Older Adults Medicine Flashcards
What nonRx agents are commonly used by older adults that are potentially dangerous?
ASA
NSAIDS
laxatives
acetaminophen
How often was potential OTC misuse found in study participants?
95% of participants
For OTC sleep meds, how common were drug-drug and drug-age interactions?
drug-drug: 50%
drug-age: 65%
For OTC pain products, what was the most common type of interaction? How common was it?
drug-drug interactions, affecting 60% of participants.
NSAID concerns
Heart failure
Kidney disease
Antihistamine concerns (i.e. chlorpheniramine, diphenhydramine, doxylamine, meclizine)
Delirium
dementia
cognitive impairment
lower urinary tract symptoms
Aspirin concerns
Gastric, duodenal ulcers
pseudoephedrine concerns
Insomnia
proton pump inhibitor concers
falls
fractures
Serious drug reactions: issues in elderly
- altered drug absorption etc
- altered effects
- impaired kidney function
- decreased liver blood flow and size
- increased body fat
- changes in receptor sensitivity
What OTC self-medication issues contribute to med mismanagement in adults?
- failure to follow recommendations for consumption
- keeping poor records
- mixing OTC drugs with Rx
- wrong dosing
- wrong techniques
Acetaminophen side effects and cautions
- bitter taste
- Cirrhosis, poor nutrition, alcohol use, warfarin
NSAID side effects and cautions
upset stomach, heartburn, nausea
-high BP
Antihistamine side effects and cautions
- falls, confusion, urinary retention, constipation
- glaucoma, dementia, benign prostate enlargement, depression and parkinsons meds, alcohol consumption
pseudoephedrine side effects and cautions
- urinary retention, cardiovascular stim, nervous system stim,
- thyroid disorder, prostate issues, glaucoma
