E01_11 Prescribing: Geriatrics Flashcards
2017_Geriatrics
What change in the elderly encourages change of digoxin dose from 0.25 mg to 0.125 mg?
a. Lower level of serum proteins
b. Higher fat to water ratio
c. Lower lean body mass
d. None of the above
b. Higher fat to water ratio
2017_Geriatrics
When starting an elderly male patient with prostate enlargement on terazosin, which of the ff is true:
C. Start at 3mg then gradually increase the dose.
C. Start at 3mg then gradually increase the dose.
Start low, go slow.
2017_Geriatrics
An elderly patient was started on enalapril for hypertension. She then started coughing frequently. The coughing is making it difficult for her to sleep. What is the most appropriate thing to do:
D. Change enalapril to another class of antihypertensive
Change it to ARBs
2017_Geriatrics
An older patient was given L-thyroxine for replacement therapy after going total thyroidectomy. She was followed after regularly with determination of T4 and TSH levels every 2 weeks. However, the doctor was having a difficult time with the titration the dose of the medicine due to the erratic results of the test. What should be done?
A. Investigate whether she’s taking levothyroxine properly. ex. 30 minutes before breakfast.
B. Increase the time interval between the determination of thyroxine tests to 4-6 weeks.
C. Investigate any possible drug interactions she may be having.
D. All of the above
D. All of the above
2017_Geriatrics
An older patient with dementia was presenting with agitation at home. A relative, having experienced sleepiness after taking diphenhydramine before, decided to give this medication to the patient however after 1 dose, she became agitated and uncontrollable, necessitating hospital admission.
A. Diphenhydramine can cause delirium in older patients.
2017_Geriatrics
Which is true of lipophilic drugs when given to an older patient?
B. Longer duration of action
