Nurs_127Ax_S_01x_Cognitivex_ECT

Nurs_127Ax_S_01x_Cognitivex_ECT - Cognitive Disorders ECT...

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Cognitive Disorders ECT Phyllis M. Connolly, PhD, RN, CS NURS 127A
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Questions for consideration What are the similarities and differences between delirium, dementia, and depression? What is a catastropic reaction and what interventions are helpful? What is a positive client outcome for altered thought processes? What the indications for ECT?
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Cognitive Impairments 2.4 million Americans suffer from dementing illnesses 7.3 million by 2040 Alzheimer’s Disease Dementias Vascular--interruption of blood flow to brain Parkinson’s--involves extrapyramidal Diffuse Lewy Body Disease Huntington’s Disease Creutzfeldt-Jakob Disease Alcoholic Dementia TIA
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Medications Causing or Contributing to Dementia or Delirium Analgesics Codeine Meperidine Morphine Pentzcocine Indomethacin Antihistamines Dephenhydramine Hydroxyzine Antihypertensives Clonidine Hydralazine Methyldopa Propranolol Reserpine Antimicrobials Gentamicin Isoniazid
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Medications Causing or Contributing to Dementia or Delirium Cont. Antiparkinsonism Amantadine Bromocriptine Carbidopa L-Dopa Cardiovascular Atorpine Digitalis Diuretics Lidocaine Hypoglycemics Insulin Sulfonyureas Psychotropics Benzodiazepines Lithium Tricyclics Haloperidol Thiothixene Chlorpromazine Barbituates Chloral hydrate Others Cimetidine Steroids Trihexyphenidyl & other anticholinergics
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Dementia Constellation of symptoms resulting in impairment of short and long term memory Onset slow or insidious Progressive ends in death Deterioration in judgment & abstract reasoning Social & occupational functioning significantly affected
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Four As of Alzheimer’s Disease Amnesia--inability to learn new information or to recall previously learned information Agnosia--failure to recognize or identify objects despite intact sensory function Aphasia--language disturbance that manifest in both understanding & expressing the spoken word Apraxia--inability to carry out motor
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Alzheimer’s: Etiology Senile plaques & neurofibrillary tangles Dystrophic neurites(thickened, swollen neuronal processes) Abnormal amyloid deposits Genetic--10-15% of cases Toxin model--aluminum salts Infectious agent model--virus Cholinergic deficit model
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This note was uploaded on 09/08/2010 for the course NURS 147A at San Jose State University .

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Nurs_127Ax_S_01x_Cognitivex_ECT - Cognitive Disorders ECT...

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