This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with Parkinson's disease is taking levodopa/carbidopa Sinemet. The prescriber orders ... (Read 99 times)

panfilo

  • Hero Member
  • *****
  • Posts: 572
on: Jul 23, 2018
A patient with Parkinson's disease is taking levodopa/carbidopa Sinemet. The prescriber orders bromocriptine Parlodel to treat dyskinesias. The nurse notes that the patient is agitated, and the patient reports having frequent nightmares.
 
  The nurse will contact the provider to discuss: a. adding an antipsychotic medication.
  b. changing from bromocriptine to cabergo-line Dostinex.
  c. reducing the dose of bromocriptine.
  d. reducing the dose of levodopa/carbidopa.

Question 2

A patient with bipolar disorder has frequent manic episodes alternating with depressive episodes. The prescriber orders risperidone Risperdal in addition to the lithium Lithobid that the patient is already taking.
 
  The patient asks the nurse why another drug is needed. The nurse will tell the patient that the risperidone is used to: a. elevate mood during depressive episodes.
  b. help control symptoms during manic epi-sodes.
  c. manage tremors associated with lithium use.
  d. prevent recurrence of depressive episodes.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Bison

  • Sr. Member
  • ****
  • Posts: 342
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Bromocriptine is used to treat levodopa-induced dyskinesias and has dose-dependent psycholog-ic side effects. The nurse should suggest reducing the dose of this drug to minimize these side effects. Adding an antipsychotic medication is not indicated. Cabergoline is not approved for this use. Reducing the dose of levodopa/carbidopa is not indicated.

Answer to Question 2

B
Risperidone is an antipsychotic often used in conjunction with lithium to help manage symptoms during manic episodes, regardless of whether psychotic symptoms occur. Risperidone does not elevate mood and is not used during depressive episodes. It is not used to counter side effects associated with lithium. It does not prevent recurrence of depressive episodes.


panfilo

  • Member
  • Posts: 572
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

6ana001

  • Member
  • Posts: 311
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

Did you know?

This year, an estimated 1.4 million Americans will have a new or recurrent heart attack.

Did you know?

An identified risk factor for osteoporosis is the intake of excessive amounts of vitamin A. Dietary intake of approximately double the recommended daily amount of vitamin A, by women, has been shown to reduce bone mineral density and increase the chances for hip fractures compared with women who consumed the recommended daily amount (or less) of vitamin A.

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Physical therapist assisting a patient to walk in the parallel bars. Physical therapist assisting a patient to walk in the parallel bars.
GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp GI endoscopy. (a) Similar to other forms of GI endoscopy, laparoscopy involves the insertion of a sp
Concept map of disease and immune system Concept map of disease and immune system
Assisting the patient to transfer from the bed or examining table to a wheelchair. Assisting the patient to transfer from the bed or examining table to a wheelchair.
Location of brain lesions in Alzheimer disease. Plaques are concentrated most heavily in the amygdal Location of brain lesions in Alzheimer disease. Plaques are concentrated most heavily in the amygdal
Examples of Disease-Causes Bacteria Examples of Disease-Causes Bacteria
Video: Corpus Callosum Animation

For a complete list of videos, visit our video library