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Oral Medicine-Geriatrics > Drug Dependency Geriatrics > Flashcards

Drug Dependency Geriatrics Flashcards

1
Q

What are risk factor life transitions that can trigger dependency?

A
  • Menopause
  • Newly empty nest
  • Approaching retirement
  • New roles as caretaker
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2
Q

The elderly often abuse Drugs that are prescribed for:

A

Joint pain
Sleeping problems
Injuries from falls

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3
Q

What is the most commonly abused prescription?

A

Opioid analgesics

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4
Q

What CNS depressants are commonly abused?

A

Benzos and Barbiturates

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5
Q

What CNS stimulates are commonly abused?

A

Amphetamine and methylphenidate

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6
Q

What prescription and OTC medications are abused?

A

Opioids
Benzos
Alcohol
Sleeping preparations

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7
Q

What is the most commonly abused street drug?

A

Marijuana

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8
Q

What are three reasons benzos are prescribed to older adults?

A

Chronic anxiety, depression and sleep disturbances

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9
Q

Benzos exacerbate what chronic medical conditions

A

COPD and GERD

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10
Q

Benzos ____ length of stay and morbidity in hospitalized patients

A

Increases

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11
Q

Benzos have _____ rates of MVA and falls

A

Higher

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12
Q

Benzos have significant additive effect with what other sedative hypnotic drugs?

A

Opioids and alcohol

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13
Q

A prolonged half-life with benzos predisposes to ______ intoxication

A

Esay

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14
Q

What occurs after stopping use of benzos?

A

Withdrawal syndrome

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15
Q

Treatment for Benzo abuse

A
  • Detoxification and withdrawal
  • Appropriate therapy for psychiatric problems
  • Long term addiction treatment
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16
Q

What should we do with patients on benzos that have less than two years left of life?

A

Remain on benzos but monitor dosages

17
Q

Benzos are to be avoided for treatment of what three conditions?

A

Insomnia, agitation, delirium

18
Q

What drugs are associated with causing the greatest number of medical problems?

A

Alcohol and tobacco

19
Q

Alcohol abuse in elderly is a major medical and ______ problem

A

Psychiatric

20
Q

A decline in liver and kidney function and use of alcohol among the elderly can cause what?

A

Unexplained elevations of liver enzymes indicate chronic alcohol abuse

21
Q

Chronic Eldelry Alcoholism: Fatigue and weight loss can be caused by

A

Cirrhosis, heart disease, pancreatitis, pancreatic carcinoma

22
Q

Chronic Eldelry Alcoholism can worsen what existing conditions

A

Diabetes, hypertension, congestive heart failure, liver problems, memory problems

23
Q

What are some effects to smoking cigarettes for the elderly

A

Greater chance at developing dementia
2-3 time the risk for developing cataracts
Reduced life expectancy

24
Q

Who should be screened for alcohol and prescription drug abuse?

A

Every 60 year old

Oral Medicine-Geriatrics (5 decks)

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