parkinsons Flashcards

1
Q

dopamine is an… hormone

A

inhibitory

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2
Q

AcH is an… hormone

A

excitatory

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3
Q

motor S&S

A

TRAP
Tremor
Rigidity
Akinesia
Postural instability

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4
Q

non motor S&S

A

depression
anxiety
urinary retention
constipation
sleep problems

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5
Q

complications over time

A

dyskinesia
dementia
psychiatric
dysphagia
debilitation
orthostatic hypotension

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6
Q

dopamine precursors

A

levodopa and carbidopa
highest dose without OD

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7
Q

dopamine agonists

A

amantadine
apomorphine
*subq
* antiemetic

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8
Q

anticholinergics

A

benztropine
trihexyphenidyl

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9
Q

dopamine receptor agonists

A

pramipexole
ropinerole
rotigotine

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10
Q

antihistamines

A

diphenhydramine

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11
Q

MOA-I

A

Selegiline
Rasagiline
Safinamien
- delays need for levodopa therapy and strengthens it when given in combo

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12
Q

what can MOA-I not be given with

A

tyramine
prozac
demerol

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13
Q

COMT stands for…

A

catechol O-methyltransferase

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14
Q

COMT inhibitors

A

entacapone
tolcapone
- very expensive
- give with levodopa and carbidopa
- watch for liver tox.

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15
Q

surgical management techniques

A

deep brain stimulation
ablation

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16
Q

types of ablation

A

thalamotomy
- relieves tremors
pallidotomy
- relieves stiffness