Potpourri
True or False
Competency= Capacity
What is false?
True or False
Delirium is a medical emergency
What is True?
Hypoglycemia/Hyperglycemia risk is the most important factor in determining glycemic in the elderly population.
What is hypoglycemia?
A major tenet of prescribing for the elderly: Start low and ___ and _____
What is Go slow and go alll the way
T/F
Treatment of pain should prioritize improving function more than reducing pain.
What is true
May start this supplement if serum albumin <2.8
What is prostat?
Double Jeopardy
Justified use of antipsychotics in nursing home according to CMS. Name 2:
What is?
T or F
Good evidence exists that SSI is neither effective in meeting the body's physiolic insulin needs nor is it efficient in the long term care setting.
What is True?
Name some side effects of muscle relaxants? 2
What is cognitive impairment, delirium, dizziness, falls, n/v, sedation
A trial of __________ may be considered in patients with dementia who display agitation as a possible indicator of pain, after or while ruling out other possible causes of these symptoms
What is acetaminophen?
T/F
Iron, tibc and ferritin not reliable tests in presence of inflammatory conditions
True
These type of ulcers have well-demarcated edges, giving them a "punched-out" appearance, often with an overlying necrotic eschar. These ulcers are typically painful
What are Arterial Insufficiency Ulcers?
What is 30?
What is lactic acidosis?
T/F
Emergency Evaluation is needed for all of the following
K>5.5 and severe aki
K>6.5
Symptomatic hyperkalemia
What is True?
Double Jeopardy
With chronic use, many patients become tolerant to some opioid adverse effect e.g (name 1).,_____ , although not to _____.
What is nausea, sedation, respiratory depression?
What is constipation?
Double Jeopardy
The four key components to address in a capacity evaluation include:
What is 1) communicating a choice, 2) understanding, 3) appreciation, and 4) rationalization/reasoning
Theses methods can prevent delirium. Name 2:
What is
T/F
Older adults tend to have higher contribution of fasting hyperglycemia compared with postprandial hyperglycemia at all A1C levels.
What is false
(that's why use long acting insulin in am, rather then at night)
Rare complication of kayexalate use ______ and therefore should be used with caution in patients with ______
What is intestinal necrosis?
What is GI surgery, ileus, constipation, obstruction, IBD.
T/F
Morphine and codeine can be used in advanced CKD due to inactive metabolites.
What is false?
t/f
Trazadone can be used to treat sun-downing.
What is True?
Confusion Assessment Method (CAM) – algorithm used to screen for delirium: Screen is positive if the person has either disorganized thinking or altered level of consciousness and has the following two features:
(1) Presence of acute onset and fluctuating course AND
(2) Inattention
Name 2 reasons for falsely elevated hba1c
What is renal failure, iron deficiency anemia, splenectomy, hypertriglyceride, hyperbili, vitamin b12/folate deficiency
T/F
What is true?
t/f
Lipid soluble drugs such as benzos, methadone, psychotropics have prolonged half-lives in elderly persons due to increased fat reservoir.
What is true?