Podcast
Questions and Answers
What is a potential adverse effect associated with dopamine agonists?
What is a potential adverse effect associated with dopamine agonists?
- Sudden sleep events (correct)
- Improved concentration
- Decreased appetite
- Hypertension
Which statement by a patient taking carbidopa-levodopa indicates a need for further education regarding the medication?
Which statement by a patient taking carbidopa-levodopa indicates a need for further education regarding the medication?
- "Consuming high-protein foods could impact how the medication works."
- "I should take the drug with food to improve absorption." (correct)
- "It may take several weeks to see the full benefits of the medication."
- "I should take it with food to avoid stomach upset."
A patient has been taking levodopa for 2 weeks and reports no improvement in symptoms. What is the most appropriate response by the healthcare provider?
A patient has been taking levodopa for 2 weeks and reports no improvement in symptoms. What is the most appropriate response by the healthcare provider?
- "It can take several months to see a noticeable improvement with this medication." (correct)
- "You should increase your dose to see if that helps."
- "The medication is likely not effective for you."
- "We should switch you to a different medication immediately."
A patient on levodopa is experiencing dystonic movements and nausea. Which medication might be considered as a replacement?
A patient on levodopa is experiencing dystonic movements and nausea. Which medication might be considered as a replacement?
What dietary advice is most important for a patient prescribed selegiline HCl (Eldepryl)?
What dietary advice is most important for a patient prescribed selegiline HCl (Eldepryl)?
Which of the following is an important consideration when educating a patient about apomorphine?
Which of the following is an important consideration when educating a patient about apomorphine?
Which statement by a student nurse about levodopa/carbidopa indicates that they need further education?
Which statement by a student nurse about levodopa/carbidopa indicates that they need further education?
A patient reports no improvement in their Parkinson's symptoms after several months of taking Sinemet (carbidopa/levodopa). What is the most appropriate action for the provider to take?
A patient reports no improvement in their Parkinson's symptoms after several months of taking Sinemet (carbidopa/levodopa). What is the most appropriate action for the provider to take?
A patient on Sinemet (carbidopa/levodopa) reports experiencing random 'off' episodes. What is the most appropriate suggestion for the nurse to make?
A patient on Sinemet (carbidopa/levodopa) reports experiencing random 'off' episodes. What is the most appropriate suggestion for the nurse to make?
Which non-pharmacological recommendations are most appropriate for a nurse to offer to a patient in the early stages of Parkinson's disease?
Which non-pharmacological recommendations are most appropriate for a nurse to offer to a patient in the early stages of Parkinson's disease?
A patient taking rasagiline (Azilect) is found to have elevated blood pressure. Which medication currently prescribed should the nurse consider holding?
A patient taking rasagiline (Azilect) is found to have elevated blood pressure. Which medication currently prescribed should the nurse consider holding?
A patient taking entacapone reports experiencing dizziness. What clinical implication does this suggest?
A patient taking entacapone reports experiencing dizziness. What clinical implication does this suggest?
When serving a meal to a patient who is taking an MAO-B inhibitor, which food should be removed from their tray to prevent potential adverse effects?
When serving a meal to a patient who is taking an MAO-B inhibitor, which food should be removed from their tray to prevent potential adverse effects?
Which of the following instructions should the nurse provide to a patient who is beginning carbidopa-levodopa therapy?
Which of the following instructions should the nurse provide to a patient who is beginning carbidopa-levodopa therapy?
A patient presents with symptoms of shuffling gait and resting tremors. Which medication is the most likely initial treatment?
A patient presents with symptoms of shuffling gait and resting tremors. Which medication is the most likely initial treatment?
Why is carbidopa commonly administered in combination with levodopa for patients with Parkinson's disease?
Why is carbidopa commonly administered in combination with levodopa for patients with Parkinson's disease?
Which side effect is more commonly associated with pramipexole compared to other dopamine agonists?
Which side effect is more commonly associated with pramipexole compared to other dopamine agonists?
A patient Parkinson patient on Sinemet (carbidopa/levodopa) begins to exhibit tics. What does this clinical development indicate?
