Geriatrics Flashcards
what are the rules of driving with dementia
Inform the DVLA
Lewy body dementia key features
REM sleep disturbance
progressive cognitive impairment
parkinsonism
Visual Hallucinations
alzheimers pathophysiology
tau protein beta amaloid plaques and neurofibrillary tangles
Lewy Body dementia/alzheimers management
levodopa - parkinsonism
acetylcholinesterase inhibitor (donepezil/rivastigmine)
NMDA receptor antagonist - memantine 2nd line
Behavoural dementia symptoms
agitation, aggression
psychological demential symptoms
depression, anxiety, hallucination
Social Dementia management
address reasons for distress:
turn lights down
care consistency
hearing aids/glasses
pictures/bring in family
calendar/clocks
when use antipsychotics dementia
risk of harm to self or others
which antipsychotics in dementia
haliperidol
Lewy body =
Parkinsons symptoms
Bradykinesia
cogwheel ridgidity
resting (unilateral, pill rolling) tremor
stooped posture
shuffling gait
facial masking
autonomic dysfunction
Parkinsons disease management
Levodopa
dopamine agonist
mono-amine oxidase B inhibitor
COMT inhibitors
what drugs to avoid in parkinsons
Haliperidol
Antipsychotics
R
M
