NURl 210/l NUR210l Examl 2l –l (Newl
2026/l 2027l Update)l Principlesl ofl
Pharmacologyl Guidel |l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galenl l
QUESTION
Parkinson's
Answer:
-l decreasedl dopaminel (damagedl neurons-butl cannotl justl replacel easily)
-l tool muchl acetylcholinel (needsl tol bel decreased)
QUESTION
Parkinson'sl Diseasel andl Pseudoparkinsonisml S/S
Answer:
´Bradykinesial
´Shufflingl walk
´Lackl ofl faciall expression-l mask-likel face
´Rigidity
´Posturall changes
QUESTION
INl PDl nol changesl inl cognitivel levell until..
Answer:
latel stagel (dementia),l sol they'rel stilll there
,QUESTION
Carbidopa/Levodopa
Answer:
-l Dopaminergics-l increasesl dopamine;l Drugl convertsl tol dopamine
-l Cl &l Ll havel al synergisticl effect
-uses:l
Treatl thel signsl andl symptomsl ofl Parkinson'sl disease.
Doesl notl curel Parkinson'sl disease
QUESTION
Carbidopa/Levodopal Sidel effects/Adversel reactions
Answer:
´Darkl urinel &l sweatl (typicall SE)
´Orthostaticl hypotension
´Palpitations
´Hypotension
´Urinaryl retention
´Psychosis,l severel depression
QUESTION
Carbidopa/Levodopal interactions
Answer:
-l lotsl ofl interactions
-l inteactsl w/l B6l (affectsl CNS;l usefull inl brainl development,l immunity)l Teachl lowl B6l
diet
-l highl proteinl foodsl decreasel absorptionl makingl medsl lessl effective
-l nol proteinl shakesl duringl medl admin,l okl after
-l patientsl shouldl bel onl highl protein/highl caloriel dietl (justl notl atl samel timel asl meds)
,QUESTION
B6l foods
Answer:
poultry,l fish,l potatoes,l chickpeas,l bananas,l andl fortifiedl cereals
QUESTION
Tolcapone
Answer:
-l COMTl inhibitor
-l givenl w/l levedopal ifl Carbidopa/Levodopal doesl notl workl asl well
-l Notl givenl alonel -l alwaysl givenl withl levodopa
-l Hepatotoxicl -l contraindicatedl inl patientsl withl liverl disease
QUESTION
Tolcaponel nursingl interventions
Answer:
-l Monitorl vitall signsl forl orthostaticl hypotension
-l takel @l samel timel everyl dayl (wantl itl tol bel steadyl asl possible)
-l Administerl onl emptyl stomachl butl mayl givel withl lowl proteinl foodl ifl stomachl upsetl
occurs.l Highl proteinl foodsl delayl absorption
-l lowl B6l dietl
-l Dol notl abruptlyl discontinuel drugs!
-l Levodopal mayl causel harmlessl discolorationl ofl urinel andl sweatl tol brown
-l monitorl forl S/Sl ofl Parkinson'sl tol makel surel medsl arel working
QUESTION
Alzheimer's
Answer:
-l canl happenl inl peoplel asl youngl asl 30s
-l onsetl usuallyl betweenl agesl 45-65
, QUESTION
Rivastigmine
Answer:
-l Acetylcholinesterasel Inhibitorl forl Alzhimer's
-l Increasesl amountl ofl acetylcholinel forl usel inl neuronl receptorsl mainlyl inl brainl byl
inhibitingl acetylcholinesterase
-l similarl actionl tol cholinergicl agonists
QUESTION
Rivastigminel adversel reactions
Answer:
-l Bradycardia-l slowerl thanl 60
-l Hypotension-l lessl thanl 100;l fixl w/l fluids
QUESTION
Rivastigminel Teaching
Answer:
-l Drugl willl helpl withl symptomsl butl notl curel disease
-l Mayl takel withl food
QUESTION
Rivastigminel interactions
Answer:
◦Otherl drugsl thatl causel bradycardial andl hypotension
◦Nol tobaccol -l decreasesl effectivenessl ofl drugl (stopl notl decrease)
◦NSAIDSl -l increasel GIl upset
QUESTION
2026/l 2027l Update)l Principlesl ofl
Pharmacologyl Guidel |l Questionsl &l
Answersl |l Gradel A|l 100%l Correctl
(Verifiedl Solutions)-l Galenl l
QUESTION
Parkinson's
Answer:
-l decreasedl dopaminel (damagedl neurons-butl cannotl justl replacel easily)
-l tool muchl acetylcholinel (needsl tol bel decreased)
QUESTION
Parkinson'sl Diseasel andl Pseudoparkinsonisml S/S
Answer:
´Bradykinesial
´Shufflingl walk
´Lackl ofl faciall expression-l mask-likel face
´Rigidity
´Posturall changes
QUESTION
INl PDl nol changesl inl cognitivel levell until..
