Degenerative Disorders Parkinson's Disease (Online Lecture) Flashcards
what is it
neurodegenerative disease caused by depletion of dopamine producing cells in substantia nigra
characterized by
* CLASSIC TRIAD
resting tremor
rigidity
bradykinsea
tremor
unilateral
at rest
rigidity
passive movements
bradykinseia
very slow movement
when do s/s appear
60% of neurons are lost and dopamine levels are decreased by 80%
other symptoms
postural instability
gait disturbances
dystonia
loss of sleep
micrographia
postural instability puts them at risk for
falls
dystonia
mask live apperance
micrographia
small hand writing
autonomic dysfunction
orthostatic hypotension
drooling
changes in sensation
dysphagia
diagnostic tests to confirm
none
how is the diagnosis made
based upon a characteristic history with the symptoms of PD and other signs and symptoms associated with the disease
goals of medical management
symptom management
medications
anticholinergics
symmetrel
dopaminergics
dopaminergics
- meds
levadopa
levodopa benefits
most pronounced for 1-2 years only
surgical treatment
thalamontomy and pallidotomy
deep brain stimulation
deep brain stimulation
- criteria
respond to levodopa
significant impairment from dyskinesia
5 years with the disease
disabled by tremor
what causes you to not be eligible for deep brain stimulation
develop dementia
nursing interventions
mobility
- safety
nutriton
