Geriatrics Flashcards Preview

4. STEPH PHARM EXAM 4 > Geriatrics > Flashcards

Flashcards in Geriatrics Deck (13):
1

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

2

what is pharmacokinetics vs pharmacodynamics?

kinetics - what the body does to the drug

dynamics - what the drug does to the body

3

what metabolic pathway is most affected with age?

phase 1 - CYP450

4

what is the STOPP criteria?

Screening Tool of Older Persons’ potentially inappropriate Prescriptions

avoiding use of medications that are potentially inappropriate in older adults

5

what is the START criteria?

Screening Tool to Alert doctors to the Right Treatment

identifying undertreatment or prescribing omissions in elderly patients.

6

What is the leading cause of death in patients over 85?

- Heart disease

7

Which patients exhibits isolation of geriatrics?

- One who talks about everything happening in their life

8

What is a common atypical disease presentation in an older adult?

- Confusion

9

Which patient is at highest risk for polypharm?

- Patient living in a nursing home of elders

10

In nursing homes how much is spent for every dollar of meds to resolve ADEs?

- $1.33

11

What body composition change will affect the serum level of inhalation/iv anesthetics?

- Body fat

12

At what creatinine clearance should you consider altering the dose prescribed?

- 50-60

13

Which receptors are affected by aging?

- DA, 5HT, GABA, Ach