Dopamine receptor antagonist. Levodopa is converted to dopamine in the basal ganglia.
20
Why is carbidopa given with levodopa?
Carbidopa decreased the peripheral metabolism of levodopa- can reduce levodopa dosage
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What medication class needs to be AVOIDED with Levodopa-Carbidopa (due to hypertensive crisis)?
MAOIs
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How does Donepezil work?
Inhibits acetylcholinesterase- enzyme responsible for destruction of neurotransmitter: acetylcholine. Increases acetylcholine slows neuronal degradation.
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You are caring for a patient with Alzheimer's disease. They have been on donepezil for 3 months but the family states they have not noticed any improvement. Should the medication be stopped? Why or why not?
Keep taking. Can take 6-12 months for improvement to be noticed. (could be slowing progression)
20
Delirium is not serious and resolves on it's own. True or False?
FALSE- Medical Emergency. Must find cause and treat before irreversible damage
What symptoms may a person experience during the aura phase of a migraine?
Visual Disturbances: light flashes, bright spots, Numbness/Tingling of lips, face or hands; mild confusion, slight weakness of extremity, drowsiness, dizziness
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What symptoms may a person experience during the headache phase of a migraine?
Severe and incapacitating pain; Often associated with photophobia (light sensitivity), phonophobia (sound sensitivity), allodynia (extremely sensitive to touch)
15
What symptoms may a person experience during the postdrome phase of a migraine?
Pain gradually subsides, Tiredness, weakness, cognitive difficulties, mood changes (hours to days) Muscle contraction in neck and scalp, pain with exertion
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What are the 2 main OTC meds for migraine treatment?