Medication Reconciliation Flashcards
On average, how many Rx do NPs prescribe daily?
23
According to the Beers criteria, what drugs should you avoid using concurrently with opioids?
- benzodiazepines
- gabapentinoids
According to the Beers criteria, what drugs should you avoid using concurrently with trimethoprim-sulfamethoxazole? What can concurrent use cause?
- ACEIs
- ARBs
- If they have decreased creatinine clearance, can cause hyperkalemia
What organizations require/recommend med rec?
- TJC = requires
- WHO = recommends
- CMS = used to require
H2 blockers are ok in patients with which memory problems but not in which?
- Ok in dementia
- NOT ok in delirium
When should we be cautious about using aspirin?
in those over 70, caution using ASA for primary prevention of CVD and colorectal cancer for increased risk of GI bleed
when should SNRIs be avoided?
older adults w/ hx falls or fractures
should sliding scale insulin be used in older adults?
- avoid in older adults, as risk for hypoglycemia without much benefit in hyperglycemia mgmt
- ok to use in those on basal insulin