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A concise overview of entacapone, a catechol-o-methyltransferase (comt) inhibitor used in the treatment of parkinson's disease. It outlines the drug's mechanism of action, adverse effects, nursing considerations, patient teaching, drug interactions, and relevant clinical situations. The document also highlights entacapone's role in extending the 'on' time for patients with parkinson's disease.
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what it does - correct answer helps with voluntary movement control (levodopa sidekick) mechanism of action - correct answer selective/reversible inhibitor of COMT which lets levodopa stay in blood and basal ganglia adverse effects - correct answer rhabdomyolysis, dyskinesia, melanoma, orthostatic hypotension, hallucinations, sleep disturbance, impulse control problems nursing considerations - correct answer assess parkisons, extrapyramidal symptoms. Monitor neuroleptic malignant syndrome and diarrhea patient teaching - correct answer nausea/diarrhea/dizziness may occur, move around to prevent orthostatic hypotension patient teaching - correct answer report unusual skin changes/hallucinations/pregnancy/intense urges drug interactions - correct answer with levodopa, permits lower dose if effective situations - correct answer parkinsons disease route of admin - correct answer PO on and off time - correct answer extends on time