Remy Patel

Question 1

what is parkinsons

Answer 1

neurological condition where the brain doesnt make enough dopamine
low dopamine affects movement, mood, and balance

Question 2

what are the s/s for parkinsons

Answer 2

shuffling
stiffness
tremors
changes in handwriting
bradykinesia
balance issues

Question 3

risk factors for Parkinson’s disease

Answer 3

• family history (hereditary)
• sex, men are more likely to get PD bc they have more head trauma or exposures to chemicals
• environmental toxins, like being exposed to chemicals for a long time like pesticides like for farmers
• head injuries could be a risk if the patient hurt the part of their head that has the basal ganglia located (not right away but with time)

Question 4

what are some Nursing considerations for Parkinson’s

Answer 4

• administer medication on time everyday to reduce chances of re-occurrent tremors
• ROM for patients muscle strength that may be weak bc of tremors
• assess neurological status (LOO, LOC, perrla, CWMS)

Question 5

what is glaucoma

Answer 5

eye condition that damages the optic nerve causing loss of peripheral vision

Question 6

s/s of glaucoma

Answer 6

• tunnel vision (loss of side vision)
• headache
• blurry vision

Question 7

risk factors for glaucoma

Answer 7

• family history
• smoking - causes weakening of the blood vessels to the eye not letting aqueous humor out
• having farsightedness (hyperopia) or nearsightedness (myopia)
• chronic conditions like diabetes or hypertension (affect blood flow and circulation making it hard to release fluid causing pressure buildup in the eye)

Question 8

nursing interventions for glaucoma

Answer 8

• ensure regular checks for the eyes and intraocular pressure
• administer medication in conjunctival sac
• ensure regular check ups to detect glaucoma

Question 9

what is the trade name of timolol

Answer 9

timoptic

Question 10

what is the drug class for timolol / timoptic

Answer 10

beta blocker “endes in LOL”

Question 11

describe the action for timolol

Answer 11

reduces production of aqueous humor by lowering the pressure inside the eye,… does this by unknow affects

Question 12

what is the TO for timoptic

Answer 12

lowers IOP (intraocular pressure)

Question 13

what is the indication / use for timolol

Answer 13

-glaucoma
- ocular hypertension (high pressure of the inside eye)

Question 14

what is the route for timoptic/ timolol

Answer 14

• PO
• topical (eye drops)

Question 15

what are adverse affects for timoptic

Answer 15

headache
blurry vision
stinging eyes (bc of the eye drops)
burning eyes (bc of the eye drops)
- orthostatic (bc of lowering BP)
- bradycardia (bc of lowering HR)

Question 16

what are some patient teachings for timolol

Answer 16

• how to administer the medication well into the lower conjunctiva sac
• hand hygiene (dont touch the dropper or your eye can cause contamination)
• teach patient medication could cause burning and stinging

Question 17

what is the tradename for pseudoephedrine

Answer 17

sudafed

Question 18

what is the drug class for sadafed

Answer 18

adrenergic (stimulates the fight or flight)

Question 19

what is the action for pseudophedrine

Answer 19

alpha 1 drug that causes vasoconstriction and reduces swelling and nasal decongestion

Question 20

what is the TO for pseudoephedrine

Answer 20

reduces swelling and nasal congestion

Question 21

indication or use for sadafed

Answer 21

• used to relieve allergic reactions that causes stuffy nose
• nasal congestion
• otitis media (helps drain fluid from ear)

Question 22

what is the route for sadafed

Answer 22

PO

Question 23

what are the adverse affects for pseudophedrine

Answer 23

dry nose
throat irritation
dysrhythmias (irregular heartbeat)
tachycardia
high BP
seizures <bc it is a adrenergic drug and body is stimulated into fight or flight

Question 24

what are the nursing considerations for sadafed (pseudoephedrine)

Answer 24

• get BP baseline (bc its a fight or flight stimulator BP could go high)
• assess for rebounding affect that may occur meaning the symptoms come back worse
• assess if medication is effective
• assess lungs for wheezing bc nasal mucus can enter lungs

Question 25

what are the patient teachings for sadafed

Answer 25

- rebounding effect can occur dont use continuously for week - notify doctor of signs of dyspnea, anxiety, or seizures

Question 26

what is trade name for carbidopa levodopa

Answer 26

sinemet

Question 27

what is the drug class for sinemet

Answer 27

antiparkinsonism <- reduces parkinsons symptoms

Question 28

what is the route for levodopa-carbidopa

Answer 28

PO PO ER (extended release meaning releases the therapeutic affect slowly, "spreads out response"

Question 29

what is the action for levodopa carbidopa

Answer 29

carbidopa prevents levodopa from converting early in the body rather than the brain, levodopa converts into dopamine and improves movement and balance (levoDOPA= DOPAmine, CARbidopa= CAR to transport levodopa)

Question 30

what is the TO for sinemet

Answer 30

reduces involuntary movement (tremors, stiffness, rigidness, bradykinesia)

Question 31

what is the use/ indication for levodopa-carbidopa

Answer 31

used in PD PD symptoms caused by too much carbon monoxide

Question 32

what are the adverse effects of sinemet

Answer 32

- tremors - hallucinations - orthostatic hypotension, lightheadedness, dizziness - GI bleeding esp in older adults who take NSAIDS

Question 33

what are some nursing interventions for levodopa carbidopa

Answer 33

- administer on time everyday - ax mental health of patient (like suicidal thoughts) - risk for falls bc of gait shuffling or stiffness - assess BP, respirations, and orthostatic hypotension nd compare with baseline changes will tell us smt is off

Question 34

list some patient teachings for sinemet

Answer 34

- take with food to avoid GI upset but AVOID protein as it can lower medication affects - TAKE AT THE SAME TIME EVERYDAY to reduce rigidness and tremors - call for help or change positions slowly bc of orthostatic hypotension