Wk 4: Pharm: Geriatric Flashcards

1
Q

BEERS criteria

A

Improve awareness of polypharmacy

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2
Q

Drug interaction

A

interaction between a drug and another substance

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3
Q

Mechanisms that affect drug interaction

A

absorption, distribution, alternations made to drug by body (metabolsm), elimination from body

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4
Q

Drug interactions

A

Most important come from change in absorption, metabolism, elimination

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5
Q

Changes in absorption

A
alter blood flow to intestines
changes in metabolism in intestines
inc/dec motility
alter stomach acidity
change in bacteria in intestines
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6
Q

Drug absorption

A

can be affected by solubility- ability to dissolve or if another substance binds to a drug and prevents absorption

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7
Q

Changes in Drug metabolism/ elimination

A

Most drugs are eliminated from kidneys either in unchanged form or alter from liver metabolism
Kidney and liver important sites of drug interactions

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8
Q

Metabolism

A

Process through which body converts drug into forms or as a byproduct results from alteration of drug by liver. Most occurs in liver but other organs play a role.

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9
Q

How to avoid drug interactions

A

give HC workers full med list including OTC, herbals and prns

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10
Q

Drug interaction factors

A

genes, physiology, age, lifestyle (diet/exercise), underlying disease, drug dose, duration of combined therapy, relative time of administration.

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11
Q

How to avoid drug interactions

A
  1. complete list to HC workers
  2. Inform HC when meds are added or DCed
  3. Life style chages
  4. Ask about serious/frequent interactions
  5. Eliminate unnecessary meds, as interactions increase as more meds get added
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12
Q

Consequences of drug interactions

A

inc/dec in beneficial or adverse drug effects

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13
Q

Absorption

A

sometimes increased by foods

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14
Q

Prescriptive Authority

A

1 authoritative source for Ohio Law- OBN.

Major elements:
Title of APRN (CNS, CNP, CRNA, CNM)
Licensure as RN and APRN
Grad accredited school grad 
certification at advanced level from accredited program is maintained
Independent practicing
independent prescribing
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15
Q

Medication Reconciliation

A

Med list is exact, accurate and available, include herbals, OTC, vitamins

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16
Q

Match (Medication at transition and clinical handoffs)

A

AHRQ developed toolkit for medication reconciliation for system use. Make a single med list

17
Q

Geriatric risk factors

A

falls, medications, physical (wt loss, fatigue, disease), psychosocial (depression, dependancy), and changes (lifestyle, finances, social support)

18
Q

Institute for Safe Medication Practices

A

Pt safety organization- devoted to patient safety r/t medication error prevention and safe medication use.

19
Q

Polypharmacy

A

inc medication therapy
delay in ordering med refills
pharmacy pick up of mail delivery
use of multiple pharmacies

20
Q

Most common geriatric med errors

A

Coumadin, Insulin, antiplatelet, hypoglycemic

21
Q

Non pharmacological factors

A

use of OTC meds
may play role in drug interactions
obtain good history
good counseling and coordination of services

22
Q

4 basic prinicles

A

avoid unsafe med practices
recognize meds worseing ADLs
use EBP to determine meds
Consider concomitant disease states- communicate with other services