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Geriatrics and Medication Review
Special Populations Exam 1
38
Pharmacology
Professional
02/17/2014

Additional Pharmacology Flashcards

 


 

Cards

Term
youngest old
Definition
64-74
Term
middle old
Definition
75-84
Term
oldest old
Definition
85 and older
Term
for medications
Definition
80 years old can be an important cut-off
Term
Geriatric clearance
Definition
decreased
Term
geriatric sensitivity
Definition
increased
Term
geriatric physique
Definition
limited
Term
syndrome deffinition
Definition
a set of symptoms that occure together
Term
syndromes may or may not be related to
Definition
a specific medical condition
Term
not all patients will have a problem with
Definition
Beers criteria medications
Term
some medications may have
Definition
potential risk or better alternatives
Term
all benzos can have significant
Definition
CNS effects
Term
accumulation of benzos
Definition
can be an issue for elderly patients
Term
intermediate acting benzos that are LESS likely to accumulate
Definition
lorazepam, temazepam, oxazepam
Term
clonazepam
Definition
preferred long-acting benzo that has less accumulation
Term
newer overactive bladder meds that are more selective for the bladder (DONT cross the BBB)
Definition
trospium (Sanctura) and Glycopyrrolate (Robinul)
Term
if a TCA is needed
Definition
1 TCA's are considered to be preffered
Term
TCA's with reduced anticholinergic effect
Definition
nortriptyline and disipramine
Term
nortriptiline
Definition
dosed at NIGHT
Term
desipramine
Definition
dosed during the DAY
Term
second generations antihistamines are less of an issue
Definition
loratadine/ desloratadine, fexofenadine, cetirizine/ levocetirizine
Term
very potent antihistamine that is often "hidden" in some OTC products
Definition
diphenhydramine
Term
new anti-histamine agents
Definition
not effective for some conditions
Term
Dopamine blockes mostly used for
Definition
anti-nausea and anti-psychotic (hallucinations)
Term
dopamine blockers
Definition
metoclopramide and prochloperazine (Compazine)
Term
may worsen Parkenson's
Definition
dopamine blockers
Term
is the affected drug dose likely to be
Definition
excessive or too low to cause an interaction?
Term
specialists may be more inclined to use
Definition
higher doses than recommended
Term
metformin induced lactic acidosis
Definition
is rare but can be serious or fatal
Term
watch for change in diuretic or potassium
Definition
without a change in the other
Term
potassium levels
Definition
usually monitored frequently when on K+ wasting diuretic/ ACE inhibitor
Term
common SE's of anticholinergics
Definition
dry mouth/eyes, constipation, urinary retention, tachycardia
Term
American Geriatrics Society HbA1C target
Definition
<8 may be appropriate for some patients
Term
HYVETT study blood pressure target
Definition
<150/80 may be appropriate for patients 80 and older
Term
decreasing cholesterol may
Definition
increase non-cardiovascular dealths in older patients (>80 yr old)
Term
START
Definition
evidence-based screening tool to detect prescribing omissions in elderly patients
Term
patients may start on osteoporosis medication
Definition
but do not take Ca and vit D
Term
often appropriated to start medication below normal adult starting dose
Definition
may still need to increase dose however, geriatric patients need more time to tolerate medication
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