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
2
Q
Describe anticholinergic side effects
A
Confusion Hallucinations Tachycardia Blurred vision Urinary retention Constipation Dizziness Falls Long term; dementia
3
Q
What drugs can commonly cause anticholinergic side effects?
A
Parkinson's drugs Antidepressants Anti-emetics Opiates Antipsychotics Antihistamines
4
Q
What prescriptions should be time limited?
A
Painkillers Laxatives Antidepressants Benzodiazepines Antipsychotics Antihistamines Antiemetics
5
Q
How is risk-benefit balance determined?
A
Number needed to treat
Number needed to harm
6
Q
Why should you stops anti-hypertensives in someone who is falling and frail?
A
AKI
Dehydration
Postural hypotension