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    Carbidopa-Levodopa (SINEMET CR)

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    Amanda Coad
    This medication flow sheet provides information about a patient taking carbidopa-levodopa (SINEMET CR) to treat Parkinson's disease. The drug works by converting to dopamine in the brain and inhibits hyperactive cholinergic activity. It is usually prescribed as 25mg/100 mg tablets three times daily starting at 0800. Common side effects include uncontrolled movements, nausea, vomiting, depression, and anxiety. Nursing considerations include monitoring for side effects like dyskinesia and ensuring the drug is taken properly with food to minimize gastrointestinal upset. The patient should be taught to avoid tasks requiring alertness until the drug's effects are established.

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    Carbidopa-Levodopa (SINEMET CR)

    Uploaded by

    Amanda Coad
    2K views1 page
    This medication flow sheet provides information about a patient taking carbidopa-levodopa (SINEMET CR) to treat Parkinson's disease. The drug works by converting to dopamine in the brain and inhibits hyperactive cholinergic activity. It is usually prescribed as 25mg/100 mg tablets three times daily starting at 0800. Common side effects include uncontrolled movements, nausea, vomiting, depression, and anxiety. Nursing considerations include monitoring for side effects like dyskinesia and ensuring the drug is taken properly with food to minimize gastrointestinal upset. The patient should be taught to avoid tasks requiring alertness until the drug's effects are established.

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    Carbidopa-levodopa (SINEMET CR)

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    This medication flow sheet provides information about a patient taking carbidopa-levodopa (SINEMET CR) to treat Parkinson's disease. The drug works by converting to dopamine in the brain and inhibits hyperactive cholinergic activity. It is usually prescribed as 25mg/100 mg tablets three times daily starting at 0800. Common side effects include uncontrolled movements, nausea, vomiting, depression, and anxiety. Nursing considerations include monitoring for side effects like dyskinesia and ensuring the drug is taken properly with food to minimize gastrointestinal upset. The patient should be taught to avoid tasks requiring alertness until the drug's effects are established.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    2K views1 page

    Carbidopa-Levodopa (SINEMET CR)

    Uploaded by

    Amanda Coad
    This medication flow sheet provides information about a patient taking carbidopa-levodopa (SINEMET CR) to treat Parkinson's disease. The drug works by converting to dopamine in the brain and inhibits hyperactive cholinergic activity. It is usually prescribed as 25mg/100 mg tablets three times daily starting at 0800. Common side effects include uncontrolled movements, nausea, vomiting, depression, and anxiety. Nursing considerations include monitoring for side effects like dyskinesia and ensuring the drug is taken properly with food to minimize gastrointestinal upset. The patient should be taught to avoid tasks requiring alertness until the drug's effects are established.

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    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Bellin College Medication Flow Sheet

    Page 1 of 1

    Student:
    Classification Generic / Trade Name carbidopa-levodopa (SINEMET CR) Action & Reason this Client Taking Action: Converted to dopamine in basal ganglia, increasing dopamine concentration in brain, inhibiting hyperactive cholinergic activity. Carbidopa prevents peripheral breakdown of levodopa, making more levodopa available for transport into brain. Reason taking: Reduces tremor (Treatment of parkinsons disease) Dose (usual /prescribed) & Route, Onset, Peak, Duration Dose: Usual/prescribed: 25mg/100 mg tablet 3 times daily starting at 0800 Route: oral Onset: unknown Peak: 2-3 hr Duration: 12 hours

    Room #:
    Side & Toxic Effects Client Response

    Date:
    Nursing Considerations and Teaching

    Side effects: FREQUENT: Uncontrolled movements of face, tongue, arms, upper body; nausea/ vomiting (80%); anorexia (50%). OCCASIONAL: Depression, anxiety, confusion, nervousness, urinary retention, palpitations, dizziness, lightheadedness, decreased appetite, blurred vision, constipation, dry mouth, flushed skin, headache, insomnia, diarrhea, unusual fatigue, darkening of urine and sweat. RARE: Hypertension, ulcer, hemolytic anemia (marked by fatigue). Toxic effects: High incidence of involuntary choreiform, dystonic, dyskinetic movements in those on long-term therapy. Numerous mild to severe CNS and psychiatric disturbances may occur (reduced attention span, anxiety, nightmares, daytime somnolence, euphoria, fatigue, paranoia, psychotic episodes, depression, hallucinations).

    Nursing Considerations: Instruct patient to void before medication is given. Be alert to neurologic effects (headache, lethargy, mental confusion, agitation). Monitor for evidence of dyskinesia (difficulty with movement). Assess for clinical reversal of symptoms (improvement of tremor of head and hands at rest, mask-like facial expression, shuffling gait, muscular rigidity). Patient teaching: Avoid tasks that require alertness, motor skills until response to drug is established. Avoid alcoholic beverages during therapy. Sugarless gum, sips of tepid water may relieve dry mouth. Take with food to minimize GI upset. Effects may be delayed from several wks to mos. May cause darkening of urine or sweat (not harmful). Report any uncontrolled movement of face, eyelids, mouth, tongue, arms, hands, legs; mental changes; palpitations; severe or persistent nausea/vomiting; difficulty urinating if taking orally-disintegrating tablet.

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