3250 Exam #3 Key Concepts question and answers

Status Epilepticus medication choice: Valium/Diazepam, Lorazepam/Ativan (benzodiazepines) 2. Parkinson’s clinical manifestations o Disease of movement due to lack of dopamine receptors leaving muscle movement altered o Antiparkingson’s medications: levodopa-carbidopa (increases levels of dopamine o Anticholinergics (benzotropine-cogentin): help reduce tremors, rigidity, and improve walking o Clinical Manifestations of Parkinson’s: > Tremor: shaking begins in a hand, pill-rolling is common > Bradykinesia: steps may become short and shuffling > Impaired posture and balance become stooped, lean forward (balance problems) > Rigiditymuscle stiffness can occur (don’t swing arms when walking), > Loss of automatic movements: Blinking, smiling, and swinging arms when walking is diminished and even lost. Fixed staring expression and unblinking eyes. Others may no longer gesture or seem animated when they speak. > Speech changes - speak more softly, rapidly or in a monotone, sometimes slurring or repeating words, or hesitating before speaking. > Dementia: In the later stages of Parkinson's disease > Depression > Sleep problems: trouble falling asleep, may wake up frequently throughout the night, experience sudden sleep onset, called sleep attacks, during the day