General Questions

Why is providing protein wrong for pts with Parkinson’s taking levodopa-carbidopa?

Protein reduces levo-carbi absorption, making the medication less effective.

TRAP Parkinson’s

Tremors
Rigidity
Akinesia (Imparied voluntary movement)
Postural instability

Impetigo

Contagious bacterial skin infection that can happen in children
Hallmark finding: HONEY-COLORED CRUSTS

Nitrofurantoin

Used for UTIs
ADVERSE EFFECTS: COUGH, Muscle weakness, FEVER

Mag Sulfate

Smooth muscle relaxant that can improve respiratory function
PREVENTS SEIZURES IN PREECLAMPSIA

Otitis Media (and how to hold pinna), and ocmplications

Middle Ear inflammation
FOR CHILDREN, PINNA DOWN AND BACK BC THEY SHORT
If sudden pain relief, RUPTURED EARDRUM
Mastoiditis: pain/swelling behind ear
Anything involving nasal swelling increases chance of Otitis media

Sulfonylureas

Glipizide, glyburide

Increase insulin from pancreas
CONTRA: ALCOHOL

Biguanides

Metformin
Decrease LIVER GLUCOSE MAKE

low chance of hypoglycemia
LACTIC ACIDOSIS
NO IRL ALCOHOL

Semaglutide, Saxagliptin

GLP-1/DDP-4 meds
INCREASE PANCREATITIS RISK

SGLT-2 Inhibitors

increases risk for genital/urinary tract infections
Increases risk for dehydration
SUCK GLIZZY LICK TWAT (to remember genital/urinary infection probs)

Acarbose

Acarbose
at first carbs

eat with first bite

TZD

Increases HF risk
Watch for heart failure symptoms

What is stomach acid a part of

Stomach acid is a part of immunity, and anything affecting it could be considered an weak immunosuppresant