parkinson disease

Question 1

what is parkinson disease?

Answer 1

progressive death of neuros, resulting in low dopamine and high acetylcholine

Question 2

what is the massive concern or what we see patients experience with ?

Answer 2

a dysfunction of extrapyramidal system
( involuntary movement disorders )

Question 3

what part of the brain do patients with parkinson have a distruption in that results in excess stimulation that affects their movement and posture?

Answer 3

basal nuclei ( basal ganglia )

Question 4

what are the top 3 clinical manifestations for parkinson?

Answer 4

resting temors
muscle rgidity
shuffling gait ( bradykinsea )

Question 5

what are 4 other clinical manifestation that we see parkison patients have ?

Answer 5

dysarhria ( imparied speech )
dysphagia ( swallowing issue )
drolling
mask like faces - monotone look

Question 6

what do patients do with their fingers often ?

Answer 6

pill rolling

Question 7

do tremors decrease when attention is diverted by acitivity?

Answer 7

yes

Question 8

what do we use to diagnose ?

Answer 8

ct scan - cerebral atrophy
positive response to low dose carbidopa

Question 9

what are some critical compliations we worry about ?

Answer 9

risk for aspirations - drolling

Question 10

how to help with excess drollin?

Answer 10

suction at bedside

Question 11

what type of diet are they going to be on?

Answer 11

pureed diet or small bite sizes

Question 12

what do we do with their fluids?

Answer 12

add thickening agents to fluids

Question 13

what is a realistic goal that we want to help patients release more dopamine ?

Answer 13

exercise !

Question 14

what medications do we use for patients with parkinson?
- increase dopamine meds (2)

Answer 14

levodopa
carbidopa

Question 15

levodopa
carbidopa

what do each do?

Answer 15

LEAVE dopamine
Conserve dopamine

Question 16

what types of foods do we avoid giving levodopa and why?

Answer 16

protein cause it can decrease absorption

Question 17

whats the medication that helps with decrease acetylchline ?

Answer 17

benztropine

Question 18

benztropine medications precautions? (4)

Answer 18

cant pee
cant see
cant spit
cant shit!

Question 19

why do we give tropines in the first place ?

Answer 19

treat tremors with tropines!

Question 20

do we want to avoid rushing the client?

Answer 20

yes

Question 21

how can we tell patietns to sit up if they are having trouble?

Answer 21

rock back and forwath

Question 22

we dont want dopaminergic drugs taken with what other drugs cause it can cause hypertensive crisis?

Answer 22

MOIA’s