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PD & MS - NUR 4271 Exam Questions And Correct Answers

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PD & MS - NUR 4271 Exam Questions And Correct Answers...

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  • October 22, 2024
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  • 2024/2025
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  • PD & MS - NUR 4271
  • PD & MS - NUR 4271
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PD & MS - NUR 4271 Exam Questions And Correct Answers



What is parkinson's disease? (PD) - ANSWER progressive neurodegenerative condition



- degeneration of substantia nigra --> decrease in dopamine

- if dopamine is depleted by 20-30% symptoms occur



which population is affected by PD the most? - ANSWER elderly men



what are early signs of PD? - ANSWER - unilateral tremors

- slower movement

- some rigidity/freezing

- loss of balance



what are late signs of PD? - ANSWER - shuffling gait (eventually unable to walk)

- difficulty swallowing/speaking

- impaired cognition



what are 2 questions that we must always ask any patient??? - ANSWER 1. What is your
past medical history/family medical history?



2. What medications are you currently taking?



What are the 4 classic signs of PD? - ANSWER 1. resting tremor

2. muscle rigidity

3. bradykinesia/akinesia

, 4. postural instability



What are the expected labs/diagnostic tests for PD? - ANSWER - SPECT/CAT scan

- MRI

- Neuro exam/ Hx.

- medication trial (supplement dopamine)

- possible spinal tap (look for low levels of dopamine)



What is Levodopa/Carbidopa (Sinemet)? What does it do? - ANSWER Dopamine Agonist



- levo is the dopamine agonist

- carbi protects levo from being broken down before entering the brain



CARbidopa is the CAR for levo!



What are some NIs for Levo/Carbi? - ANSWER - assess HR and BP

- have patient slowly change positions

- monitor hepatic/renal fxn

- DONT eat within 1.5hrs of meals (B6 and iron interactions)

- sleepiness = try selegiline to decrease levels of levo/carbi and enhance it instead



What are some SEs for Levo/Carbi? - ANSWER - N/V

- loss of appetite

- light headedness

- hypotension

- confusion

- sleepiness

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