What point(s) should be included when teaching a patient about the use of apomorphine for treatment of Parkinson's disease? (Select all that apply.)
a. The restoration of function resulting from stimulation of dopamine receptors is permanent.
b. Apomorphine may be administered intravenously for rapid relief.
c. Apomorphine does not have any opioid activity.
d. A multidose injector pen is commonly used to administer apomorphine.
e. You may experience nausea and vomiting, which can be treated with trimethobenzamide (Tigan).
f. You may experience sleep attacks or episodes of daytime sleepiness.
ANS: C, D, E, F
Apomorphine has no opioid activity, is commonly injected by a reusable multidose pen, and may cause nausea, vomiting, or sleepiness. Apomorphine brings temporary relief from hypomobility. Apomorphine must not be administered intravenously. It may crystallize in the vein and form a thrombus or embolism.
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