Class 9 Jeopardy

Question 1

What symptoms improve when a pt with Parkinson’s takes a dopaminergic drug?

Answer 1

Alleviates the cardinal motor symptoms of Parkinson’s Disease, including Bradyskinesia

Question 2

What are extrapyramidal side effects?

Answer 2

Symptoms of actue dystonia, akathisia, parkinsonism, and tardive dyskinesia

Question 3

Why is it important for a pt with a seizure disorder to comply with their medication regimen?

Answer 3

So they maintain serum blood levels and do not get rebound seizures from abruptly stopping

Question 4

What does the medication therapy for Parkinson’s disease focus on mechanically in the brain?

Answer 4

Restoring dopamine and blocking acetylcholine

Question 5

What is a major side effect of barbiturates?

Answer 5

CNS depression

Question 6

Your pt has been seizure symptom free for 6 months and can now drive a car. They ask if they can now go off the medication. What do you say?

Answer 6

If you abruptly stop, seizures will likely occur.

Must taper over a period of 6-12 weeks

Question 7

Name 4 adverse effects a pt with Parkinson’s will experience if they are placed on an anticholinergic medication?

Answer 7

Dry mouth
Blurred vision
Tachycardia
Urine retention
Constipation
Worsening glaucoma
Increased respirations

Question 8

What is epilepticus

Answer 8

A condition characterized by repeated seizures or one prolonged seizure lasting greater than 30 minutes.
Considered to be a medical emergency

Question 9

What is acetylcholine?

Answer 9

Neurotransmitter of the parasympathetic nervous system

Stimulation causes relaxation

Question 10

What is the main adverse effect of an drug potentiating GABA?

Answer 10

CNS depression

Question 11

What is bradykinesia?

Answer 11

Difficulty chewing, swallowing, speaking, and fine muscle movements

Question 12

What medication taken to suppress seizures will cause gingival hypertrophy?

Answer 12

Dilantin

Question 13

Balance, posture, muscle tone, and involuntary muscle movements depend on a balance between what?

Answer 13

Ach and dopamine

Question 14

What are you going to teach your pt taking anti-seizure or anti parkinson’s drugs regarding time of day dosing?

Answer 14

At the same time each day

Question 15

What are you going to teach a woman of child bearing age who will be placed on antiseizure medications?

Answer 15

Use alternate methods of oral contraceptives

Most medications are Pregnancy Category D