Jeopardy Flashcards
What symptoms improve when a pt with Parkinson’s takes a dopaminergic drug?
Alleviates the cardinal motor symptoms of Parkinson’s Disease, including Bradyskinesia
What are extrapyramidal side effects?
Symptoms of actue dystonia, akathisia, parkinsonism, and tardive dyskinesia
Why is it important for a pt with a seizure disorder to comply with their medication regimen?
So they maintain serum blood levels and do not get rebound seizures from abruptly stopping
What does the medication therapy for Parkinson’s disease focus on mechanically in the brain?
Restoring dopamine and blocking acetylcholine
What is a major side effect of barbiturates?
CNS depression
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?
If you abruptly stop, seizures will likely occur.Must taper over a period of 6-12 weeks
Name 4 adverse effects a pt with Parkinson’s will experience if they are placed on an anticholinergic medication?
Dry mouthBlurred visionTachycardiaUrine retentionConstipationWorsening glaucomaIncreased respirations
What is epilepticus
A condition characterized by repeated seizures or one prolonged seizure lasting greater than 30 minutes.Considered to be a medical emergency
What is acetylcholine?
Neurotransmitter of the parasympathetic nervous systemStimulation causes relaxation
What is the main adverse effect of an drug potentiating GABA?
CNS depression
What is bradykinesia?
Difficulty chewing, swallowing, speaking, and fine muscle movements
What medication taken to suppress seizures will cause gingival hypertrophy?
Dilantin
Balance, posture, muscle tone, and involuntary muscle movements depend on a balance between what?
Ach and dopamine
What are you going to teach your pt taking anti-seizure or anti parkinson’s drugs regarding time of day dosing?
At the same time each day
What are you going to teach a woman of child bearing age who will be placed on antiseizure medications?
Use alternate methods of oral contraceptivesMost medications are Pregnancy Category D