Geriatrics/Palliative Care Flashcards
What medication must be stopped in dementia
Tricyclic antidepressants e.g. amitriptyline
What tool identifies medication where the risk outweighs the therapeutic benefits in certain conditions
STOPP tool
What tool suggests medications that may provide addition benefits
START tool e.g. PPI for gastroprotection in patients on medications with increased bleeding risk
What score is used to assess patients at risk of pressure sores
Waterlow score
What medication should be avoided in parkinsons
Olanzapine
How should you assess frailty
Evaluation of gait speed, self-reported health status or the PRISMA-7 questionnaire
Should you use ABx in pressure ulcer treatment?
Not routinely, only if there are signs of infection
What medication should be used in palliative care for nausea and vomiting that is due to gastric dysmotility and stasis
Dopamine (D2) receptor antagonists
What 3 things might metastatic bone disease respond to
Analgesia, bisphosphonates, radiotherapy
Treatment of respiratory secretions and bowel colic
Syringe drivers: hyoscine hydrobromide, hyoscine butylbromide, or glycopyrronium bromide
used first-line to manage secretions in a palliative care setting
Hyoscine hydrobromide or hyoscine butylbromide
muscarinic receptor antagonist used if the lung if filled with fluid
first line anti-emetic for intracranial causes of nausea and vomiting
cyclizine
Hiccups in palliative care
chlorpromazine or haloperidol
Treatment of a headache caused by raised intracranial pressure due to brain cancer (or metastases)
Dexamethasone
Treatment of pain in palliative patients with:
- mild-moderate renal impairment
- chronic kidney disease
Mild to moderate: Oxycodone preferred to morphine
CKD: Alfentanil, buprenorphine and fentanyl
