Monday, September 9, 2019

Medical case study report Example | Topics and Well Written Essays - 250 words

Medical report - Case Study Example current medication include; Excelon 4.6mg/day, Warfarin  10/11 night, Ezetrol  10mg evening, Vitamin D 2000IU Daily, Panadol osteo 2x665 mg PRN, Dutasterid 0.5mg and Sinemet  (levadopa+carbidopa)100/25   5 pills a day. The patient falls of a chair and x-rays show blood clots on left knee and is administered Warfirm for AF, physiotherapy and dressing of the wound and blisters [1] This disease is characterized by loss vision sharpness, dry eyes as the disease progresses due to changes in the movement of the eyeball, similar to other motor symptoms caused by loss of dopamine neurons. This result into; trouble reading, the need to blink in order to change eye position, trouble opening the eyes voluntarily, known as apraxia, Eyelid spasms - blepharospasm, and excessive blinking, Dry eyes;  people with PD may blink only 1-2 times per minute, leading to itching and burning [2]. Changes in Perception includes: decreased sensitivity to contrast due to los of dopamine neurons in retina, color blindness, difficulty judging distance and people’s facial expressions and visual hallucinations due to medications. Advanced PD could also result into development of delirium due to prolonged medications. People with Parkinson’s may also have bladder problems, the need to urinate, even when the bladder is not full thus there is need to rule out the possibility of urinary infection or any immediate medical issue before administering a medication [3]. Carbidopa/Levodopa- Smaller doses of levodopa are required to prevent its side effects and being converted into dopamine in the blood stream and reduce nausea and vomiting and prolonged use also cause dyskinesias.Dopamine Agonists and includes: Pramipexole, Ropinirole, Rotigotine, Bromocriptine. These medications tricks the brain to think that it is receiving the dopamine it requires and is less likely to cause dyskinesias but cause other side effects such as hallucinations, nausea and sedation [4]. Anticholinergics

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