Dysphagia 2

Question	Answer
what do you have to do with your tongue to swallow? (motion)	lateralize
what is an extravasation?	a fistula that kills a little bit of food in the tissue
will a person with a superior pharyngeal nerve dysfunction have difficulty swallowing thin liquids?	yes. they will aspirate
Is it normal to need to clear your throat after a swallow?	Nope - pay attention to this.
What should you do if the person has weakness swallowing?	Have them turn their head to see if their swallow improves. You close off one side.
Which direction do you turn when you want to close off side of the throat?	the side you want to close.
What is the order you should be concerned in for areas of the brain that are damaged?	brainstem, R CVA (dysarthria), L CVA (apraxia)
What is best to do with patients with dementia and swallowing?	Keep them eating as long as possible before it becomes a risk.
Higher mortality with a peg tube or oral feeding for patients with dementia?	peg tube.
difference between a clinical and experimental exam?	clinical: what you see and empirically judge without hard data. experimental: tests you conduct (barium swallow study).
How many hours of therapy are required in a rehab unit?	3 hours - ot, pt, slp combined.
How do you perform a supraglottic swallow?	suck in air, hold, swallow, cough.
Why is a cough important in a supraglottic swallow?	Means you're able to clear your throat.
What is a vocational cough?	the ability to cough.
What is an effortful swallow? Why is it important?	a hard swallow. You get a better squeeze in the pharynx.
What is an interdental swallow? Why important?	tongue between teeth and swallow. Base of tongue retraction is being increased. (base of tongue and pharynx).
What is the Mendelssohn maneuver? why important?	take a breath, hold, swallow, release breathe. not sure...
what is the shakir exercise? who can't do it?	lay on back, do a partial sit up of the head and swallow. critically fragile people.
What does xerostomia do?:	creates a lack of saliva - ie: dry mouth.
Which outcome has a better recovery: pharyngeal or oral tumor surgery?	oral
Why is oral tumor surgery better?	floor and back of the mouth is better than the top to recover from.
What is a hemilaryngectomy?	removal of 1/2 the larynx.
which is worse: supraglottic laryngectomy or hemilaryngectomy?	supra. it's taking out the top of bottom half.
Where does an Chloropec tube run?	nose to the throat.

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	Created by mathieteal about 9 years ago