Psychopharmacology Flashcards Preview

Fran II > Psychopharmacology > Flashcards

Flashcards in Psychopharmacology Deck (14):
1

In determining IF and WHAT medications are appropriate, there are 4 considerations
AQRO

Assessment - including what non-rx strategies have been tried
Question - clinician knowledge & other options that should have been tried
Review - current meds to reduce/eliminate?
Offer - Individual treatment plans that include education on non-rx options

2

In addition, we must assess the clinician's:

Knowledge of pharmacokinetic/dynamic changes that accompany aging!

3

Pharmacokinetics may be defined as...

What the body does to the drug

4

Pharmacodynamics may be defined as..

What the drug does to the body

5

4 Processes effected by aging:

Absorption
Distribution
Metabolism
Excretion

6

Effects on Absorption & why?

Drugs in body longer!
Decreased intestinal motility
Increased gastric pH

7

Effects on Distribution & why?

Drugs have more impact!
Decreased total body water
Increased fat:muscle ratio

8

Knowing what we know of distribution we should...

Use lower doses!

9

Use lower doses especially with these fat-soluble delicious nuggies.

Benzooooooooos

10

Effects on Metabolism & why?

Not Well Understood! But RT
Decreased liver size/hepatic flow

11

Effects on Excretion & why?

Drugs take longer to excrete!
Decreased renal capacity
Increased age-related sensitivity

12

Knowing what we know about excretion we should..

Use fewer drugs for shorter periods of time OR alternate therapies

13

T/F We should start adding herbal remedies to deal with excretion issues.

FALSE

14

Strategies for Safer Medication Use Among Older People *Quick'n'Dirty* REVIEW
(CASE)!

Avoid & reduce rx/non-rx
Seek, use, teach clients & families alternatives
Create a med-hating culture societal/institutional
Educate clients & supports re: safe use