parkinson's disease

Question 1

a slow progessive degenerative disorder that eventually leads to disability

Answer 1

parkinson’s disease

Question 2

parkinson’s disease has a decrease or increase in what

Answer 2

decrease in dopamine

Question 3

affects the extra pyramidal system (EPS) which causes a decrease in production of dopamine

Answer 3

parkinson’s disease

Question 4

cause of parkinson’s disease

Answer 4

viral parkinsonism
exposure to methyl phenyl tetrahydropyridine
aluminum theory
boxes pugilistica

Question 5

virus causing viral parkinsonism

Answer 5

kuru virus

Question 6

basal ganglia injury/subctantia nigra injury

Answer 6

boxes pugilistica

Question 7

what is dying in parkinson’s disease

Answer 7

dopaminergic neuron

Question 8

exposure/prolonged exposure of a person from aluminum

Answer 8

aluminum theory

Question 9

common symptom in parkinson’s disease

Answer 9

resting tremor (pill rolling - imrpoves with purposeful movement)

Question 10

uncommon symptom in parkinson

Answer 10

intentional tremor

Question 11

signs and symptoms in parkinson

Answer 11

bradykinesia
rigidity
mask like face (no expression)
SHUFFLING GAIT
monotonous speech
microphagia (handwritting progressively gets smaller)
resting tremor

Question 12

priority nursing mgmt in parkinson

Answer 12

SAFETY

Question 13

nursing mgmt in parkinson

Answer 13

1. teach in diet modification (thickened liquid to soft diet, finger foods)
   *prone to constipation, give high fiber diet (green leafy vegetables, banana, oatmeal)
2. lift feet while walking (use flat shoes w rubber soles)
3. use high seated chair
4. provide safety with independence to protect the ego
5. use shirts without buttons
6. use shoes with no laces (slip-ons)
7. increase fluid and fiber intake to prevent contipation
8. use firm bed to avoid contractures

Question 14

what drug don’t we give in parkinson and why?

Answer 14

dopamine synthetic drug
- can cross the blood barrier

Question 15

pharmacological drugs in parkinson

Answer 15

anticholonergic drugs
dopaminergic drugs
dopamine agonist/antiviral drugs

Question 16

dopaminergic drugs in parkinson

Answer 16

LEVODOPA
CARBIDOPA with LEVODOPA (Sinimet)
(promotes muscle flexibility)

Question 17

what causes destruction of 99% of carbidopa and what do we give

Answer 17

dopa decarboxylase causes the destruction
give CARBIDOPA

Question 18

what anticholinergic drug is usually given

Answer 18

cogentin (trihexiphenidyl)

Question 19

reduce the muscle rigidity and tremors of parkinson’s disease

Answer 19

anticholinergic drugs

Question 20

anticholinergic drugs

Answer 20

cogentin (thprihexiohenidyl)
akineton (benztropine)
kemadrin (biperiden)
parsidol (ethopropazine)
norflex (orphenadrine)

Question 21

nursing mgmt in parkinson

Answer 21

low protein diet

Question 22

no to what in parkinson

Answer 22

no to TYRAMIN (smoked + protein)
no to PYRIDOXINE rich foods (smoked foods)
no to MAOI (Monoamine oxidase inhibitor)

Question 23

yes to what in parkinson

Answer 23

ALDOMET (Methyldopa)

Question 24

acts on the dopamine receptors and produce movement in symptoms of parkinsonism

Answer 24

dopamine agonist/antiviral drugs

Question 25

dopamine agonist/antiviral drugs

Answer 25

amantadine HCl (SYMMETREL)
bromocriptine mesylate (PARIODEL)
requip (ROPONIZOLE)