Polypharmacy Flashcards
What is defined as polypharmacy?
> 5 medications
What is considered hyperpolypharmacy
> 10 medicaitons
What is under utilization?
Where therapies that are indicated arent necessarily utilized..
___ of older adults taking 4+ medications are under-treated
43%
What is the number 1 risk factor for adverse drug reactions?
Number of medications taken!
_____ Hospitalization in older and ____ are considered preventable
10-30, 65%
Why are older adults particularly vulnerable to polypharmacy and ADRs? (4 main ones)
What is the beers criteria
A list of medications and guidelines for ones to avoid
What are the 5 sections of the beers criteria????
What is the usefullnes of the criteria?
Assist in identifying problem interacting medications for older adults and identifying problem meds.
Absence of a beers medication _____ an older adult medication are optimized
does not mean
Most ADR-related hospitalizaiton in older adults are _____ to beers drugs
Not due to
What are explicit prescribing tools
Beers Criteria
STOPP/START criteria
STOPP FRAIL
What are the implicit prescribing tools for older adults and medicaitons?
Medicaiton appropriateness index
Good geriatric practice
How do we determine time benefit?
Patients individual risk of an event, clinical trial data
What are adverse drug withdrawal reactions?
