Drugs for Parkinson's Disease - Nursing Care Plan PDF

Drugs for Parkinson’s Disease NUR 210/BSL 101 Unit 5  Chronic neurologic disorder for which there is no cure. Symptoms are Parkinson’s managed with medication Imbalance of dopamine (needed to Disease control movement...

Drugs for Parkinson’s Disease NUR 210/BSL 101 Unit 5  Chronic neurologic disorder for which there is no cure. Symptoms are Parkinson’s managed with medication Imbalance of dopamine (needed to Disease control movement) – not enough Imbalance of acetylcholine – too much Causes degeneration of neurons of the extrapyramidal motor tract Symptoms worsen as the disease progresses  Signs and Symptoms Pill rolling motion in hands Parkinson’s Disease & Tremors of the head and neck Pseudoparkinsonism Rigidity Signs and Symptoms Postural changes Shuffling walk Bradykinesia (slow movement) Lack of facial expression No changes in cognitive level  Anticholinergic drugs* Block cholinergic receptors – see anticholinergic presentation Dopaminergics* Parkinson’s Drug converts to dopamine Disease Dopamine agonists Treatments Stimulate dopamine receptors MAO-B inhibitors Inhibit MAO-B enzyme that interferes with dopamine COMT inhibitors Inhibit COMT enzyme that inactivates dopamine *The drug classifications you are responsible for knowing Antiparkinson’s Action drugs – Levopdopa goes to brain cells to Dopaminergic – convert to dopamine Carbidopa and Carbidopa blocks the conversion Levodopa peripherally so levodopa can get to the 1 brain Uses Treat the signs and symptoms of Parkinson’s disease. Does not cure Parkinson’s disease Antiparkinson’s Side effects/Adverse reactions drugs – GI distress, dry mouth Dopaminergic – Fatigue, insomnia, dizziness, headache, Carbidopa and blurred vision Dark urine Levodopa 1 Orthostatic hypotension, Palpitations Hypotension Urinary retention Psychosis, severe depression Antiparkinson’s drugs – Dopaminergic – Contraindications Carbidopa and Antipsychotics Levodopa 1 Drug and Food interactions Many! High protein foods decrease absorption Antiparkinson’s drugs – Nursing Assessment care plan Vital signs Signs and symptoms of Parkinson’s Medical/medication history  Nursing interventions Antiparkinson’s Monitor vital signs for orthostatic drugs – Nursing hypotension Administer on empty stomach but may give care plan with low protein food if stomach upset occurs High protein foods delay absorption Monitor for signs and symptoms of Parkinson’s Monitor for suicidal ideation  Teach Antiparkinson’s Take on empty stomach drugs – Nursing Take at the same times each day care plan Take with low protein foods if stomach upset occurs Do not abruptly discontinue drugs Levodopa may cause harmless discoloration of urine and sweat to brown Antiparkinson’s Evaluation drugs – Nursing Improved symptom control care plan client and family understanding of the medications Side effects/Adverse reactions minimized