Parkinson Disease

A patient who has Parkinson's disease takes levodopa and carbidopa. The patient reports experiencing tremors between doses. The primary care NP should: a. add amantadine. b. increase the dose of levodopa. c. discontinue the carbidopa. d. add entacapone. 2. A patient who takes levodopa and carbidopa for Parkinson's disease reports experiencing freezing episodes between doses.The primary care NP should consider using: a. selegiline. b. apomorphine. c. modified-release levodopa. d. amantadine. 3. A 65-year-old patient is diagnosed with Parkinson's disease. The patient has emphysema and narrow-angle glaucoma. The primary care NP should consider beginning therapy with: a. ropinirole hydrochloride. b. selegiline. c. carbidopa/levodopa. d. benztropine.

Sample Solution

Question 1:

Answer:(b)

Explanation:

Tremors between doses of levodopa and carbidopa are a common side effect of Parkinson's disease. This is known as "end-of-dose dyskinesia." Increasing the dose of levodopa is the most effective treatment for this side effect.

Amantadine, entacapone, and carbidopa are all medications that are used to treat Parkinson's disease, but they are not typically used for end-of-dose dyskinesia.

Question 2:

Answer:(c)

Explanation:

Freezing episodes are a common side effect of Parkinson's disease that can occur between doses of levodopa and carbidopa. Modified-release levodopa is a type of levodopa that is released into the bloodstream more slowly and evenly than regular levodopa. This can help to reduce the risk of freezing episodes

Full Answer Section

Selegiline, apomorphine, and amantadine are all medications that are used to treat Parkinson's disease, but they are not typically used for freezing episodes.

Question 3:

Answer:(a)

Explanation:

Ropinirole hydrochloride is a dopamine agonist that is used to treat Parkinson's disease. It is a good choice for patients who have emphysema and narrow-angle glaucoma, as it is less likely to cause side effects such as orthostatic hypotension and confusion than other Parkinson's medications.

Selegiline, carbidopa/levodopa, and benztropine are all medications that are used to treat Parkinson's disease, but they are not typically used as first-line therapy for patients with emphysema and narrow-angle glaucoma.

Overall, the correct answers are:

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