What does Pseudoparkinsonism mean?
Pseudoparkinsonism is a reaction to medications that imitates the symptoms and appearance of Parkinson’s disease. The most recognizable symptoms include slowed movements, muscle stiffness, and a shuffling walk. This condition is generally reversible and can be treated by stopping the medication causing the reaction.
How is Parkinson’s managed?
Most people with Parkinson’s disease eventually need a medication called levodopa. Levodopa is absorbed by the nerve cells in your brain and turned into the chemical dopamine, which is used to transmit messages between the parts of the brain and nerves that control movement.
What is the possible management of drug to treat Parkinson’s disease?
Levodopa, the most effective Parkinson’s disease medication, is a natural chemical that passes into your brain and is converted to dopamine. Levodopa is combined with carbidopa (Lodosyn), which protects levodopa from early conversion to dopamine outside your brain. This prevents or lessens side effects such as nausea.
What does Pseudoparkinsonism treatment include?
Pseudoparkinsonism is managed by lowering the anti-psychotic dosage or by adding an anticholinergic agent or a mantadine; switching to a low-potency agent or an atypical antipsychotic may also help.
What is shuffling walk?
1. Shuffling gait refers to quick-stepping, short-stride walking movements. Normally, we step with a heel-toe motion as we walk. This normal gait is dependent on our toes pushing forcefully off the ground to propel us forward. Without the toe push, a shuffling flat-footed gait occurs.
Is Pseudoparkinsonism reversible?
Pseudo-parkinsonism is a reversible syndrome that include extra-pyramidal symptoms (EPS) such as: stiff posture, shuffling gait, masked facial expression and slow pill-rolling finger tremors. It is often dose-related, therefore it is frequently managed by dose reduction.
What are the three approaches in Parkinson’s disease treatment?
Three surgical procedures are performed to treat Parkinson’s disease — ablative or destructive surgery, stimulation surgery or deep brain stimulation (DBS), and transplantation or restorative surgery.
What are nursing interventions for Parkinson’s disease?
Desired Outcomes
| Nursing Interventions | Rationale |
|---|---|
| Encourage deep breathing and coughing exercises every 2 hours. | Assist in lung expansion and helps in dislodgement of secretions for easier expectoration. |
| Suction patient if warranted. | The patient may be too weak or fatigued to expel own secretions. |
Which symptom can be seen in the patient diagnosed with Pseudoparkinsonism?
Symptoms of pseudoparkinsonism can include tremors, slow movement, shuffling gait, and muscle stiffness. This condition is treated by discontinuing the medication or treatment that is causing it, if possible.
What is pill rolling?
Finger Twitching The “pill rolling” tremor that is often described in medical texts refers to the tremors of the fingers, usually the thumb plus the other fingers, that makes it look as if the person is rolling a pill in the fingers. This is most often the part of the body where tremors will begin.
Which group of drugs is most frequently used for drug-induced Parkinsonism?
Typical antipsychotics, also known as neuroleptics, are the most common causes of DIP. However, atypical antipsychotics, which were thought to be free from EPS, can also induce parkinsonism.