Elderly Flashcards
1
Q
Which drugs are the elderly more sensitive too?
A
Opioids, benzos, anti psychotics, parkinson’s drugs
2
Q
What is the most important effect of ageing on prescribing?
A
Reduced renal clearance
Therefore excrete drugs slowly and more susceptible to nephrotoxics
3
Q
How might adverse reactions present in the elderly?
A
Confusion, constipation, hypotension, falls
4
Q
Why should benzodiazepines be avoided?
A
Can cause falls
5
Q
When should diuretics be avoided?
A
Long term for gravitational oedema
6
Q
Which analgesia is dangerous in the elderly?
A
NSAIDs are more dangerous: bleeding, cardiac and renal implications
Use paracetamol, if needed use low dose ibuprofen then opioid
Use PPI prophylaxis
