Chapter 16 (MIDTERM) Flashcards
What refers to the movement of a drug from the site of administration to the systemic circulation?
Absorption
What are normal stomach changes with older age
Decreased secretion of gastric acid
Slowed gastric emptying
Decreased GI motility
What refers to the movement of the drug from systemic circulation to the site of action, it is affects by relative amounts of total body water, fat, protein
Distribution
What refers to the biotransformation of metabolites that are easily excreted?
Metabolism
What is the elimination of drugs from the body, occurs primarily in the kidneys
Excretion
With older adults what should be tested for renal function?
Glomerular filtration rate (GFR)
What the drug does to the body
Explains the body’s response to the drug
Pharmacodynamics
What is the term used for giving drugs without a clear indication, giving two similar drugs for the same indication, giving drugs that are contraindicated with one another, giving a drug that is too high or too low of a dose
Poly pharmacy
What are the six rights of drug administration?
Right drug
Right dose
Right time
Right route
Right patient
Right documentation
These drugs are prescribed for yelling, screaming, refusing care, wandering, aggression, and insoluble crying
Antipsychotics
What drugs should not be given for a patient with increased risk of falls
Antipsychotics
What are often prescribed with a person with anxiety and insomnia?
Antihistamines, diphenhydramine
For anxiety a nonCNS depressant such as what will be effective for older adults
Buspirone
What med reduces anxiety and increases appetite
Mirtazapine
What is the first choice of an antidepressant for older adults?
SSRI
Sertraline
Paroxetine
Citalopram