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DPT_NEURO_3

PARKINSON'S DISEASE

QuestionAnswer
Neurodegenerative dso Parkinson's dse
Parkinson's dse is a degeneration of Substantia nigra
Neurotransmitters involved in Parkinson's dse DEC. Dopamine INC. Acetylcholine
4 cardinal signs of Parkinson's dse TRAP Tremors Rigidity Akinisia / Bradykinisia Postural instability
Characteristic is rigidity of Parkinson's dse Cogwheel/lead pipe
Type of tremor in Parkinson's dse Resting
Pathognomic sign (?) of Parkinson's dse Pin rolling
Characteristic of speech in Parkinson's dse Slow monotonous
Parkinson's dse is diagnosed with PE&Hx requiring greather than 2 cardinal signs
Findings in pts with Parkinson's dse during autopsy Lewy bodies
Confirmatory test in Parkinson's dse Reaponse to levodopa
Intervention to improve mobility in terms of walking Rock side-by-side, forward-backward Take big steps
Would you recommend exercise in Parkinson's dse Yes
Best exercise overall for Parkinson's dse Walking
Best exercise in Parkinson's dse to prevent fall Tai chi
Nsg intervention in Parkinson's dse in terms of daily living particular;y elimination Elevated toilet seat -> prevents flexion of hips & legs
Nutrition problem in Parkinson's dse Aspiration
Intervention for aspiration in Parkinson's dse Thick fluids, sit upright, small bites
Clothing type for Parkinson's dse Velcro instead of buttons
What to advise to patients with Parkinson's dse when walking to prevent fall Lift feet instead of dragging (shuffling gait)
Intervention for poor posture in Parkinson's dse Firm mattress
DOC for Parkinson's dse Carbidopa - Levodopa
Mainstay tx for Parkinson's dse Carbidopa - Levodopa
What to avoid if taking Carbidopa - Levodopa B6 / Pyridoxine , protein-rich
When should Carbidopa - Levodopa be taken Before breakfast
Patient taking Carbidopa - Levodopa is experiencing dyskinesia (involuntary jerky mov't), what is the priority Dose adjustment
Phenomenon experienced if taken Carbidopa - Levodopa On/off phenomenon
side effects in Carbidopa - Levodopa in terms of elimination Dark urine / sweat which may stain clothing
Drug for parkinson's dse which DEC. Acetylcholine and INC. Dopamine Anti cholinergic
Drug for parkinson's dse effective for tremors and rigidity Anticholinergic
Suffixes for Anticholinergic -tropine ; trinexyphenidyl
Anticholinergic is C/I to BPH, glaucoma
S/E of Anticholinergic Sympa effects
Drug for Parkinson's specifically designed to extend the effectiveness of carbidopa/levodopa. COMT inhibitors
Drug for Parkinson's to prevent wearing off / on or off phenomenon COMT inhibitors
Suffix for COMT inhibitors -pone
Drug for Parkinson's that mimics dopamine Dopamine agonists
Dopamine agonists example Pramipexole, ropinirole, amantadine
Created by: ah_jusyyy
 

 



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