Geriatrics Flashcards

1
Q

Goals

A

Maintain Independence
Prevent Disability
Avoid ADE of Treatment
Weigh risk vs benefit of tx

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2
Q

GI Overall

A

more basic, slowed gastric emptying, slowed GI transit

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3
Q

Skin Overall

A

thinning of skin and loss of fat

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4
Q

Body comp. Overall

A

less water, decreased muscle, decreased albumin

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5
Q

Liver Overall

A

overall effects are decreased, no change in phase II metabolism, decreased ability to do phase I metabolism

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6
Q

Renal Overall

A

decreased: GFR, CrCl, RBF, renal mass, tubular secretion (worse), also reduced BBB

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7
Q

Calcium

A

requires acid for proper absorption, elderly should use Ca Citrate

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8
Q

NSAIDs

A

risk for ulceration (which would be harder to control if it occured) and kidney function issues

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9
Q

Benzodiazepines in the Elderly

A

“LOT”, lorazepam, oxazepam and temazepam (don’t go through phase I) so these should be used in the elderly

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10
Q

Cockcroft-Gault

A

{(140-AGE) x weight(kg)} / (72 x SCr)

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11
Q

Other Changes

A

loss of balance, decr. bone mass, decr. memory, incr. urinary frequency, sensory changes

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12
Q

Medication Management

A

instruct patient to keep a list with them at all times of the medications they are on (include OTC and herbal meds)

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13
Q

START

A

screening tool to alert doctors to right treatment

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14
Q

STOPP

A

screening tool of older persons’ potentially inappropriate prescriptions

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15
Q

Optimal Plan

A

few meds as possible, EB literature to support use, reduce interactions, proper duration, avoid duplicate therapy

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