CPT1: Practice perspective - P,MS,D Flashcards
What drugs can be used for patients with parkinsons disease?
- Levodopa - co-careldopa/ co-beneldopa
- Dopamine Agonsists - Pramipexole, ropinirole/ rotigitine
- Glutamine antagonists - amantadine
- Anticholinergics - procylidine, oprhenadrine, trihexphenidyl
What are the 3 types of symptoms and examples?
- Physical, classical mental
- Compulsive behaviour e.g. binge eating (often no pleasure)
- impulsive behaviour e.g. gambling (instant pleasure)
- compulsive hobbyism
What are some examples of therapies/ managements
- Occupational therapies
- physiotherapies
- complementary therapies
- pharmacists
- GPs
- Speech therapies
What does complementary therapy used and when is it used?
Aids relaxation and is used in conjunction with pharmacological therapies
How can we help people with depression?
- Listen
- advise them to go to GP
- monitor progress/ lack of it
- encourage them to continue regimen
- support them in arranging assessment/ appropriate treatment
- encourage gentle everyday tasks
What factors impact the chance of having MS?
- women 3x more likely
- age 20-40
- exact cause uknown:
- smoking
- Vit D
- genetics/ enviroment
- distance from the equator
What is the diagnosis of MS like?
- Difficult due to range and severity of symptoms
- Early signs / symptoms different for everyone
- Physical symptoms
–Vision, balance, dizziness, fatigue, bladder control, tremor
•Memory / emotional problems
–Difficulty concentrating, poor short term memory
–Stress, anxiety, depression
•Sexual problems
–Reduced sexual desire / function
Treatments for MS
•Disease Modifying Drugs (DMD’s)
–Reduce frequency / severity of relapses
–Don’t cure disease
–Not supplied through community pharmacy
–Rarely see this group of patients
- Exercise
- Physiotherapy
- Diet
–Healthy balanced
–? Vitamin D supplementation
•Women’s Health
–Menstruation / menopause
–Pregnancy
–Sexual health
