Medication Reconciliation Flashcards

1
Q

On average, how many Rx do NPs prescribe daily?

A

23

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2
Q

According to the Beers criteria, what drugs should you avoid using concurrently with opioids?

A
  • benzodiazepines

- gabapentinoids

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3
Q

According to the Beers criteria, what drugs should you avoid using concurrently with trimethoprim-sulfamethoxazole? What can concurrent use cause?

A
  • ACEIs
  • ARBs
  • If they have decreased creatinine clearance, can cause hyperkalemia
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4
Q

What organizations require/recommend med rec?

A
  • TJC = requires
  • WHO = recommends
  • CMS = used to require
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5
Q

H2 blockers are ok in patients with which memory problems but not in which?

A
  • Ok in dementia

- NOT ok in delirium

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6
Q

When should we be cautious about using aspirin?

A

in those over 70, caution using ASA for primary prevention of CVD and colorectal cancer for increased risk of GI bleed

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7
Q

when should SNRIs be avoided?

A

older adults w/ hx falls or fractures

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8
Q

should sliding scale insulin be used in older adults?

A
  • avoid in older adults, as risk for hypoglycemia without much benefit in hyperglycemia mgmt
  • ok to use in those on basal insulin
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