Geriatrics

Question 1

What drugs are on the beers list?

Answer 1

Anticholinergics, Z-drugs and benzos, sedative-hypnotics, older antipsychotics, certain opioits/painmeds, hypoglycemics, NSAIDs, GI drugs

Question 2

What AD drug needs to be administered with food?

Answer 2

Galantamine

Question 3

What are the side effects of the CIs?

Answer 3

GI,CNS, Cardiac, GU. Memantine can cause agitation, insomnia, diarrhea, dizziness, confusion, headache

Question 4

Does changing rivastigmine tablet to patch help with N/V?

Answer 4

Yes

Question 5

What can be used for behavioral manifestations of dementia?

Answer 5

risperidone and olanzapine, use quetiapine if comorbid parkinsons or lewy body dementia.

Question 6

How to treat urge incontinence?

Answer 6

Anticholinergics, Mirabegron, Botulinum toxin A

Question 7

How to treat BPH?

Answer 7

Tamsulosin - relieves symptoms, orthostatic hypotension and floppy iris syndrome (with cataract surgery)

a-reductase inhibitors - modifies course of disease, pregnancy X risk for high grade prostate tumors

Question 8

How to treat osteoarthritis?

Answer 8

Oral NSAIDs, Injection into joint of glucocorticoids and hyaluronans, acetaminophen ( no more than 4 G), Glucosamine.

Question 9

How to treat rheumatoid arthritis?

Answer 9

DMARDs started within 3 months, MTX preferred Alternates: Hydroxychloroquine, sulfasalazine, leflunomide.

Biologic DMARDs 2nd (etanercept, rituximab, etc.)

DO NOT discontinue DMARDs even if patient in remission