-
levodopa
- parkingsons drug
- converts into dopamine by enzyme in brain
- considered gold standard
-
carbidopa
- parkinson's drug
- prevents levodopa from converting to dopamine too early
-
sinemet
levodopa/carbidopa combo
-
Staiveo
carbidopa+levodopa+entacapone
-
LTC facility is managed by:
managed by the state
-
sentinel event
- serious complication
- ex..fall @ hosp then die
-
antiplatelet drugs
stop blood from clumping
used for TIA, CAD, intermitent clotication
-
thrombolytic drugs
(ASE at end)
- can disolve a clot that has already formed
- enzyme in nature that eats clot
- narrow window of time to use
-
anticoagulants used for:
- preventative
- afib
- TIA
- previous MI
- pelvic injuries
- traumatic injuries
-
CAD Causes
- 1. inheritive
- 2. bad living habits
- 3. infection or inflamation
- 4. Trauma/MVA
-
top 3 risk factors of CAD
- 1. smoking
- 2. hypertension
- 3. Hyperlipidemia
-
Modifiable risk factors of CAD
diabetes, hypertension, hyperlipidemia, metabolic syndrome
-
non modifiable risk factors CAD
age, gender, race, genetics , heredity
-
primary sx of CVD
- fatigue -due to low cardiac output
- dyspnea- difficulty breathing
- weight gain- from edema
- palpations
- pain-substernal chest pain
- angina-
- dizziness-
-
Statins are used to:
- lower cholestrol
- lowers triglyserides
- increase HDL
- Decrease # of MI
- slows CAD
-
Rhabdomyolysis
life threatening complication...all muscles start ot break down in body...can result in kidney failure
-
Lipitor, Crestor, Zocor
Statins
-
alzheimers
degenerative brain disease w/ progressive irreversible mental deterioration + phys deterioration leading to death
-
stage 1 early alzheimers lasts 2-4 yrs and symptoms include:
- -forgets location/name of object
- -covers up memory loss
- -difficulty making decisions
- -difficulty learning new things
- -attn span decreases
- -may be angry /depressed
-
stage 2 moderate alzheimers lasts 2-12yrs and symptoms incude
- probs at work
- gets lost in farmiliar places
- forgets names of family members
- acalculia- diff w/ math
- aphasia- diff speaking
- apraxia- diff writing
- alexia- diff reading
- ataxia- diff w/ gait
- personal hygeine declines
- sundowning/wandering
-
late alzheimers 1-4yrs symptoms include:
- paranoia, hallucinations, delusions
- restless, wandering
- no impulse control
- foul language
- need help w adls
- forget spouse, kids, self
- incontinent
- totally dependant
-
pt w/ alzheimer's usually die from
aspiration pneumonia
-
-
digoxin
0.8-2.0 nanograms/ml
-
conduction system of heart in order
- SA node
- AV node
- Bundle of his
- r/l bundle branches
- purkinje fibers
-
orthostatic hypotension is decreased by
teds and abdominal binder
-
medicare
governement funded healtcare for people over 65
-
Requip (med)
for parkinsons- hallucinations
-
lipitor
do not take w/ grapefruit ...report any changes in skin color
-
overdose of heparin need:
protamine sulfate
-
MI needs ___________weeks to heal
4-6 weeks
-
bodys major PH regulators are
lungs and kidneys
-
vancomycin can cause
red man syndrome
-
presence of Reed-Sternberg cells
hodgkins lymphoma
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