alzheimers

Question 1

sx of alzheimers

Answer 1

memory loss
repeating words
not able to learn
poor cordination and motor function
personality changes
inappropriate behavior
hallucinations

Question 2

what drugs worsen dementia

Answer 2

antiemetics- promethazine
anti histamine - diphenhydramine and doxylamine
anti pscyh- chlorpromazine aripriprazole
barbituates-
benzos
central anticholinergics
peripheral anticholinergics
skeletal muscle relaxants– baclofen
opiods and sedatives

Question 3

screening done by

Answer 3

MMSE<24

Question 4

natrual products

Answer 4

vit e 2000units
ginko
*bleeding risk with both
vit D

Question 5

drug tx

Answer 5

acetylcholinesterase inhibitor
with or without memantine

Question 6

steps of therapy

Answer 6

dc any harmful drugs
exercise
eat healthy
BG control
activity of brain

start ach inhi
start memantine

Question 7

what are some ach i

Answer 7

MOA- increase ach by blocking enzyme receptor
donepezil (aricet)
rivastigmine (Exelon)- patch
galantamine

MOA- blocks NMDA receptor inhibits glutamate
memantine (namenda)

Question 8

drug interactions with ACHi

Answer 8

drugs that cause HR lowering
anticholinergics
caution with NSAIDS

Question 9

common ACHi AE

Answer 9

nausea- take at night
diarrhea
decreased HR

Question 10

exelon patch

Answer 10

apply new patch same time upper/lower back or upper arm
rotate sites (do not use same site upto14 days)

Question 11

what are some AE of ACHi

Answer 11

N/Diar/ weight loss brady cardia

Question 12

whcih are available ODT

Answer 12

donepezil

Question 13

aricept

Answer 13

donepezil

Question 14

namzeric

Answer 14

donepezil +memantine

Question 15

namendaa

Answer 15

memantine

Question 16

namenda can be used mono therapy for mod to severe alzheimer

Answer 16

true

Question 17

namenda AE

Answer 17

dizziness conusion HA