dementia friendly prescribing Flashcards
some meds can increase risk of delirium
examples of 2 drug classes that can precipitate acute confusion, or acute on chronic confusion?
benzos (diazepam)
anticholinergic agents (oxybutinin)
the 3 key mental functions impaired in dementia?
cognition: memory, speech, apraxia
neuropsychiatric: character and behavioural change
activities of daily living
diagnosing dementia in hospital, what does FAIR stand for?
Find ppl w dementia, and Family/Friends if any signs of memory loss
Assess for risk
Investigate
Refer
the ICD10 criteria for dleirium
impaired consc/attention
global cognitive impairment
psychomotor changes
disturbed sleep/wake cycle
emotional disturbance
how is delirium different/distinguishable from dementia?
its acute confusional state.
rapid onset fluctuating course and transcience
risk factors for delirium?
acute illness
old age
pre-existing dmenetia
sensory impairment
delirium preciptatnts? 5
meds: anticholinergics, benzos, anti-parkinsonnism agents
infection: resp/urinary tract
metabolism problems
substance musure
direct brain insult
somatic (biological) symptoms of mood disorders?
diurnal variation of mood
diff appetite
reduced conc
agitation
hypersomnia/ waking early
weight loss/gain
most common type of dementia?
alzheimers
prognosis of alcheimers is….
between 5-10yrs from diagnosis to death
whats vascular dementia?
VaD= dementia caused by cerebrovasc diseases
hard to distinguish form alzheimers
features that most rleiably distinguish VaD?
abrupt onset
HTN
history of stroke
CT/ MRI evidence
which med should be considered for therapeutic improvement of PDD? parkisons disease dementia?
donepazil, galantamine, rivastigmine = all acetylcholinesterase inhibitors but only RIVASTIGMINE = clinical efficacy in px w mild-mod PDD
name the 3 acetylcholinesterase inhibitors
donepazil
galantamine
rivastigmine
name the partial antagonist of NMDA receptors
memantine
