clasp

Question 1

what is frailty

Answer 1

Loss of homeostasis and resilience - increased vulnerability after stressor event ​

Increased risk of falls, delirium or death

Question 2

what tool is used to asses frailty

Answer 2

rockwood frailty scale

Question 3

Who should be screened for delerium and what tool is used?

Answer 3

All patients over 65 coming into hospital ​

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4AT

Question 4

the …. Bundle is used to treat delerium?

Answer 4

time

Question 5

What drugs must you NEVER stop without specialists?​

Answer 5

parkinsons drugs

Question 6

What is the pharmacological management of agitation?​

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In what situation can this be given?

Answer 6

Haloperidol 500mcg orally – if unable call someone to do it IM

Question 7

what condition does delirium increase the risk of?

Answer 7

Dementia

Question 8

what drugs cause falls

Answer 8

Diuretics​

Anti-hypertensives​

Sedatives​

Anti-cholinergics​

Hypoglycaemic agents

Question 9

You have undertaken lots of conservative measures e.g. compression stockings, walking aids. These have failed to prevent falls from postural hypotension. What are you going to give (drug)?

Answer 9

Fludrocortisone, midodrine

Question 10

What medications is used for distress in end of life care?

Answer 10

Midazolam 2mg scut hourly

Question 11

What medication is used for nausea in end of life care?

Answer 11

levomepromazine 2.5mg scut every 12 hours

Question 12

What medications is used for respiratory secretions in end of life care?

Answer 12

Buscopan 20mg scut hourly

Question 13

anti-cholinergic side effects?

Answer 13

Short term: confusion and hallucinations, tachycardia, blurred vision, urinary retention, constipation, dizziness ​

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Long term: increase dementia risk