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Alzheimer's and Dementias
Special Populations Exam 1
35
Pharmacology
Professional
02/18/2014

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Cards

Term
causes of dilirium
Definition
hypoglycemia, meds (anticholinergics/ benzos), infections, renal disease, B12 deficiencies, dehydration
Term
delirium
Definition
can be reversed
Term
alzheimer's
Definition
most common type of dementia
Term
pathophysiology of alzheimers
Definition
neuritic plaques of beta-amyloid protein (inflam), neurofibrillary tangles, cholinergic deficiency
Term
mini-mental state examination
Definition
30 point screening questionnaire
Term
MMSE-2 >25
Definition
intact
Term
MMSE-2 21-24
Definition
mild
Term
MMSE-2 10-20
Definition
moderate
Term
MMSE-2 <9
Definition
severe
Term
memantine and donepezil
Definition
moderate to severe alzheimer's disease
Term
antipsycotics for agitation or psychosis
Definition
atypical agents may be better tolerated that traditional agents
Term
select antidepressants for non-cognitive symptoms
Definition
tricyclics and MAOI
Term
selective serotonin reuptake inhibitors for depression
Definition
consider SE profiles when making choices
Term
multimodal group training
Definition
may improve activities of daily living
Term
Aricept (donepezil), Razadyne (galantamine), and Exelon (rivastigmine)
Definition
acetylcholinesterase inhibitors with greater affinity in CNS
Term
butylcholinesterase
Definition
prevents breakdown of acetylcholine in periphery
Term
memantine indicated for
Definition
moderate to severe alzheimers
Term
NMDA receptor antagonist activity
Definition
memantine (low affinity)
Term
higher affinity to NMDA
Definition
ketamine, dextromethorfan, nitrous oxide, PCP or "angel dust"
Term
normal physiological levels of glutamate
Definition
are required for memory and learning
Term
NMDA antagonists
Definition
prevent further damage to neuronal cells caused by excessive glutamate
Term
increase acetylcholine
Definition
when NMDA antag combined with ACHe-I
Term
most common SE acetylcholinesterase inhibitor
Definition
nausea and vomitting
Term
serious side effects of acetylcholinesterase inhibitor
Definition
bradycardia and cholinergic induced bronchospasm (COPD patients)
Term
side effects of acetylcholinesterase inhibitor
Definition
are opposite of SEs for anticholinergics
Term
aricept (donepezil)
Definition
AChE inhibitor
Term
10 mg Aricept
Definition
favored for more advanced disease
Term
23 mg Aricept (donepezil) ....GAHHH these are the same thing! why am I being stupid!
Definition
extended release and has longer time to Cmax (might reduce SEs/ may increase efficacy???????????????????)
Term
Cmax of 23mg Aricept
Definition
is about double that of the 20 mg dose
Term
combined therapy
Definition
moderate to severe AD, statistically better than donepezil alone
Term
stopping AD therapy
Definition
often results in transient worsening
Term
frontotemporal dementia
Definition
earlier onset, behavioral issues may be seen before memory loss, may respond to ACHe-I
Term
Dementia with Lewy Bodies
Definition
presents like Parkinson's, movement disorder occurs within a year of memory issues
Term
highly sensitive to neuroleptics (D2 receptor blockers)
Definition
demetia with Lewy Bodies
Term
ACHe-I
Definition
mild-moderate AD
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