(1)
To determine:
Patients who are taking long-term levodopa treatment often experience an “on-off” phenomenon in symptoms. Explain the physiology behind this phenomenon.
Case summary:
A 62-year-old Parkinson patient is undergoing a surgery to repair an umbilical hernia. He is taking carbidopa-levodopa and selegiline as medication for his Parkinson disease. He has no other health problem other the Parkinson disease. He did not experience any problem for a quiet time but suddenly he is experiencing bad times.
(2)
To determine:
Explain the reason for giving selegiline along with carbidopa-levodopa. Ben undergoes the surgery without any difficulties and the following medication orders are noted on the medical record: Continue previous orders for carbidopa-levodopa (Sinemet CR) 1 tablet bid and selegiline (Eldepryl) 5 mg bid (taken with Sinemet CR) Meperidine (Demerol) 10 mg IV every four hours as needed for the pain. Ondansetron (Zofran) 4 mg IV one time if needed for nausea. Begin Entacapone (Comtan) 200 mg bid with each dose of Sinemet.
Case summary:
A 62-year-old Parkinson patient is undergoing a surgery to repair an umbilical hernia. He is taking carbidopa-levodopa and selegiline as medication for his Parkinson disease. He has no other health problem other the Parkinson disease. He did not experience any problem for a quiet time but suddenly he is experiencing bad times.
(3)
To determine:
Are there any concerns regarding drug interactions? Explain the answer.
Case summary:
A 62-year-old Parkinson patient is undergoing a surgery to repair an umbilical hernia. He is taking carbidopa-levodopa and selegiline as medication for his Parkinson disease. He has no other health problem other the Parkinson disease. He did not experience any problems for a quiet time but suddenly he is experiencing bad times.
(4)
To determine:
What is the purpose of Entacapone?
Case summary:
A 62-year-old Parkinson patient is undergoing a surgery to repair an umbilical hernia. He is taking carbidopa-levodopa and selegiline as medication for his Parkinson disease. He has no other health problem other the Parkinson disease. He did not experience any problem for a quiet time but suddenly he is experiencing bad times.
(5)
To determine:
Before administering the entacapone, the nurse review B.history for any potential contraindications. What condition(s) would be a potential contraindication to entacapone.
Case summary:
A 62-year-old Parkinson patient is undergoing a surgery to repair an umbilical hernia. He is taking carbidopa-levodopa and selegiline as medication for his Parkinson disease. He has no other health problem other the Parkinson disease. He did not experience any problem for a quiet time but suddenly he is experiencing bad times.

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Chapter 15 Solutions
EBK PHARMACOLOGY AND THE NURSING PROCES
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- How are the nervous and musculoskeletal systems interrelated? How do central nervous system abnormalities and damage to the musculoskeletal system affect mobility? Please cite in text source and list referencesarrow_forwardAnything else I should add to this slide and notes? Can you also put the notes into paragraphs with the changes?arrow_forwardAnything else I should add to this slide and notes? Can you also put the notes into paragraphs with the changes?arrow_forward
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