Med Recon
Process of identifying the most accurate list of all medications that a patient is taking.
What is ‘medication reconciliation’?
Any injuries that result from medication use, including physical harm, mental harm or loss of function
What is an ‘adverse drug effect?
ADE caused by NSAIDs
What is the ‘GI Bleeds’?
Five risk factors for adverse drug events (ADEs)
What are 'newly prescribed drugs; use of multiple pharmacies; multiple medications; recent hospitalization; recent ER visit; female gender; multiple comorbidities;residence in a nursing facility; transition of care etc.'?
Aging changes seen in the blood-brain barrier?
What is ‘decreased blood-brain barrier-causing medications to cross into the brain more easily’?
Five factors causing medication non-adherence
What is ‘social and economic, health care system, condition related, therapy related, patient-related'?
Effect of antihypertensive on the elderly
What is ‘orthostatic hypotension'?
Two ADEs caused by opioid analgesics
What are ‘sedation, confusion, cardiorespiratory depression, seizures’?
When patients are prescribed medications to treat the adverse side effects of previously prescribed medications
What is 'medication prescribing cascades'?
Aging changes seen in the liver and the kidneys
What is ‘decreased blood flow, causing liver and kidneys to shrink and decreased enzyme production; therefore medications will stay in the liver and kidneys, causing a greater risk of toxicity’?
Positive orthostatic vitals
What is 'SBP drop by 20mmHg, DBP drop by 10mmHg, or SBP drop to < 90mmHg on standing (with/without symptoms [pallor, diaphoresis, faintness when upright)?
Medication that causes hyperkalemia
What is 'Spironolactone'?
Two diabetes drugs that cause long duration of action and prolonged hypoglycemia
What is 'chlorpropamide, glyburide, insulin'?
Drug class with highest number of adverse drug events
What is ‘Warfarin’?
Aging changes seen in the digestive system
What is ‘the digestive system slows down, causing medication absorption and distribution to be delayed’?
Three common adverse drug reactions
What is 'hypoglycemia, candidiasis, allergic reaction, GI complications, hypotension, dysrhythmia, severe headache, dizziness, acute renal failure and respiratory complications'?
Three classes of medications that increase the risks of falls
What is 'antihistamines, anti-thrombotics, peripheral alpha-1 blockers, benzodiazepines, hypnotics, SNRIs, antiepileptics, antipsychotics, hypnotics, antidepressants, opioids'?
Two ADEs caused by ACE inhibitors on older adults
What are ‘renal insufficiency and hyperkalemia’?
Three symptoms of anticholinergic adverse effects
What is ‘memory impairment, confusion, hallucinations, dry mouth, blurred vision, constipation, nausea, urinary retention, impaired sweating, and tachycardia’?
Aging changes seen in the adipose tissue
What is ‘body fat increases thereby causing fat-soluble medications to become less effective’?
Three drug groups most commonly associated with preventable drug-related hospital admissions
What is 'anti-platelets, diuretics, NSAIDs, and anticoagulants'?
One ADE from antipsychotic medications
What is 'risk of stroke and death in dementia patients, delirium, cognitive impairment, unsteady gait, psychomotor impairment, SIADH’?
Two ADEs caused by SSRIs
What is 'unsteady gait, psychomotor impairment, syncope'?
Medication which is implicated in 21% of ED visits for ADEs among psychiatric medication use
What is ‘Zolpidem’?
Aging changes seen in body fluid
What is ‘decrease in the level of cellular fluid causes water-soluble medications to increase their effect’?