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Flashcards in Parkinson's Other Deck (14)
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1

What are two non-pharm options that may decrease symptoms/prevent PD?

Coffee
Exercise

2

The decision to initiate therapy in symptomatic PD is determined by what?

Degree of functional impairment

3

Drug of choice if symptoms seriously threaten a patient's lifestyle or gait

Levodopa

4

Tx initiation:
<65yo
>65yo

Under 65: dopamine agonist
Over 65: levodopa

5

This occurs when patients get too much dopamine

Dyskinesias

6

Name a few quality measures

Review dx
Avoid dopamine blockers
Review psych and autonomic symptoms, cog impairment
Document FALLS**
Rehab options, counseling on exercise
Discuss advance care planning**

7

Impairment of attention, exec function, visuospatial function, and free recall; behavioral changes include apathy, depressed/anxious mood, delusions, daytime sedation

Parkinson's Disease Dementia (Lewy Body Dementia)

8

Tx of hallucinations and delusions in PDD? Interactions? ADRs?

Pimavanserin (Antipsychotics)
Interactions: QT prolonging drugs
ADRs: peripheral edema and confusion MC, QT prolongation

9

Rapid eye movement sleep behavior disorder with PD

Melatonin > clonazepam

10

Mood disorders with PD

SSRIs/SNRIs + CBT

11

Orthostatic hypotension in pts with PD

Increase salt/fluid consumption, elevate HOB, use compression stockings (can add midodrine)

12

Sialorrhea in pts with PD

Anticholinergic meds or botulinum A toxin

13

Axial motor symptoms in PD, what is crucial?

Therapy (PT, speech, OT)

14

Surgical ablation or deep brain stimulation for what type of PD patients

Advanced PD and intolerable dyskinesia or motor fluctuations on levodopa