Passmed Geriatric Medicine - Pharmacological Managements Flashcards

1
Q

Acute confusion/agitation

A

1st - haloperidol
If Parkinson’s = lorazepam or quetiapine or clozapine

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2
Q

Alzheimer’s disease

A

Mild/moderate = acetylcholinesterase inhibitor (donepezil, rivastigmine, galantamine)
Severe = memantine

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3
Q

Drugs that can cause fall by way of postural hypotension

A

Nitrates
Diuretics
Anticholinergics
Antidepressants
Beta-blockers
Levodopa
ACE inhibitors

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4
Q

Drugs that can cause fall by way of non-hypotensive mechanisms

A

Benzodiazepines
Antipsychotics
Opiates
Anticonvulsants
Codeine
Digoxin
Sedative agents

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5
Q

Lewy body dementia

A

Acetylcholinesterase inhibitors + memantine as in Alzheimer’s
AVOID neuroleptics (pts more sensitive = irreversible Parkinsonism)

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