A patient Parkinson patient on Sinemet (carbidopa/levodopa) begins to exhibit tics. What does this clinical development indicate?
Which potential side effect of levodopa would support a nursing diagnosis of 'Risk for Injury'?
Which potential side effect of levodopa would support a nursing diagnosis of 'Risk for Injury'?
A patient taking Sinemet (carbidopa/levodopa) reports experiencing nausea and vomiting. What advice should the nurse provide?
A patient taking Sinemet (carbidopa/levodopa) reports experiencing nausea and vomiting. What advice should the nurse provide?
Flashcards
Dopamine agonists adverse effect
Dopamine agonists adverse effect
May cause sudden sleep events.
Carbidopa-levodopa teaching
Carbidopa-levodopa teaching
Taking carbidopa-levodopa with food increases absorption.
Levodopa onset
Levodopa onset
It may take several months for levodopa to show effects.
Apomorphine usage
Apomorphine usage
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Levodopa/carbidopa education
Levodopa/carbidopa education
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No improvement after Sinemet months
No improvement after Sinemet months
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"Off" Episodes on Sinemet
"Off" Episodes on Sinemet
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Non-drug Parkinson's care
Non-drug Parkinson's care
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Rasagiline and high BP
Rasagiline and high BP
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Entacapone and dizziness
Entacapone and dizziness
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MAO-B inhibitor diet restrictions
MAO-B inhibitor diet restrictions
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Carbidopa-levodopa education
Carbidopa-levodopa education
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Shuffling gait and resting tremors
Shuffling gait and resting tremors
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Why combine carbidopa with levodopa?
Why combine carbidopa with levodopa?
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Pramipexole side effect
Pramipexole side effect
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Parkinson's patient on Sinemet and develops tics
Parkinson's patient on Sinemet and develops tics
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Levodopa side effect leading to "Risk for injury"
Levodopa side effect leading to "Risk for injury"
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Sinemet nausea and vomiting
Sinemet nausea and vomiting
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Study Notes
- Dopamine agonists may cause sudden sleep events as an adverse effect.
- A statement indicating the need for further teaching about carbidopa-levodopa is: "I should take the drug with food to increase absorption."
- In response to a patient reporting no symptom improvement after 2 weeks on levodopa, the nurse should say, "It may take several months for a response to occur."
- If a patient on levodopa develops dystonic movements and nausea, Bromocriptine (Parlodel) might replace the drug.
- A patient on Selegiline HCI (Eldepryl) should avoid consuming foods that are high in tyramine.
- When teaching about apomorphine, include that it does not have any opioid activity, a multidose injector pen is used, nausea may occur and can be treated with Tigan, and sleep attacks or daytime sleepiness may occur.
- A statement by a student indicating a need for education about levodopa/carbidopa is: "Combination products cause fewer dyskinesias and decreased psychosis."
- If a patient reports no change in symptoms after months on Sinemet, the provider should re-evaluate the diagnosis.
- For a patient on Sinemet reporting "off" episodes occurring randomly, the nurse will suggest adding a COMT inhibitor like entacapone.
- Non-drug recommendations for early-stage Parkinson's include recommending exercise, nutritional counseling, and support groups.
- For a patient on rasagiline with high BP, the nurse should consider holding Ciprofloxacin.
- If a patient on entacapone reports dizziness, you need to reduce the medication dosage.
- When serving a meal to a patient on an MAO-B inhibitor, cheese should be removed.
- The nurse should teach a patient starting carbidopa-levodopa to rise slowly from bed or a chair to avoid dizziness and falls.
- A patient presenting with shuffling gait and resting tremors will likely be prescribed Carbidopa-levodopa (Sinemet).
- Carbidopa is combined with levodopa to reduce peripheral side effects by inhibiting dopa decarboxylase in the periphery.
- The side effect more likely with pramipexole than other dopamine agonists are sleep attacks.
- A Parkinson patient on Sinemet developing tics indicates a need for a lower dose of Sinemet.
- The levodopa side effect that supports a nursing diagnosis of "Risk for injury" is orthostatic hypotension.
- For a patient on Sinemet reporting nausea and vomiting, the nurse should advise taking a lower dose with a low-protein snack.
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