Geriatrics Flashcards
Side effects of donepezil
Insomnia
Bradycardia
1st line treatment for alzheimers disease
Donepezil
Galantamine
Rivastigime
What is required to diagnose dementia?
Neuroimaging - to exclude secondary causes e.g. SAH, NPH
A stepwise deterioration in cognitive function - think what?
Vascular dementia
What is the most common form of dementia?
Alzheimers
Symptoms of frontotemporal dementia
Changes in behaviour, personality, language and attention
Symptoms of lewy body dementia
Auditory, visual or even olfactory hallucinations
Parkinsonian syndromes such as tremor and bradykinesia
Risk factors for vascular dementia
Hx of TIA/stroke
AF
HTN
DM
Hyperlipidaemia
Smoking
Obesity
Coronary artery disease
FH Stroke/CVS disease
Which condition is haloperidol contraindicated in?
Parkinsons disease
Precipitating factors of acute confusional state
Infection
Dehydration
Metabolic/electrolyte disturbance
Any significant CVS/Resp/neurological/endocrine condition
Change of environment
Severe pain
Alcohol withdrawl
Constiptation
Recommended treatment of vascular dementia
Tight control of CVS Risk factors
Visual hallucinations with dementia would point to what condition?
Lewy body dementia
Role of chloinesterase inhibitors in mild dementia
Improve ADLs
Improve some cognitive function
What drugs increase the mortality chance in dementia patients?
Anti-psychotics
Factors favoring delerium over dementia
Acute onset
Fluctuating of symptoms; worse at night, periods of normality,
Impairment of consciousness
Abnormal perception (illusions and hallucinations)
Agitation, fear
Delusions
