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CBIS study guide questions chapter 6-finished Questions and Answers
CBIS study guide questions chapter 6-finished Questions and Answers
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CBIS study guide questions chapter 6-finished Questions and Answers
Describe possible early and chronic cardiopulmonary issues: - -
Cardiovascular instability following TBI such as:
Hypertension/Hypotension
DVT (deep vein thrombosis)
Pulmonary Embolism
-List 6 symptoms of dysautonomia or autonomic storming, after brain injury:
- -1. Dystonia (abnormal muscle tone)
2. Agitation
3. Tachycardia (rapid heart rate)
4. Diaphoresis (sweating)
5. Hyperthermia (elevated temp)
6. Hypertension (elevated BP)
7. Tachypnea (rapid breathing)
-In addition to change in reflexes and sensory integration, list four examples
of neurologically base complications following brain injury - -1. Range of
motion
2. Muscle tone/strength
3. Postural control/alignment
4. Endurance
-What are 4 common signs of UTI - -1. Cognitive changes (i.e., reduced level
of alertness)
2. Behavioral changes (i.e., increased agitation)
3. Altered bladder sensation
4. Increased urination/frequency
^the book lists 1&2 but no more- this is what I filled in?
-List 3 possible causes of bladder issues in addition to less capacity in the
bladder - -1. Altered bladder sensation
2. More sense of urgency
3. Increased urination frequency
-What can impact gastrointestinal motility? - -1. Changes in mobility
2. Food consistency/intake status
3. Tube feeding
4. Fluid intake
, 5. Medications
-What can promote bowel regularity? - -1. Good bowel hygiene (emptying
>=3x/week)
2. Toileting schedule
3. Ensuring dietary and fluid intake includes enough bulk, roughage, and
fluids
-How does brain injury affect metabolic needs - -Metabolic needs increase
significantly following TBI (requiring at least 40% more calories than before)
-Why is nutritional management critical following brain injury? - -Adequate
nutrition is required for health of all cells, for adequate cog fxn, and for
overall strength and recovery
- adequate nutritional mgmt helps maintain fxnl independence, mobility, and
cardiovascular/endocrine health
-Swallowing is a complicated process, and dysfunction can lead to
______________ - -aspiration
-A study that examined severe TBI found swallowing disorder rates in ______
percent early after injury - -90%
-______% had problems with swallowing in the oral phase; _____%
demonstrated problems in the pharyngeal phase - -65% oral and 73%
pharyngeal
-Aspiration is the inhaling of ________________________________________________
into the ______________ - -food or liquid
lungs/airway
-Why is aspiration dangerous? - -Can result in PNA/death
-Besides metabolic syndrome, what are 3 types of endocrine dysfunction
following brain injury? - -1. Hypothalamic-pituitary changes
2. Gonadotropic dysfunction
3. Growth hormone dysfunction
4. Weight gain
5. Sexual Dysfunction
6. Osteoporosis
-What are risk factors for metabolic syndrome? - -Hx of HTN, DM, smoking,
obesity, stress, physical inactivity, schizophrenia, long use of anti-psychotics
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