Hold that Medication
The use of NSAIDs can lead to these 2 serious side effects in geriatric patients.
What are GI bleeds and AKI?
True or False
All benzodiazepines should be withdrawn gradually if taken for more than 4 weeks as there is a risk of causing a benzodiazepine withdrawal syndrome if stopped abruptly
What is True
Which person you ask for what matters most
What is the patient?
Patients are encouraged to be OOB at least for this event.
What are meals?
Acute and fluctuating state, inability to focus, think logically and maintain attention that can be caused by hypoxia, hypovolemia, hypothermia or hypoglycemia.
What is delirium?
This musician was the 1950s-1960s sensational teen idol.
Who is Elvis Presley?
Double Jeopardy
Diphenhydramine is associated with this type of receptor-mediated side-effect, which typically calls for reducing to the lowest needed dose.
What are anticholinergic side effects?
Chronic use of this GI medication class should be avoided due to risk of pneumonia, fractures and c. difficile.
What are PPIs (omeprazole, pantoprazole, lansoprazole)?
This method of primary prevention helps older adults to avoid seasonal illness.
What is Vaccination?
Decline in function, thromboembolic disease, atelectasis, pressure ulcers, and constipation are just a sampling of the consequences of this, which is common in hospitalized older adults.
What is immobility?
This geriatric syndrome is not a normal part of aging and has major implications including decreased sense of well-being and social engagement. Assessing for it includes asking about medical history, particularly GU/GYN, medications, and past surgeries.
What is incontinence?
This music was though to be bad for teen's ears by concerning parents in the 1950s.
What is Rock 'n' Roll?
The use of Alpha 1 blockers should be avoided in the geriatric population due to the risk of this.
What is orthostatic hypotension?
The use of this class of medications as first line treatment for agitated delirium is based more on expert opinion than randomized control trials
What are antipsychotics?
Double Jeopardy
This form of Martial Arts has been proven to improve balance and decrease fall rates amongst older adults.
What is Tai Chi. Tai Chi promotes balance and coordination.
List 3 medication classes in the elderly population that predisposes them to falls.
What are anticholinergic, psychotropic, and cardiovascular medications
Double Jeopardy
Chronic fatigue, weight loss, exhaustion, and decreased physical activity are all components of this age-associated medical syndrome.
What is Frailty?
This comic strip bloomed into a TV series, several movies, and comics in almost every newspaper in the United States.
What is "Peanuts?"
Double Jeopardy
This cardiac drug has a narrow therapeutic index, has a specific toxicity syndrome, is eliminated renally, and has several documented drug-drug interactions. Geriatric patients can occasionally exhibit s/s of toxicity even at therapeutic levels.
What is digoxin?
Two principles that should be followed when managing medications in the elderly
What is "start low and go slow?" What is "keep it simple?" What is "make one change at a time?" What is "discontinue drugs that are not effective?"
Being treated by multiple doctors will increase this.
What is Polypharmacy?
This is routinely checked when ordering antipsychotics in the hospital.
What is EKG or QT interval?
This is purportedly the most common thing elderly patients fear
What are falls?
For which 1964 musical blockbuster did Julie Andrews win the Academy Award for Best Actress?
Who is Mary Poppins?
Thiazides and SSRI's are much more likely to cause this abnormality in the geriatric population.
What is hyponatremia?
Double Jeopardy
These processes together describe 4 stages that a drug goes through in the body (pharmacokinetics). Name all 4.
What are Absorption, Distribution, Metabolism, Elimination
The only intervention proven to increase lifespan in mammalian species.
What is caloric restriction
This hospital intervention program to prevent loss of function and disability for older adults provides non-pharmacologic interventions to maintain and improve function.
What is the HELP or Hospital Elder Life Program?
The three types of delirium which may be present postoperatively include...
What is hyperactive delirium (agitated and combative) or hypoactive delirium (decreased alertness/motor activity) or mixed forms with fluctuating mood.
The former Beatle who had a number one hit with Stevie Wonder in 1982 is...
Who is Paul McCartney?