Parkinson's Flashcards
classic manifestations of parkinson’s
TRAP - tremors, rigidity, akinesia, postural instability
other manifestations of Parkinson’s
slow, quiet, slurred speech; incontinence or dysuria, constipation
how do tremors start
minimal resting tremors, first noticed by patient, starts in upper extremities
what can aggravate tremors
stress
how does rigidity progress
cogwheel, plastic, lead pipe
cogwheel rigidity
jerky, stop and go movement
plastic vs lead pipe
plastic - mildly resistant
lead pipe - total resistance to movement
facial appearance
mask-like; wide, fixed, staring eyes with excessive drooling
akinesia
loss of control of voluntary muscle movements and “automatic” movements
Parkinson’s gait
shuffling, cannot stop themselves from going forward/backward
Parkinson’s dx
no specific test - confirmed by positive response to antiparkinsonian drugs
primary med for Parkinson’s
Levodopa Carbidopa
side effects of levodopa carbidopa
n/v, dry mouth
foods with tyramine
soy sauce, tuna, red wine, beer, smoked food, sausage
examples of dopamine receptor agonists
ropinirole, pramipexole, rotigotine
side effects of dopamine receptor agonists
postural hypoTN, hallucinations, drowsiness
examples of anticholinergic drugs
trihexyphenidyl, banatropine, diphenhydramine
examples of MAOI’s
selegiline, rasagiline
what to avoid with MAOI’s
tyramine
treatment for drug tolerance/toxicity
drug holiday
why promote exercise for Parkinson’s pts
decreases complications of immobility
purpose of OT
helps them find easier ways to do ADLs
Parkinson’s diet considerations
small, frequent meals, adequate fiber, dysphagia diet
constipation interventions
fluid fiber mobility
how to communicate w Parkinson’s patient
turn off extra noise, watch lips & expressions, use picture boards
how can a Parkinson’s patient get “unfrozen”
rock side to side, take one step forward, one back
