CHAPTER FIVE: PHARMACOLOGY AND THE CARE OF ADULTS AND GERIATRIC PATIENTS Flashcards
1
Q
Issues with polypharmacy
A
Drug interactions, risk-benefit ratio
2
Q
Beers criteria
A
List of potential dangerous meds for older adults
-updated every three years
3
Q
What to do to prevent/treat adverse reactions
A
- assess pt for mental status changes
- kidney and liver functions
- assess medications taken at home (OTC and herbal)
4
Q
complications in absorption with elders
A
- GI issues, lessened motility and diarrhea
-Vascular disease and decreased circulation - decreased muscle mass
5
Q
complications in distribution with elders
A
-diminished cardiac output
- dehydration is common
-increased body fat and decreased muscle mass
-decreased in albumin
6
Q
complications in metabolism with elders
A
- liver changes
- genetic issues
7
Q
complications with excretion with elders
A
diminished kidney function
8
Q
economic factors for elders
A
on a fixed income, and can’t afford medications
9
Q
safe way to start a new medication for the eldery
A
with low doses
10
Q
issues with being asymptomatic
A
pt thinks they are better and stops taking the medication that helped them
