Parkinson's
Patients with Parkinson's diseases have a deficient amount of what neurotransmitter?
Dopamine
What does diplopia mean?
Double vision
This type of seizure is characterized by rhythmic jerking movements that involves both sides of the body?
Clonic
What must be removed from a patient prior to an MRI?
Any metal objects
•Levetiracetam (Keppra)
•Phenytoin (Dilantin)
•Phenobarbital (Nembutal)
•Primidone (Mysoline)
•Valproate (Depakote)
•Lacosamide (Vimpat)
•Lamotrigine (Lamictal)
•Topiramate (Topamax)
•Carbamazepine (Tegretol)
•Gabapentin (Neurontin )
•Zonisamide (Zonegran)
What term means "slowness of initiation and execution of movement."
Bradykinesia
What part of the nervous system is damaged in multiple sclerosis ?
Myelin sheaths on the axons of the neurons in the CNS and the oligodendrite cells
This diagnostic test is use to detect abnormal electrical impulses in the brain ?
EEG or Electroencephalogram
What labs values should be monitored before and after a CT scan with contrast dye?
BUN (Blood Urea Nitrogen)
Creatinine
What action do disease modifying drugs have on the body ?
Suppress or alter the function of the immune system
The common clinical manifestations of Parkinson's disease can be remembered using the acronym "TRAP". What TRAP stand for?
Tremors
Rigidity
Akinesias
Postural disturbances
Urinary tract infections
Constipation
Pressure ulcers
Contracture deformities
Dependent pedal edema
Pneumonia
Depression
Decreased bone density
Falls
Name one intervention that should be implemented as part of seizure precautions ?
Bed in the lowest position
Padded rails
Rails up
No independent ambulation
Oxygen available in the room
Suction set up in the room
What medications should be held prior to a lumbar puncture?
Antiplatelet
Anticoagulants
A nurse is ordered to give 80mg of methylprednisolone Intravenously daily for 3 days. The pharmacy sends a vial that reads 400mg/10mL. How many milliliters will the nurse administer?
2mL
80mg/400mg X 10mL = 2mL
What diagnostic test is used to diagnosis Parkingson's disease?
No definitive diagnostic test?
What diagnostic test is used to confirm MS and monitor the progression of the disease ?
MRI - Plaques or lesions are seen
What is the name of the medical emergency that is characterized by a seizure lasting more than 5 minutes?
Status Epilepticus
Why is a blood glucose level drawn a patient experiencing a seizure?
To detect hypoglycemia or rule it out as a cause
Pramipexole is a medication used to treat which neurological disease or symptom?
Parkinson's Disease
How does Carbidopa work to treat Parkinson's disease?
Helps decrease the amount of peripheral metabolism of levodopa so more is available for the brain
What type of MS is characterized by no relapses and progression of disability from onset with no improvements ?
Primary Progressive
Name one surgical procedure that maybe used to control seizure activity that is not responding to medications?
Deep brain stimulator
Lobectomy
Between what vertebrae is the needle inserted for a lumbar puncture?
L3 - L4
L4-L5
How does a nurse know that the dantrolene they administered to a patient with MS is effective?
The patient has a decrease in muscle spasticity