Degenerative Disorders Parkinson's Disease (Online Lecture)

Question 1

what is it

Answer 1

neurodegenerative disease caused by depletion of dopamine producing cells in substantia nigra

Question 2

characterized by
* CLASSIC TRIAD

Answer 2

resting tremor
rigidity
bradykinsea

Question 3

tremor

Answer 3

unilateral
at rest

Question 4

rigidity

Answer 4

passive movements

Question 5

bradykinseia

Answer 5

very slow movement

Question 6

when do s/s appear

Answer 6

60% of neurons are lost and dopamine levels are decreased by 80%

Question 7

other symptoms

Answer 7

postural instability
gait disturbances
dystonia
loss of sleep
micrographia

Question 8

postural instability puts them at risk for

Answer 8

falls

Question 9

dystonia

Answer 9

mask live apperance

Question 10

micrographia

Answer 10

small hand writing

Question 11

autonomic dysfunction

Answer 11

orthostatic hypotension
drooling
changes in sensation
dysphagia

Question 12

diagnostic tests to confirm

Answer 12

none

Question 13

how is the diagnosis made

Answer 13

based upon a characteristic history with the symptoms of PD and other signs and symptoms associated with the disease

Question 14

goals of medical management

Answer 14

symptom management

Question 15

medications

Answer 15

anticholinergics
symmetrel
dopaminergics

Question 16

dopaminergics
- meds

Answer 16

levadopa

Question 17

levodopa benefits

Answer 17

most pronounced for 1-2 years only

Question 18

surgical treatment

Answer 18

thalamontomy and pallidotomy
deep brain stimulation

Question 19

deep brain stimulation
- criteria

Answer 19

respond to levodopa
significant impairment from dyskinesia
5 years with the disease
disabled by tremor

Question 20

what causes you to not be eligible for deep brain stimulation

Answer 20

develop dementia

Question 21

nursing interventions

Answer 21

mobility
- safety
nutriton