Geriatrics - Agitation in Dementia Flashcards
NPS in Dementia - Mild
depression
anxiety
irritability
apathy
NPS in Dementia - Severe
agitation
aggression
vocalizations
hallucinations
delusions
disinhibition
Agitation in Dementia - Medical Causes
medications
infection
CVA
trauma
pain
NPS - Non-Pharmacological Management
scheduled toileting
graded assistance
avoidance of debates
maintaining calm demeanor
music during meals / bathing
walking or light exercise
stimulation of family presence with tapes
pet therapy
white noise
Schizophrenia-Like Symptoms - Treatment
antipsychotics
NPS & Parkinson’s Disease - Drugs
pimavanserin
quetiapine and / or olanzapine
NPS & Lewy Body Dementia - Drug
pimavanserin
quetiapine and / or olanzapine
avoid conventional antipsychotics
Apathy - Treatment
methylphenidate
dextroamphetamine
modafinil
Manic-Like Behavioral Symptoms - Treatment
carbamazepine
lamotrigine
lithium
divalproex (preferred)
Sundowning - Treatment
trazodone
melatonin
antipsychotics
Insomnia - Treatment
trazodone
melatonin
short-term BZDs
mirtazapine
Increased Mortality - Safest Antipsychotic
quetiapine
Depressive Symptoms - Treatment
SSRIs
not paroxetine
not TCAs
mirtazapine if poor appetite
trazodone if need sedation
