olympics 2 Flashcards
which adverse effects associated with levodopa therapy would support the nursing diagnosis risk for injury
orthostatic hypotension
a hospitalize patient with Parkinson who is receinvg apomorphine to treat off episodes devolves nausea and vommiting. the nurse will discuss the use of which medication patients provider
trimethobenzamide (Tigan)
the nurse is providing information to a patient recently prescribed enctapone which statement is correct
dosage is adjusted according to the patient response
a nurse student wants to know to how carbidopa can be effective for treating Parkinson disease if it prevents the conversion of levodopa to dopamine the nurse explains that carbidopia
does not cross the blood brain barrier
the nurse provides teaching for a patient who will being taking rotigontine (Neupro) to treat Parkinson disease. what will the nurse include in teaching
if you need to stop this drug your provider will order a gradual withdrawal
what is the pharmacologic action of entacapone , a potent catechol O methyl transferase ( COMT) inhibitor
reduce the destruction of dopamine
dopamine agonist have been linker with which adverse effects in patients with Parkinson’s disease
sudden sleep events
a patient with Parkinson disease is taking levodopa/caridopa (simmer) and report occasional periods of loss of drug aminseting a catechol-o-methyltransferase ( COMT ) inhibitor such as enecatopone
the nurse is preparing to begin administration of apomorphine to a patient before aminstwering the nurse will perform a baseline
mobility orientation alertness vital signs
a patient who is newly diagnosed wit Parkinson disease is prescribed levodopa dopa . the patient asks the nurse about drugs to prevent disease progression . what will the nurse tell the patient
“while some drugs show promise, there are no studies that have proven a neruoprtective effect “
a patient has taken levodopa (dopar) for Parkinson disease for 2 weeks but reports no improvement in symptoms. which response by the nurse is correct
it may take several months for a response to occur
a patient with Parkinson disease is taking levodopa / carbidopa (sinment ). the prescriber order to bromorctipone ( parlodel) to treat dyskineasis . the nurse notes that the patient is agitated , and the patient reports having frequent nightmares. the nurse will contact
reducing the dose of bromocriptine
a patient with Parkinson disease is taking levodopa/caebidopa along with the amantadine symmetry 400 mg/day to treat dyskineases . The patient reports having increased dyskineasis several months after begging the amantadine the nurse will contact the provider for
interrupting treatment with amantadine for several weeks
a patient is Newley diagnosed with Parkinson what is a important teaching
take the drug 30-60 min before the meals on an empty stomach
which vitamin will reduce the therapeutic effects go levodopa
b6
the nurse is teaching a patient with Parkinson’s disease about levodopa whic statement by nurse is accurate regarding drug administration
take this medication with food or antacids to reduce GI upset
what point should be included in when teaching a patient the use of apormorphine
aporminge dose not have any opioid activity
a mukltidose injector is commonly used
you may experience naseua
and sleep attacks
a nursing student wants to know why patient who has been taking levodopa(dopar) for years will now receive levodopa the nurse explains that the reason levodopa as a single agent is no longer available .which statement by the student indicates a need for further education
combination product cause fewer dyskineasis and decreased psychosis
what is rationale for admistering levodopa instead of dopamine for treatment of Parkinson disease
dopamine does not cross the blood -brain carrier when administered orally
a nurse is teaching about parkinson meds whats a one sided effect that is associated with pramipexole( Mirapex)
Sleep attacks
the nurse is providing education to a patient recently placed on selegiline disintergating tablets . which statement by the patient indicated a need for further teaching
I will place the tablet on my tongue before breakfast
why are carbidopa and levodopa fiber together
carbidopa enhances the action of levodopa and less drug is needed
when a patient taking monoamine oxidase b inhibtaor receives his dietary tray the nurse know to remove the
cheese
a patient has been diagnosed with parkinosns and begins treatment with levodopa and after serial months of therapy the patient reports no change in symptoms the nurse will expect the provider to
re evaluate the diagnosis
a patient who has begun taking sinmet reports feeling lightheaded and dizzy especially when standing up from.a sitting position what will the nurse recommend
increasing salt and water intake
a nurse is discussing motor symptoms with Parkinson’s who has been ataking levodopa /caridopa for 9 months and is having tics which shows understing by patient
I may need to try a lower dose of sine met to reduce tics
parkisnons has which characteristics
muscle tremors , posture alterations slow body movement
a nurse provides teaching for a patient who is newly diagnosed with Parkinson disease . which statment by the patient indicates understand of drug therapy
a levodopa/carbidopa combination is used to improve motor function
which cholinergic symptoms of Parkinson’s are reduced with anticholinegenic drugs
tremors and drooling
when assign a patient with Parkinson’s diseases who takes a carbidopa/ levodopa combination drug you find that he now has almost constant muscle movements that look like uncoordinated dancing what the best action
hold the next drug dose and report the finding to the healthcare provider
a patient newly diagnosed with Parkinson disease has been taking levodopa /caridopa [sindmet] for several weeks and complained nausea and vomiting . the nurse tell the patient to discuss what with the provider
taking a lower dosage with a low protein snack
which neurotransmitterhas an inhibitory action within central nervous system
gamma aminobutyric acid
how does the drug tolcapone relieve he symptoms of Parkinson disease
suppresses the activity of an enzyme that normally breaks down natrually occurring dopamine
the nurse is asking an older patient with partisans who has started on entcapone 1 week ago the patient has a history of crorony artery disease and takes an antihypertensive and aspiring which information would support the need for a reduction is medication dosage by health care provider
dizziness
which symptoms in a patient taking levodopa for aparkins disease indicate the drug is wearing off
difficulty sweating increased tremors slower gait
