Geriatrics Flashcards
1
Q
What are the first line medications for mild-moderate Alzheimer’s disease
A
Donepezil, galantamine and rivastigmine (ACTH inhibitors)
2
Q
What does visual hallucinations with dementia point to?
A
Lewy Body dementia
3
Q
What Activities of Daily living can you ask about?
A
- Bathing / showering
- Toileting
- Getting dressed / grooming
- Walking
- Eating meals / feeding
- Transferring / moving from bed to chair / standing from sitting
4
Q
What causes of Delirium can you ask about?
A
- Constipation
- Pain
- Infection / pneumonia / UTI / meningitis / encephalitis
- Poor Nutrition
- Dehydration
- Metabolic disturbance / hypoglycaemia / hypercalcaemia / hyponatraemia /
hypercalcaemia - Hypothermia
- Hypoxia
- Sleeplessness / insomnia
- Hepatic impairment
- Renal impairment
- Stroke
- Environmental changes / visual disturbance / hearing disturbance / new
hospital admission - Drugs / opioids / corticosteroids / anticholinergics / benzodiazepines
- Alcohol withdrawal
- Nicotine withdrawal
- Brain tumour / brain metastasis
5
Q
Name 1 non-pharmacological intervention used in the prevention and
treatment of delirium?
A
- Reduce polypharmacy
- Promote good sleep hygiene
- Promote nutrition / encourage eating
- Avoid dehydration
- Monitor for sensory deficits / hearing aids / glasses
- Encourage early mobilisation
6
Q
What document is legally binding to prevent giving CPR?
A
Advance decision to refuse treatment
7
Q
What are the 2 recommended tests from NICE to assess patients at risk of falls?
A
- Turn 180 test
- Timed up and go test
8
Q
A
