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Special Pops Geriatrics > Poppin' Pills > Flashcards

Poppin' Pills Flashcards

1
Q

___% of pts over 75 y.o. assess health as excellent or very good. Most have at least ___ chronic illness

A

39%

1

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2
Q

What are the most frequent chronic illnesses in geriatric population? (5)

A 
arthritis 53%
heart dz 35%
CA 32%
DM 22%
HTN 72% M, 80% W
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3
Q

what is poly-pharmacy and what % of the geriatric population qualifies for this?

__ % of hospital pts have ADRs?

A

Taking 5+ medications
35.8% (44% M, 57% W)

28%

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4
Q

Poly-pharmacy is the __the leading cause of mortality in geriatric pts

A

5th

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5
Q

what are pts at increased risk for if they take multiple medications (5)

A 
Hospitalization
Functional and cognitive impairment
Falls, frailty, delirium 
Mortality 
Noncompliance
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6
Q

___ decreases as we age and can cause medications to be excreted slower

A

GFR

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7
Q

How is absorption altered in the geriatric population?

A

Decreased gastric emptying

Increased gastric pH

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8
Q

Should you take calcium carbonate with food?

A

yes (needed for osteoporosis)

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9
Q

How is distribution in the geriatric population different?

A

increased body fat
decreased body water
decreased serum albumin

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10
Q

What are metabolic differences in the geriatric population?

A

Hepatic blood flow decreases with age
P450 activity decreases with age
Clearance decreases by 30-40%

“start slow, go slow”

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11
Q

How is elimination different in the geriatric population?

A

CrCl decreases ~8ml/min/decade
- decrease GFR

Decreased hepatic metabolism
**see specific examples on PPT

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12
Q

What are medication risks in the geriatric population?

A 
Hospitalizations
ADR more problematic 
Overdosing
Inappropriate drugs
Under-prescribing
Poor adherence 
Inadequate monitoring
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13
Q

What drug should you avoid prescribing to geriatric pts?

A

anti-cholinergics

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14
Q

___% of pts missing medications for appropriate indications

A

58%

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15
Q

What is the STOPP and START criteria?

A

STOPP (Screening Tool of Older Persons’ potentially
inappropriate Prescriptions) –> over-prescribing
START (Screening Tool to Alert doctors to Right Treatment) –> under-prescribing

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16
Q

20% of elderly pts use drugs that are _____

A

inappropriate (not needed)

17
Q

what is the Beers criteria used for?

A

ID potentially Inappropriate Medication Use in Older Adults

18
Q

What does the ARMOR acronym stand for

A 
Assess
Review
Minimize 
Optimize
Reassess
19
Q

a coverage gap occurs after a pt has spent $____. Medicare part D will start again once the pt reaches $____

A

$3700

$5000

20
Q

what us the Naranjo Nomogram used for?

A

Adverse Drug Reaction Assessment

Special Pops Geriatrics (8 decks)

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