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Neuro Week 2
| Question | Answer |
|---|---|
| levodopa/carbidopa drug information | ADRs-dyskiniesia, psychosis, orthostatic hypotension, urine discoloration Contraindications-glaucoma, melanoma, depression Interactions, antipsychotics, protein, vitamin B Admin-oral Intervention-orthostatic vitals Patient Ed-avoid high protein |
| pramipexole drug information | -used for restless lef ADRs-same as other Parkinson, more nausea, sleep attacks Intervention-monitor orthostasis Interactions-Cimetidine and antipsychotics |
| selegiline drug information | Interactions-tyramine and many meds ADR-insomnia |
| donepezil drug information | ADR-bradycardia leading to syncope Patient-caregiver present, take w/ food before bed Interactions-anticholinergics, NSAIDs |
| memantine drug information | ADRs-CNS effects and GI effects Precautions-liver or renal impairment, seizure disorder Interactions-OTC antacids |
| Interferon information | ADRs-flue like symptoms, myelosuppression, immune suppression liver toxicity |
| sumatriptan drug information | ADRs-chest heaviness, bronchospasm, coronary vasospasm Admin-repeated doses with 24 hour max Contraindication-arterial disease Interactions-serotonin syndrome, MAOI |
| levodopa/carbidopa therapeutic action and pharmacologic action | -relieve manifestations of Parkinson's -carbidopa helps levodopa convert to dopamine in brain |
| pramipexole therapeutic use and pharmacologic action | -treat Parkinson's and restless leg syndrome -bind to dopamine receptors |
| selegiline therapeutic action and pharmacologic action | -treat Parkinson's and depression -inhibit monoamine oxidase B |
| donepezil therapeutic use and pharmacologic action | -improve cognitive function in Alzheimer's -prevents acetylcholinesterase from inactivating acetylcholine |
| memantine therapeutic use and pharmacologic action | -treat Alzheimer's (barely works) -block excess glutamate from stimulated NMDA receptors, decreasing influx of calcium into neurons |
| interferon therapeutic use and pharmacologic action | -treat MS -inhibit movement of leukocytes |
| sumatriptan therapeutic use and pharmacologic action | -relieve manifestations of existing migraine -serotonin agonist, reverse 5-HT/CRGP ratio |