Silk1413

Dopamine

Rationale- In Parkinson’s disease, there is a deficiency of dopamine, and the patient suffers from tremors or involuntary trembling movements

is a syndrome that consists of a slowing down in the initiation and execution of movement, increased muscle tone (rigidity), tremor, and impaired postural reflexes.

is an autoimmune disease of the neuromuscular junction characterized by the fluctuation weakness of certain skeletal muscle groups

genetically transmitted autosomal dominant disorder that affects both men and women of all races.


The goal of nursing is to provide the most comfortable environment possible for the patient and the family by maintaining physical safety, treating the physical symptoms, and providing emotional and psychological support

is a chronic, progressive degenerative neurological disease.

The goal of treatment is to put the patient into remission

motoneurons in the brain stem and spinal cord gradually degenerate.

Nursing is to support the patient’s cognitive and emotional functions by facilitating communication, providing diversional activities such as reading and family with advance care planning and anticipatory grieving related to loss of motor function and ultimate death

• Deltasone (prednisone), Decadron- to reduce inflammation
• Urecholine- cholinergic- relaxes the bladder in case of retention
• Baclofen and Valium for spasticity
• Septra- for UTI
• Colace- for constipation

• immuno suppressant- Imuran, Sandimmune, cytoxan
• Corticosteroids
• Anticholinesterase- promotes nerve impulse transmission.
• Tensilon
• (short acting, used for testing)
• (Mestinon, Prostigmin) patient is taught to adjust meds
• Plasmapheresis- used to separate blood and filter antibodies (1976)

Many drugs are contraindicated – antidysrhythmic, antibiotics, quinine, antipsychotics, barbiturates, sedatives, hypnotics, opioids

• carbidopa- levodopa (Sinemet)
• Selegiline HCL
• Artane- anti dyskinesia med don’t give with antacids
• Symmetrel- CNS depressant and no alcohol take after you eat
• Large list on page 1960-
• Drug holiday is necessary because side effect can be sever (things like
• dyskinesia)

• Rilutek - (slows the progression of ALS)
• As well as drugs to treat the symptoms

• antipsychotic, antidepressants, and anti- chorea
• Increase caloric intake because of chorea movement
• Examples of meds: Seroquel – antipsychotic
• Lexapro- antidepressant
• Anti- chorea Tetrabenazine

Rationale- appropriate nursing care for a patient with multiple sclerosis includes encouraging a well-balanced diet high in fiber and adequate fluids (at least 2liter of fluid per day or more). Supplemental vitamins are usually encouraged. Obesity will make it more difficult for the patient to meet daily needs and maintain mobility; the patient who is obese will probably be referred to a dietitian and placed on a caloric-restricted diet.

Rationale- the initial manifestation of ALS is a mild clumsiness usually in the distal portion of one extremity. The client may complain of tripping and my drag one leg when the lower extremities are involved. Mentation and intellectual function are usually normal. Diminished gag reflex and muscle wasting are not initial clinical manifestation

Myasthenia gravis- is the autoimmune disease of the neuromuscular junction characterized by fluctuating weakness of certain muscle groups, it is an unpredictable disease with lower motor neuron characteristics. Although there is no observable structural changes in the muscle or nerve, nerve impulses fail to pass at the myoneural junction, resulting in muscle weakness

Rationale- early symptoms of Huntington’s disease include restlessness, forgetfulness, clumsiness, falls, balance and coordination problems, and altered speech and handwriting. Difficulty with swallowing occurs in the later stages. Aphasia and agnosia do not occur