Flashcards in Parkinson's Other Deck (14)
What are two non-pharm options that may decrease symptoms/prevent PD?
The decision to initiate therapy in symptomatic PD is determined by what?
Degree of functional impairment
Drug of choice if symptoms seriously threaten a patient's lifestyle or gait
Under 65: dopamine agonist
Over 65: levodopa
This occurs when patients get too much dopamine
Name a few quality measures
Avoid dopamine blockers
Review psych and autonomic symptoms, cog impairment
Rehab options, counseling on exercise
Discuss advance care planning**
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)
Tx of hallucinations and delusions in PDD? Interactions? ADRs?
Interactions: QT prolonging drugs
ADRs: peripheral edema and confusion MC, QT prolongation
Rapid eye movement sleep behavior disorder with PD
Melatonin > clonazepam
Mood disorders with PD
SSRIs/SNRIs + CBT
Orthostatic hypotension in pts with PD
Increase salt/fluid consumption, elevate HOB, use compression stockings (can add midodrine)
Sialorrhea in pts with PD
Anticholinergic meds or botulinum A toxin
Axial motor symptoms in PD, what is crucial?
Therapy (PT, speech, OT)