Answer:
latel stagel (dementia),l sol they'rel stilll there
,QUESTION
Carbidopa/Levodopa
Answer:
-l Dopaminergics-l increasesl dopamine;l Drugl convertsl tol dopamine
-l Cl &l Ll havel al synergisticl effect
-uses:l
Treatl thel signsl andl symptomsl ofl Parkinson'sl disease.
Doesl notl curel Parkinson'sl disease
QUESTION
Carbidopa/Levodopal Sidel effects/Adversel reactions
Answer:
´Darkl urinel &l sweatl (typicall SE)
´Orthostaticl hypotension
´Palpitations
´Hypotension
´Urinaryl retention
´Psychosis,l severel depression
QUESTION
Carbidopa/Levodopal interactions
Answer:
-l lotsl ofl interactions
-l inteactsl w/l B6l (affectsl CNS;l usefull inl brainl development,l immunity)l Teachl lowl B6l
diet
-l highl proteinl foodsl decreasel absorptionl makingl medsl lessl effective
-l nol proteinl shakesl duringl medl admin,l okl after
-l patientsl shouldl bel onl highl protein/highl caloriel dietl (justl notl atl samel timel asl meds)
,QUESTION
B6l foods
Answer:
poultry,l fish,l potatoes,l chickpeas,l bananas,l andl fortifiedl cereals
QUESTION
Tolcapone
Answer:
-l COMTl inhibitor
-l givenl w/l levedopal ifl Carbidopa/Levodopal doesl notl workl asl well
-l Notl givenl alonel -l alwaysl givenl withl levodopa
-l Hepatotoxicl -l contraindicatedl inl patientsl withl liverl disease
QUESTION
Tolcaponel nursingl interventions
Answer:
-l Monitorl vitall signsl forl orthostaticl hypotension
-l takel @l samel timel everyl dayl (wantl itl tol bel steadyl asl possible)
-l Administerl onl emptyl stomachl butl mayl givel withl lowl proteinl foodl ifl stomachl upsetl
occurs.l Highl proteinl foodsl delayl absorption
-l lowl B6l dietl
-l Dol notl abruptlyl discontinuel drugs!
-l Levodopal mayl causel harmlessl discolorationl ofl urinel andl sweatl tol brown
-l monitorl forl S/Sl ofl Parkinson'sl tol makel surel medsl arel working
QUESTION
Alzheimer's
Answer:
-l canl happenl inl peoplel asl youngl asl 30s
-l onsetl usuallyl betweenl agesl 45-65
, QUESTION
Rivastigmine
Answer:
-l Acetylcholinesterasel Inhibitorl forl Alzhimer's
-l Increasesl amountl ofl acetylcholinel forl usel inl neuronl receptorsl mainlyl inl brainl byl
inhibitingl acetylcholinesterase
-l similarl actionl tol cholinergicl agonists
QUESTION
Rivastigminel adversel reactions
Answer:
-l Bradycardia-l slowerl thanl 60
-l Hypotension-l lessl thanl 100;l fixl w/l fluids
QUESTION
Rivastigminel Teaching
Answer:
-l Drugl willl helpl withl symptomsl butl notl curel disease
-l Mayl takel withl food
QUESTION
Rivastigminel interactions
Answer:
◦Otherl drugsl thatl causel bradycardial andl hypotension
◦Nol tobaccol -l decreasesl effectivenessl ofl drugl (stopl notl decrease)
◦NSAIDSl -l increasel GIl upset
QUESTION