5. Elderly

Question 1

drugs for parkinsons

Answer 1

antimuscarinic
dopa replacment
dopa metabolism inhbitors
dopa-R agonists

Question 2

parkinsons antimuscarininc

Answer 2

bentropine
trihexphenidyl

Question 3

dopa replacement

Answer 3

levodopa

Question 4

dopa metabolism inhibitorsq

Answer 4

dopa decarboxylase
COMT inhibitor
MAO inhibitor

Question 5

dopa R agonists

Answer 5

pramipexole
ropinrole

Question 6

can dopamine cross BBB

Answer 6

no

Question 7

can L dopa cross BBB

Answer 7

yes

Question 8

carbidopa mech

Answer 8

decarboxylase inhibitor
incr L-dopa to brain

Question 9

dopa agonists

Answer 9

apomorphine

Question 10

parkinsons pre-surgery

Answer 10

continue meds
restart ASAP post-op

Question 11

when should you give levodopa

Answer 11

20 mins before induction
repeat intra and post-op via OG/NG if needed

Question 12

when should you not give levodopa

Answer 12

if procedure is for deep brain stimulator implantantion

Question 13

which drugs to avoid parkinsons

Answer 13

dopa antagonist antiemetics
- promazine

Question 14

which drugs to avoidn in brain stimulator transplants?

Answer 14

benzos
propofol

Question 15

which drugs are common in alzheimers

Answer 15

cholinesterase inhibitors
NMDA receptor antagonist

Question 16

which drugs should you hold in alzheimers

Answer 16

acetylcholinesterase inhibitors

Question 17

galantamine/rivastigmine before surgery

Answer 17

STOP 1 day prior

Question 18

donepezil before surgery

Answer 18

STOP 2-3 weeks (unlikely to stop)