10190450
Descrição
Mapa Mental por Nicole Russell, atualizado more than 1 year ago
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Criado por Nicole Russell
mais de 7 anos atrás
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Parkinson's Disease
- Risk factors
- Nursing Care plan
- Pathophysiology
- Disease of basal ganglia
- Characterised
by:
- Slowness in the initiation and execution of movement,
- Increased muscle tone
- Tremor at rest
- Impaired postural reflexes
- Slowness in the initiation and execution of movement,
- Characterised
by:
- Neurons that supply dopamine to the
striatum degenerates.
- When there is defects of dopamine, the excitatory effects of
acetylcholine go unopposed resulting in disturbed movements.
- When there is defects of dopamine, the excitatory effects of
acetylcholine go unopposed resulting in disturbed movements.
- Disease of basal ganglia
- Signs and symptoms
- Tremor
- Hand
- Pill rolling
- Pill rolling
- diaphragm, tongue, lips and jaw
- Can rarely cause shaking of the head
- Hand
- Rigidity
- Increased resistance to passive motion
when limbs go through their range of
motion
- Caused by sustained muscle contractions
- Can cause pain and slowness in
movement
- Increased resistance to passive motion
when limbs go through their range of
motion
- Bradykinesia/Akinesia (Immobility)
- Loss of automatic movements
- Blinking of the eyelids
- Swinging of the arms while walking
- Swallowing of saliva
- Self-expression with facial and hand movements
- Blinking of the eyelids
- Primary evidence is the physical and chemical alteration of the
basal ganglia and related structures in the extrapyramidal
portion of the CNS
- Loss of automatic movements
- Posturing
- Shuffling gait with short steps
- Parkinsonian Gait
- Festination
- Parkinsonian Gait
- Postral instability is common
- Forward tilt of the trunk
- Propulsion and Retropulsion
- Forward bending and backwards bending
- Forward bending and backwards bending
- Shuffling gait with short steps
- Tremor
- Medications
- Anticholinergic
- Dopaminergic
- Levodopa with carbidopa
- Also called sinemet
- Precursor of DA and crosses blood-brain
barrier
- Converted to DA in the basal ganglia
- Carbidopa inhibits an enzyme that
breaks down levodopa before it
reaches the brain.
- Also called sinemet
- Levodopa with carbidopa
- Antihistamine
- monoamine oxidase inhibitor
- Catechol-O-methyl transferase (COMT) inhibitor
- Anticholinergic
- Complications
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