8&9 Frailty

Question 1

A patient who has been hospitalised with a STEMI is ready to be discharged. What medications should he be sent home with? Give examples. (4)

Answer 1

1. Antiplatelet (aspirin)
2. ACE inhibitor (ramipril)
3. Statin (Atorvastatin)
4. Beta blocker (Bisoprolol)

Question 2

What do we use the clinical frailty for?

Answer 2

• Gives you a baseline (what you’re aiming for with a patient)
• Helps with a prognosis

Question 3

What is the CURB-65 score used for?

Answer 3

To assess the severity of pneumonia or infection at another site

Question 4

How is a comprehensive geriatric assessment made? Why is it made?

Answer 4

Why?

Allows a care plan to be generated

Question 5

You are presented with the following patient and here is there list of current medications. Which medications should be stopped and why?

Answer 5

Stop:

• ACE inhibitor and Aspirin- kidney function
• Furosemide- patient= dehydrated
• Furosemide, ISMN, Oxybutynin and Digoxin= Anticholinergics –> side effect= urinary retention and constipation
• Aspirin should not be being used with apixiban (anticoagulant)