Parkinsons Flashcards
progressively debilitating disease that grossly affects motor function
parkinsons
what causes parkinsons
its unknown
parkinsons is associated with decreased levels of
dopamine
what does the degeneration of the dopamine producing neurons in the sunstantia nigra do
disrupts the normal balance between dopamine and acetylcholine
when looking at a parkinsons patient what will you see regarding their psoture
bent over and leaned forward
what is the triad symptoms of parkinsons
tremor
rigidity
bradykinesia
what are other important symptoms/manifestations
postural instability shuffling gait dysphonia masked face drooling
if outside is slow then so is the
inside (digestive problem)
is there a dx test specifically for parkinsons
no! it is a process of exclusion
how is the patient dx if theres not a test for it
based on clinical features (3 cardinal manifestations)
some cardinal symptoms tend to affect the _____ first, inability to raise yourself from chair will be the first symptom to show up
legs
if a pt is having problems getting up out of chair what kind should they sit in
stiff, straight back chair
what 2 drugs have to be together in order to cross BBB
levodopa and carbidopa
sinemat causes side effects like…
dysculnigus (movement disorder was enhanced too much)
what is the surgical management of parkinsons
thalamotomy
pallidotomy and deep brain stimulator
what is the intent of a thalamotomy and pallidotomy and when are they used
the intent is to improve tremor and rigidity and are used when meds have failed
what is the bad part about thalamotomy and pallidotomy
its irreversible if wrong part of brain is damaged
why is deep brain stimulator good
the electrode blocks nerve pathways that causes tremors it is good because it can be controlled and is reversible
why is this patient at risk for imbalanced nutrition
may not swallow well due to tongue
what should you help the pt maintain for as long as possible
independence with activities of daily living
