Exam 6 - Meds and the Elderly

Question 0

Lasix, NSAIDs, Dilantin…

Answer 0

Highly protein-bound drugs

Question 1

Why are oral meds the slowest to be absorbed?

Answer 1

Because of the first pass effect

Question 2

Morphine, promethazine, Valium, Fenergan

Answer 2

Fat-soluble drugs

Question 3

More drug in the blood than going where intended

Answer 3

Free drug result

Question 4

Process by which a drug is transferred from that site of entry into the body to the bloodstream

Answer 4

Absorption

Question 5

Normal gastric pH

Answer 5

1.4

Question 6

How many percent of the population do elders make up?

Answer 6

13%

Question 7

When asking the patient about meds what all do you ask about?

Answer 7

Always ask about prescriptions, OTC, vitamins minerals and herbs

Question 8

What are the most common drugs prescribed elders?

Answer 8

Psychotropics and anti-inflammatory agents

Question 9

What affects how the body uses meds, how much blood carrying meds gets to spot to work

Answer 9

Reduced amount of G.I. bloodflow

Question 10

What contributes to taking a while for med to move from stomach to bloodstream

Answer 10

Slowed G.I. motility

Question 11

What takes place after drug has been absorbed into bloodstream?

Answer 11

Distribution

Question 12

What does increase body fat in elderly pose problem for?

Answer 12

Increased body fat increases the ability to store fat soluble drugs can lead to drug toxicity, decreases the drugs elimination from body. Allowing the drug to stay in the body longer.

Question 13

What affects how drug attaches to protein, increases level of free drug through bloodstream

Answer 13

Decreased serum albumin

Question 14

What is the change of a drug from its original form to a new form?

Answer 14

Biotransformation

Question 15

Reduced cardiac output leads to

Answer 15

Decreased perfusion to the liver

Question 16

What in the elderly can lead to thiamine deficiency?

Answer 16

Antacids

Question 17

What reduces folic acid and thiamin in an elderly?

Answer 17

Antibiotics and Dilantin

Question 18

What are most drug doses based on

Answer 18

A 70 kg adult, about 150 pounds

Question 19

The process of removing a drug or it’s metabolites from the body

Answer 19

Excretion

Question 20

The product of drug metabolism

Answer 20

Metabolites

Question 21

What does reduced renal bloodflow caused?

Answer 21

Loss of nephrons

Question 22

What’s the main source of drug excretion?

Answer 22

The kidneys

Question 23

What is the most used OTC med in the elderly?

Answer 23

Laxatives

Question 24

Decreased lean muscle mass in the elderly leads to what?

Answer 24

The ability to eliminate water soluble drugs from the body. Allowing drugs to stay longer and increase risk for drug toxicity