follows RRMS, relapses less clear, increasing disability
53
Describe progressive-relapsing MS.
Steady progression with acute relapses, no return to baseline
54
What three factors contribute to MS?
Immune dysfunction, genetics, environment
55
Who is most at risk for MS?
Women 20–49 years old
56
Which population has higher MS risk?
Caucasians of Northern European descent
57
What environmental factors increase MS risk?
Low sunlight, cool climate, low vitamin D
58
Common visual symptoms?
Blurred vision, double vision
59
Common sensory symptoms?
Numbness, tingling
60
Common motor symptoms?
Weakness, spasticity
61
Common cognitive symptoms?
Memory and concentration issues
62
Common speech symptom?
Dysarthria
63
Most common symptom of MS?
Fatigue
64
What makes MS symptoms worse?
Fatigue, stress, overexertion, temperature extremes, hot baths
65
What CSF test helps diagnose MS?
Lumbar puncture showing inflammation
66
What imaging confirms MS lesions?
MRI showing multiple lesions over time
67
Priority nursing problems?
Impaired immunity, decreased mobility, decreased visual acuity and cognition
68
How to reduce infection risk in MS?
Avoid crowds, handwashing, vaccinations PRN
69
What is disease-modifying therapy for MS?
Immunomodulators
70
What treats MS relapses?
Short-term corticosteroids
71
What referrals improve mobility?
PT, OT, speech language pathology
72
How to plan activities for MS?
Space out activities to manage fatigue
73
What helps with spasticity?
Muscle relaxants
74
Strategies for visual changes?
Eye exams, eye patches, scanning techniques, glasses
75
Strategies for cognition?
Calendars, lists, familiar locations, reminder apps
76
Complementary therapies for MS?
Yoga, massage, acupuncture, aromatherapy, relaxation
77
Medications for MS pain?
Analgesics
78
Medication for spasticity?
Muscle relaxants
79
Medication for fatigue?
CNS stimulants
80
Medication for bowel dysfunction?
Stool softeners
81
Medication for bladder dysfunction?
Antispasmodics
82
Medication for depression?
SSRIs or tricyclic antidepressants