Patho
Assessment
Nursing Management
Complications
Medications
100
A neurodegenerative disorder that is slowly progressive
What is Parkinson's Disease
100
Parkinson's pathophyioslogy involves a decrease in
What is dopamine
100
The diet for PD patients.
What is a high calorie, high protein diet consisting of small frequent meals?
100
Wide eyed, rigid facial expression.
What is masklike facies?
100
Carbidopa/Levodopa (Sinemet)
What is the first course of treatment; converts to dopamine to manage major symptoms
200
2nd neurodegenerative disorder after Alzheimer's
What is how common is Parkinsons
200
For which side effects in the client with Parkinson's disease who has been taking a combination carbidopa-levodopa drug (Sinemet) for 3 years will the nurse monitor?
What is Abnormal movements
200
The alternative communication method for PD patients. What is a communication board?
What is a communication board?
200
Patient will need this from care givers due to lack of self-esteem and depression.
What is praise, positive encouragement and patience.
200
First course of treatment alone or with levodopa; mimics dopamine to manage major symptoms
What is Pramipexole (Mirapex)
300
TRAP
What is the acronym for symptoms of PD
300
Starts normally in one stand, is worse when resting; is just an uncontrollable shaking
What is tremor
300
Continuous therapeutic levels which promotes mobility and independence in ADLs.
What does administering pain and limb tingling prevention meds on time promote?
300
Decreases common complications of rigid gait, postural instability and injury.
What is the purpose of yoga, tai chi, ROM exercises and stretching?
300
Benzotropine mesylate (Cogentin)
What is a secondary medication; tremor; attempts to restore balance by inhibiting other enzymes and nerve cells that may attack dopamine
400
Difficult to start or stop movements
What is Akinesia and bradykinesia
400
Tremors in one hand
What is often the first sign of PD
400
Important safety related intervention. Hint: meal time
What is monitoring for ability to chew and swallow food?
400
Altered speech patterns in PD patients.
What are soft voice, word repetition, hesitation and rapid speech?
400
Tertiary medication; controls brain’s metabolism of dopamine
What is Selegiline
500
What area in the brains function is altered by PD
What is Basal ganglia
500
Shuffling when walking
What is Festination
500
Common side effects of anti-parkinsonism drugs that we need to monitor for?
What are orthostatic hypotension, hallucinations, and acute confused state (delirium)?
500
Cogwheel
What is a rhythmic interruption of muscle movement?
500
Secondary medication; delays wearing off by prolonging effectiveness of levodopa
What is Entacapone (Comtan)