Grandma said WHAT?
"Where Did My Pills Go?"
"Oops...That Wasn't a Vitamin!"
The Pill Box of Doom
Nurse Knows Best
100

This age officially defines an older adult.

What is 65 years old or older?

100

This organ is primarily responsible for drug metabolism.

What is the liver?

100

These criteria identify medications that may be inappropriate for older adults.

What are the Beers Criteria?

100

Taking five or more medications is called this.

What is polypharmacy?

100

Patients may have to choose between paying for medications or paying for these two necessities.

What are food and utilities?

200

This natural process begins at birth and continues throughout life.

What is aging?

200

These four processes make up pharmacokinetics.

What are Absorption, Distribution, Metabolism, and Excretion?

200

This common antihistamine is on the Beers list because it causes confusion and falls.

What is diphenhydramine (Benadryl)?

200

Name the main reason patients stop taking blood pressure medications.

What is they feel fine because hypertension is often asymptomatic?

200

Before giving medications to an older adult, nurses should always assess these two organs.

What are the kidneys and liver?

300

This is the leading cause of death among adults.

What is cardiovascular disease?

300

This organ is primarily responsible for drug excretion.

What are the kidneys?

300

These anti-anxiety medications increase fall risk in older adults.

What are benzodiazepines?

300

Give two ways nurses can improve medication adherence.

  • Pill organizer
  • Medication calendar
  • Education
  • Family support
  • Simplified schedule
300

The phrase "Start low and go slow" refers to this nursing principle.

What is starting medications at low doses and increasing slowly?

400

Adults are considered to be what age range?

What is 19–64 years old?

400

 Older adults have less of this, causing water-soluble drugs to become more concentrated.

What is total body water?

400

Name three adverse drug reactions commonly seen in older adults.

  • Falls
  • Bleeding
  • Confusion
  • Delirium
  • Kidney injury
  • Hypotension
400

A medication causes sedation, confusion, and urinary retention in an older adult. Which common over-the-counter medication fits this description?

What is diphenhydramine (Benadryl)?

400

Name three things nurses should teach patients about medications.

Examples:

  • Purpose
  • Side effects
  • Timing
  • Correct dose
  • Drug interactions
  • Importance of adherence
500

Name two reasons older adults consume more healthcare than younger adults.

  • Chronic diseases
  • Multiple medications
  • More healthcare visits
  • Multiple specialists
500

Because body fat increases with age, these drugs stay in the body longer.

What are fat-soluble drugs?

500

These are important labs that assess kidney function:

What are: 

  • Serum creatinine
  • BUN
  • eGFR
  • Creatinine clearance
500

An older adult takes a medication that is eliminated by the kidneys. What laboratory value should the nurse closely monitor to determine if the drug is being cleared appropriately?

What is creatinine clearance (or eGFR)?

500

This nursing activity involves reviewing all prescription, OTC, and herbal medications to reduce errors.

What is medication reconciliation?

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