5. Elderly Flashcards
drugs for parkinsons
antimuscarinic
dopa replacment
dopa metabolism inhbitors
dopa-R agonists
parkinsons antimuscarininc
bentropine
trihexphenidyl
dopa replacement
levodopa
dopa metabolism inhibitorsq
dopa decarboxylase
COMT inhibitor
MAO inhibitor
dopa R agonists
pramipexole
ropinrole
can dopamine cross BBB
no
can L dopa cross BBB
yes
carbidopa mech
decarboxylase inhibitor
incr L-dopa to brain
dopa agonists
apomorphine
parkinsons pre-surgery
continue meds
restart ASAP post-op
when should you give levodopa
20 mins before induction
repeat intra and post-op via OG/NG if needed
when should you not give levodopa
if procedure is for deep brain stimulator implantantion
which drugs to avoid parkinsons
dopa antagonist antiemetics
- promazine
which drugs to avoidn in brain stimulator transplants?
benzos
propofol
which drugs are common in alzheimers
cholinesterase inhibitors
NMDA receptor antagonist
which drugs should you hold in alzheimers
acetylcholinesterase inhibitors
galantamine/rivastigmine before surgery
STOP 1 day prior
donepezil before surgery
STOP 2-3 weeks (unlikely to stop)
