old farts

Question 1

factors influencing meds in geriatrics

Answer 1

decreased GFR
decreased hepatic function
altered GI motility and perfusion
decreased LBW
increased adipose tissue
change in protein binding

Question 2

When cant you use succ

Answer 2

When You can use succinylcholine
	• Never use
		○ Malignant hyperthermia
		○ Motor neuron disease
		○ Muscular dystrophies 
		○ Myotonic dystrophy
		○ GBS
		○ Server burns (after 24)
		○ Spinal cord damage (>1week)
		○ Old CVA with residual paresis
	• Give less
		○ Organophosphates
		○ Eaton-lambert syndrome
		○ Hypothyroidism
	• Give more
		○ Myaesthesia gravis (need more but lasts longer)
	• No problem
		○ Parkinson's disease
		○ Epilepsy 
Acute CVA