Final Exam: NR566 / NR 566 (Latest
Update 2024 / 2025) 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. 1 / 4
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
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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)
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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
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