Older adult 1

Question 1

what is the difference in memory deficit in dementia vs. delirium?

Answer 1

Dementia typically has memory loss of recent events and can recall older memories

Question 2

Some frequent offenders in delirium for medicaitons?

Answer 2

TCAs (Amitryptiline) , 1st generation antihistamines, A.P., benzos, and opiods

Question 3

what electrolyte disturbance is most common in delirium?

Answer 3

hyponatremia

aging kidneys waste sodium

Question 4

The most common infection in delirium?

Answer 4

UTI

PNA is a distant second

Question 5

MOst common type of dementia?

Answer 5

alzheimers

Question 6

medication used to slow the decline in AD?

Answer 6

Vitamine E 1000 bid, OR selegiline

Question 7

In mild to moderate disease ___________ is considered the mainstay of treatment.

Answer 7

Cholinesterase inhibitors (Aricept, exelon, razadyne)
These meds have clear although time-limited benefits
Acetylcholine needs neurons to work on…as the disease progresses there are less available

Question 8

In moderate to severe AD ___________is effective with its effect on glutamate.

Answer 8

NMDA receptor antogonist Nemenda

You may use in conjuction with cholinesterase inhibitors in earlier disease.

Question 9

What is the most concerning risk of using second-generation AP to treat behavioral disturbances in AD?

Answer 9

The increased insulin resistance increases their risk for clotting….increased risk for stroke and cardiovascular events?

Question 10

When the boards mention frailty syndrome what are they triggering you to think about?

Answer 10

Fall risk