Parkinsons Flashcards

1
Q

progressively debilitating disease that grossly affects motor function

A

parkinsons

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2
Q

what causes parkinsons

A

its unknown

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3
Q

parkinsons is associated with decreased levels of

A

dopamine

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4
Q

what does the degeneration of the dopamine producing neurons in the sunstantia nigra do

A

disrupts the normal balance between dopamine and acetylcholine

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5
Q

when looking at a parkinsons patient what will you see regarding their psoture

A

bent over and leaned forward

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6
Q

what is the triad symptoms of parkinsons

A

tremor
rigidity
bradykinesia

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7
Q

what are other important symptoms/manifestations

A
postural instability
shuffling gait
dysphonia
masked face
drooling
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8
Q

if outside is slow then so is the

A

inside (digestive problem)

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9
Q

is there a dx test specifically for parkinsons

A

no! it is a process of exclusion

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10
Q

how is the patient dx if theres not a test for it

A

based on clinical features (3 cardinal manifestations)

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11
Q

some cardinal symptoms tend to affect the _____ first, inability to raise yourself from chair will be the first symptom to show up

A

legs

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12
Q

if a pt is having problems getting up out of chair what kind should they sit in

A

stiff, straight back chair

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13
Q

what 2 drugs have to be together in order to cross BBB

A

levodopa and carbidopa

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14
Q

sinemat causes side effects like…

A

dysculnigus (movement disorder was enhanced too much)

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15
Q

what is the surgical management of parkinsons

A

thalamotomy

pallidotomy and deep brain stimulator

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16
Q

what is the intent of a thalamotomy and pallidotomy and when are they used

A

the intent is to improve tremor and rigidity and are used when meds have failed

17
Q

what is the bad part about thalamotomy and pallidotomy

A

its irreversible if wrong part of brain is damaged

18
Q

why is deep brain stimulator good

A

the electrode blocks nerve pathways that causes tremors it is good because it can be controlled and is reversible

19
Q

why is this patient at risk for imbalanced nutrition

A

may not swallow well due to tongue

20
Q

what should you help the pt maintain for as long as possible

A

independence with activities of daily living