Parkinsons Flashcards
1
Q
Parkinson Causes
A
- Rx
- Brain tumor
- Trauma
- Genes
2
Q
Decreased dopamine levels in Parkinsons causes
A
Decreased control of voluntary muscle & sympathetic nervous system control
3
Q
Parkinson Risks
A
- Male
- 40+
- Family Hx
- TBI
- Brain tumor
4
Q
Parkinson Stage 1
A
- Unilateral limb movement
- Some weakness
- Hand & arm tremor
5
Q
Parkinson Stage 2
A
- Bilateral limb movement
- Masklike face
- Slow shuffle gait
6
Q
Parkinson Stage 3
A
Postural disturbances & worsening gait
7
Q
Parkinson Stage 4
A
Akinesia & rigidity
8
Q
Parkinson Stage 5
A
Complete ADL dependence
9
Q
Parkinson S&S and Nursing Interventions
A
- Fall risk
- Stage 4 = walker
- Fixed eyes from muscle rigidity
- Swallowing impaired in stage 5
- Drooling
- Delusions & hallucinations
- Sweaty
- Orthostatic HOTN
- Labile
- Insecure, apathy, anxious
- Speech changes
- Incontinence
10
Q
Dopamine Agonists
A
- Apomorphine
- Pramipexol
- Ropinirole
- Rotigotine
- Levodopa-carbidopa
- Safinamide
Long term Levo-Carb = dyskinesia. Give before meals!
All of these cause PD S&S!
11
Q
MAOI-B
A
- Rasagiline
- Selegiline
Increases dopamine
Avoid tyramines (HTN crisis)
12
Q
Other Rx for Parkinsons
A
- Bromocriptine
- Amantadine
- Rivastigmine
13
Q
Parkinson Foods
A
- Thick, cold liquids: Shakes
- Soft diet
- Record I&O
- Thicken fluids
14
Q
Pimavanserin
A
No dysrhythmia patients
