Parkinson's what? +CM
Protein aggregate found in the brain in nerve cells
What are Lewy bodies?
What type of tremor do pts with Parkinson's have?
Resting tremor
Which disease does the pt have?
34 year-old who has tremors, dysphagia, weakness, diarrhea, urinary retention, ED, and blurred vision
MS
Common lower GI clinical manifestation.
What is constipation?
The development of MS usually involves ____________ and ___________
What are genetics and environmental triggers?
Assessment of postural instability
What is the "pull test"?
What does the A in T.R.A.P. stand for
What is akinesia?
combination medication that helps increase dopamine levels and prevents it from being broken down before it reaches the brain.
What is levodopa + carbidopa (Sinemet)?
Common sensory visual manifestation of MS
What is blurred vision?
At what age (average) is the onset of MS seen?
What is Age 30-35?
Procedure that involves placing an electrode in the head attached to a generator in the chest.
What is DBS (deep brain stimulation)?
festination
What is a shuffling gait?
Commonly used anticholinergic medication
What is benztropine (Cogentin)?
a _______________ bladder, results in a small urine capacity, which leads to frequency, hesitancy and incontinence.
what is spastic?
True or false:
MS patients are diagnosed and then deteriorate rapidly
What is False?
MS is very individualized in every person
Parkinson's disease is an imbalance between _______________ and ________________?
What are dopamine and acetylcholine?
Rigidity that is jerky in quality
What is cogwheel rigidity?
Occurs when excessive amounts of dopaminergic medications worsen rather than help PD.
What is paradoxical intoxication?
burning, crushing, constricting pressure
What is an MS "hug"
Imaging exam that is vital to diagnosing MS
What is an MRI?
A 76-year-old patient is being treated with carbidopa/levodopa (Sinemet) for Parkinsons disease. Which information is most important for the nurse to report to the health care provider?
a. Shuffling gait
b. Tremor at rest
c. Cogwheel rigidity of limbs
d. Uncontrolled head movement
What id d. Uncontrolled head movement?
The rest are typical s/s of Parkinson's. D is a SE
Which unmet need is of highest priority for a patient who is unable to move their facial muscles?
Think about Maslow's hierarchy of needs!
If a patient has dysphagia, should the nurse:
a. suggest clear liquids
b. Give them liquids through a straw
c. place an NG tube
D. thicken the liquids
What is thicken the liquids?
An electrical shock radiating down the spine (or into the limbs)
What is Lhermitte's sign?
The pathophysiology behind MS involves the breakdown of the ____________ ____________ in the neuron
what is myelin sheath