Lewy_Body_Dementia_Flashcards
What are the key characteristics of Lewy Body Dementia?
Lewy Body Dementia is characterized by fluctuating cognition, visual hallucinations, and REM sleep behaviour disorder.
What adaptations can be made for patients with Lewy Body Dementia?
Adaptations include reality orientation and environmental modifications with the help of an occupational therapist.
What types of support are important for managing Lewy Body Dementia?
Social support and support for carers are important.
How can physical health be optimized in patients with Lewy Body Dementia?
Optimizing physical health involves reviewing medications.
What psychological therapies can be beneficial for patients with Lewy Body Dementia?
Psychological therapies such as reminiscence therapy can be beneficial.
What pharmacological therapies are used for Lewy Body Dementia?
Pharmacological therapies include acetylcholinesterase inhibitors, clonazepam for REM sleep disturbance, SSRIs for co-morbid depression, and Parkinson’s medications for tremors.
What is the first-line treatment for mild to moderate Lewy Body Dementia?
The first-line treatment for mild to moderate Lewy Body Dementia is donepezil or rivastigmine.
What should be considered if donepezil or rivastigmine are not tolerated in mild to moderate Lewy Body Dementia?
If donepezil or rivastigmine are not tolerated, a trial of galantamine can be considered.
What is the first-line treatment for severe Lewy Body Dementia?
The first-line treatment for severe Lewy Body Dementia is donepezil or rivastigmine.
What should be considered if donepezil or rivastigmine are not tolerated in severe Lewy Body Dementia?
If donepezil or rivastigmine are not tolerated in severe Lewy Body Dementia, memantine can be considered.
What medication is used for REM sleep disturbance in Lewy Body Dementia?
Clonazepam is used for REM sleep disturbance.
What medication can be added for co-morbid depression in Lewy Body Dementia?
SSRIs can be added for co-morbid depression.
What should be considered when using Parkinson’s medications in Lewy Body Dementia?
Parkinson’s medications (levodopa/carbidopa) can relieve tremors but may worsen psychosis.
Why are antipsychotics dangerous for patients with Lewy Body Dementia?
Antipsychotics are dangerous and should not be used because they cause severe reactions such as confusion, Parkinsonism, and death.
What can be used to treat acute behavioural disturbance in Lewy Body Dementia?
Acute behavioural disturbance may be treated with short-acting benzodiazepines like lorazepam, but only for the short term.
