Polypharmacy Flashcards

1
Q

What side effects are important to think about in the elderly?

A

Cognition and consciousness; risk of delirium
Bowel function; constipation
Dizziness and balance i.e. postural hypotension and parkinsonism

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2
Q

Describe anticholinergic side effects

A
Confusion 
Hallucinations 
Tachycardia
Blurred vision 
Urinary retention 
Constipation 
Dizziness
Falls 
Long term; dementia
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3
Q

What drugs can commonly cause anticholinergic side effects?

A
Parkinson's drugs
Antidepressants
Anti-emetics
Opiates
Antipsychotics
Antihistamines
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4
Q

What prescriptions should be time limited?

A
Painkillers
Laxatives
Antidepressants
Benzodiazepines
Antipsychotics
Antihistamines
Antiemetics
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5
Q

How is risk-benefit balance determined?

A

Number needed to treat

Number needed to harm

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6
Q

Why should you stops anti-hypertensives in someone who is falling and frail?

A

AKI
Dehydration
Postural hypotension

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