Update ) Advanced
Pharmacology for Care of the Family
| Exam Questions & Answers |
100% Correct | Grade A -
Chamberlain
Question:
What are sleep attacks associated with related to PD treatment?
Answer:
Sleep attacks are overwhelming sleepiness that comes on without warning
It is associated with dopamine agonists like pramipexole
Question:
How should you manage the side effects of bromocriptine?
Answer:
Bromocriptine is a ergot dopamine-agonist
It may be added to at the medication regimen if levodopa causes dyskinesias.
However, if bromocriptine causes agitation and hallucinations, the dose may
need to be decreased.
,Question:
Use of levodopa/carbidopa in diagnosis and treatment
Answer:
If you suspect Parkinson's and prescribe levodopa and there is no
improvement of symptoms, you should question the diagnosis
For treatment, levodopa is a first-line drug
Question:
Baseline for levodopa and dopamine agonists
Answer:
Cardiac status (risk for arrhythmias)
Motor assessment (risk for dyskinesias, helps PD symptoms)
Skin assessment (can cause rashes)
Question:
Monitoring for levodopa and dopamine agonists
Answer:
orthostatic VS
motor function
,Question:
first line treatment for PD
Answer:
levodopa/carbidopa (dopamine replacement)
pramipexole (dopamine agonist)
Question:
Common adverse effects of PD drugs
Answer:
N/V
orthostatic hypotension
dyskinesias
Question:
Avoid pramipexole in those with...
Answer:
a history of compulsive behaviors like shopping, eating or gambling (risk for
dopamine dysregulation syndrome)
, Question:
Phenytoin (Dilantin)
Answer:
Most widely used anti-seizure drug
Question:
Phenytoin side effects
Answer:
CNS
-sedation
-nystagmus
-ataxia (poor muscle control)
-diplopia (double vision)
Other
Gingival hyperplasia
Rash
SJS (Asian descent)
Hypotension / dysrhythmias (administer IV slowly)
BIRTH DEFECTS