Exam 2 - Medication safety

Question 1

Challenges of Elder drug therapy

Answer 1

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Question 2

Pharmacodynamics - Drug that increase sensitivity

Answer 2

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Question 3

Pharmacodynamics - Drugs that decrease sensitivity

Answer 3

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Question 4

Most common drugs for Adverse Drug Events

Answer 4

Oral hypoglycemics
Cardiovascular
anticoagulants
diuretics
Taking > 7 meds

Question 5

Risk Factors for Adverse Drug Reaction

Answer 5

• Polypharmacy
• Female
• Small Body
• Hepatic or renal insufficiency
• Previous ADRs

Question 6

Prescribing Cascade

Answer 6

Prescribing a drug to Tx the AE of another Rx’d drug.

-Prevent this by ALWAYS considering new S/S as consequence of current drug Tx.

Question 7

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Answer 7

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Question 8

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Answer 8

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Question 9

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Answer 9

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Question 10

Risk Factors for Polypharmacy

Answer 10

-Multiple providers
_HCP’s lack of info about meds from other sources & pt’s non-adherence
-Elder fearful of disclosing folk remedies/other meds
-Elder not reporting self-directed changes
-Pt assume meds are indefinite
-Think same dose always appropriate
-Lack of early AE, assume wont have any AE
-Changes in habits, mental/emotional status
-Hoarding meds/insist on taking meds no longer Rx’d

Question 11

Medication interactions

Answer 11

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