IC1 DRP Flashcards
1
Q
Contraindications for NSAIDs
A
- Asthma
- Allergy to aspirin
- CV disease (HF promote sodium and water retention)
- Renal problem e.g. CKD (risk of AKI & worsen renal fn)
- Liver cirrhosis (risk of variceal bleeding)
- Ascites (promote Na and water retention)
- Elderly with Hx of GI bleeding
- Systemic steroids, anti- coagulants, anti-platelet
- 3rd trimester of pregnancy (20 wks or 24-40 wks)
- Active bleeding/ ulcer
- Concomitant diuretics, ACEi/ARB
2
Q
Can Losartan and NSAID be given tgt? Why?
A
No, risk of AKI if have dehydration
3
Q
What drugs to avoid in NSAID use?
A
- Lithium (Incr Li by 50%)
- ACEi/ARB
- Systemic steroids, anti-coagulants, antiplatelets
- Diuretics
4
Q
Signs of AKI
A
No / reduced urination
5
Q
What are missing from MAI
A
- Untreated Indications
- Adverse Drug Reactions
- Failure to receive drug
6
Q
Signs of MI in elderly
A
Stomach ache, nausea, confusion
7
Q
Why do elderly have higher prevalence of postural hypotension?
A
Function of baroreceptors decline overtime
8
Q
Examples of Basic ADL
A
DEATH:
- Dressing
- Eating
- Ambulating
- Toileting
- Hygiene (grooming)
9
Q
Examples of Instrumental ADL
A
SHAFTTT:
- Shopping
- Housekeeping
- Accounting
- Food prep
- Taking meds, using telephone and taking transport
10
Q
Which older adults should receive CGA?
A
Most beneficial for mild-moderate frailty; CFS 4 to 7
11
Q
Which CFS score denotes pre-frail?
A
4
