Pharmacology

Which foods or beverages are high in tyramine content?

1. Chianti wine 2. Fava beans 3. Cheeses

Which statements does the nurse include when teaching a patient about Parkinson's disease?

1. The goal of treatment of parkinsonism is minimizing symptoms. 2.The motor symptoms of parkinsonism start insidiously. 3.The cause of parkinsonism is not known.

Which signs or symptoms does the nurse expect to find a patient who has had Parkinson's disease for 12 years?

1. Tremors 2.Dyskinesia 3.Masklike face

Which are nursing considerations for patients on apomorphine(Apokyn) therapy.

1.Assess patients on apomorphine therapy for orthostatic hypotension. 2.Do not administer apomorphine intravenously. 3.Assess patients receiving apomorphine therapy for sudden sleep attacks.

Which statements about the proper administration of selegiline(Eldepryl) orally disintefrating tablets does the nurse include in a patient's teaching plan?

1.Do not ingest food or liquids for 5 minutes before and after selegiline. 2.Be sure your hands are dry when handling tablets.

Which statements about the use of apomorhine(Apokyn) in the treatment of Parkinson's disease are true?

1.Emesis is one of the pharmacologic actions of apomorphine. 2.Apomorphine should not be administered intravenously.

Which statements about Parkinson's disease and its treatments are true?

1.Parkinson's disease is a progessive neurologic disorder. 2.Selegiline(Eldepryl)therapy is often started first to slow the development of symptoms. 3.Nonpharmacologic treatment of Parkison's disease is equally important in maintaining the long-term well-being of the patient.

Before administering levodopa(Larodopa)therapy, the nurse must assess the patient for a history of which condition?

Acute angle-closure glaucoma

Constipation resulting from drug therapy for Parkinson's disease is best treated by which method?

Adding bulk-forming laxatives to the daily regimen.

The term used for the lack of ability to move is ____.

Akinesia

apomorphine

Apokyn

diphenhydramine hydrochloride

Benadryl

____ is extremely slow body movement, which may eventually progress to ____, or lack of movement.

Braclykinesia;akinesia

____ is an antibiotic which inhibits the metabolism of ropinirole hydrochloride(Requip)

Ciprofloxacin

benztropine mesylate

Cogentin

The major action of the drug entacapone (Comtan) is to reduce destruction of _____ in peripheral tissue.

Dopamine

The major action of the drug levodopa (Larodopa) is to cross into the brain and be metabolized to _____.

Dopamine

With Parkinson's disease, the neurotransmitter ____ is deficient, leaving a relative excess of the neurotransmitter ______.

Dopamine; Acetylcholine

`Selegiline(Eldepryl) may be used to slow the course of Parkinson's disease by possibly slowing the progression of deterioration of ____ nerve cells.

Dopaminergic Nerve Cells

___ is the impairment of the individual's ability to perform voluntary movements.

Dyskinesia

Which medication used in treating patients with Parkinson's disease reduces the destruction of dopamine in the peripheral tissues, allowing significantly more dopamine to reach the brain to eliminate the symptoms of parkinsonism?

Entacapone(Comtan)

The goal of treatment of parkinsonism is to restore dopamine neurotransmitter function as close to normal a possible, and relieve symptoms caused by _____ acetylcholine.

Excessive

When performing an admission assessment on a patient with Parkinson's disease, what does the nurse expect to find?

Increase salivation

Which statement does the nurse include when teaching a patient with Parkinson's disease about the drug apomorphine(Apokyn)?

It is chemically related to morphine, but does not have opioid activity.

The major action of the drug carbidopa (Sinemet) is to reduce metabolism of ____.

Levodopa

Which drug is contraindicated for patients receiving selegiline (Eldepryl)?

Meperidine (Demerol)

pramipexole

Mirapex

When teaching a patient about diet therapy and levodopa(Larodopa), which information does the nurse include?

Pyridoxine (vitamin B6) will reduce the therapeutic effect of levodopa.

carbidopa

Sinemet

Which statement about tremors associated with Parkinson's disease is true?

They are usually a "pill rolling" motion in the fingers and thumbs

Anticholinergics reduce the severity of the _____ and drooling associated with parkinsonism.

Tremor

A prescriber's order reads benztropine mesylate(Cogentin)5.5 mg PO at bedtime. Cogentin comes in strengths of 0.5mg, 1mg and 2 mg tablets. Which dosage does the nurse select?

Two 2-mg tablets, one 1-mg tablet, and one 0.5-mg tablet

To help reduce an excess amount of acetylcholine,______ agents are prescribed.

anticholinergic

Patients taking levodopa(Larodopa) therapy should be warned that the metabolites of levodopa react with toliet-bowl cleaners to turn the urine ____ to ____ in color.

red to black