Flashcards in Geriatrics Deck (13):
what are predictors of ADEs?
6 + chronic conditions
9 + medications
12 + doses of drugs/day
Prior adverse drug event
Low body weight or low BMI
Age 85 or older
Estimated CrCl < 50 mL/min
what is pharmacokinetics vs pharmacodynamics?
kinetics - what the body does to the drug
dynamics - what the drug does to the body
what metabolic pathway is most affected with age?
phase 1 - CYP450
what is the STOPP criteria?
Screening Tool of Older Persons’ potentially inappropriate Prescriptions
avoiding use of medications that are potentially inappropriate in older adults
what is the START criteria?
Screening Tool to Alert doctors to the Right Treatment
identifying undertreatment or prescribing omissions in elderly patients.
What is the leading cause of death in patients over 85?
- Heart disease
Which patients exhibits isolation of geriatrics?
- One who talks about everything happening in their life
What is a common atypical disease presentation in an older adult?
Which patient is at highest risk for polypharm?
- Patient living in a nursing home of elders
In nursing homes how much is spent for every dollar of meds to resolve ADEs?
What body composition change will affect the serum level of inhalation/iv anesthetics?
- Body fat
At what creatinine clearance should you consider altering the dose prescribed?