7 Flashcards
what drug can be given to prevent the peripheral breakdown of levodopa
Aromatic amino acid decarboxylase inhibitos-carbidopa
levodopa can be broken down by what
COMT
levodopa can be broken down by COMT so drugs such as
entacapone and tolcapone
how does gabapentin work
voltage dependent ca channels
how does pregabalin work
N type Ca2+ channels
how does carbamazepine work
blocks na and Ca2+ channels
when do you get a rest tremor
PD
when do you get an intention tremor
cerebellar damage eg MS, stroke
when do you get a postural/essential tremor
Autosomal dominant essential tremor
hyperthyroidism, anxiety, B agonists
what is pseudoathetosis caused by
severe proprioceptive loss
describe the Fried model for measuring frailty
1 point for each of unintentional weight loss low grip strength self-reported exhaustion low physical activity levels slow walking speed 0=not frail 1-2=pre-frail 3+=frail
describe the deficit accumulation (Rockwood)
take a large number of body systems 20-80
count how many have a deficit
index divided by total number of systems
number between 0-1
what is included in complex geriatric assessment
medical, functioning, social and environmental, psycholocgical
what is anterior spinothalamic tract
crude touch and pressure
lateral spinothalamic tract transmits what
pain and temperature