Meds 1
This juice inhibits CYP3A4 and can increase blood levels of many medications, including statins.
What is grapefruit juice?
This nutrient found in leafy green vegetables decreases the effectiveness of warfarin.
What is vitamin K?
An older adult takes levothyroxine every morning with milk. What happens?
What is decreased absorption of levothyroxine?
Older adults typically experience a decrease in this body component, which affects medication distribution.
What is total body water?
List four possible anticholinergic side effects.
What are:
An older adult taking lisinopril and spironolactone reports muscle weakness and palpitations after eating bananas daily. What complication do you suspect?
What is hyperkalemia?
A patient taking spironolactone asks if potassium salt substitutes are safe. Your response?
What is avoid potassium salt substitutes because they may cause hyperkalemia?
Which herbal supplement should be avoided with SSRIs because it may increase the risk of serotonin syndrome?
What is St. John's Wort?
Aging may decrease stomach acidity and slow gastrointestinal motility, affecting this pharmacokinetic process.
What is absorption?
Why are older adults more vulnerable to psychoactive medication adverse effects?
Age-related changes in absorption, distribution, excretion, and hepatic function increase serum drug concentrations.
1. Absorption changes
2. Distribution changes
3. Hepatic (liver) changes
4. Excretion changes
This herbal supplement increases bleeding risk when taken with warfarin.
What is garlic?
Older adults are more sensitive to this pain medication class, increasing risk for adverse effects.
What are narcotic analgesics (opioids)?
The relationship between the body's biological rhythms and medication effects is called:
What is chronopharmacology?
The liver is responsible for this process that may become less efficient with aging.
What is medication metabolism?
This medication is considered a safer alternative for chronic anxiety because it is not addictive.
What is buspirone (BuSpar)?
Blood pressure commonly follows this pattern:
A. Decreases throughout the morning
B. Has a circadian surge in the morning
C. Remains identical all day
D. Peaks only during sleep
What is a circadian surge in the morning?
Cardiac events such as myocardial infarction and stroke are more likely during:
A. The middle of the night
B. The first hours after waking
C. Late afternoon only
D. After meals only
What are the first hours after waking (peak around 9–10 a.m.)?
Distribution of protein-bound medications can be affected by daily changes in:
What are albumin and glycoprotein levels?
An older adult starts a medication that can cause sedation. The nurse should implement which safety intervention?
What are fall precautions and monitoring for dizziness/unsteady gait?
Name three medication groups listed as potentially inappropriate medications.
What are:
The nurse reviews medications for an older adult and finds sliding scale insulin. Why is this concerning?
What is sliding scale insulin is listed as a potentially inappropriate medication in older adults?
A patient receiving haloperidol develops sudden neck spasms, jaw tightening, and tongue movements. The nurse suspects:
A. Akathisia
B. Tardive dyskinesia
C. Acute dystonia
D. Depression
What is acute dystonia?
A patient takes warfarin and begins taking ibuprofen daily for arthritis pain. The nurse recognizes an increased risk for:
A nurse notices a sudden behavior change in a patient with dementia. Before giving an antipsychotic, the nurse should assess for:
What are reversible causes such as infection, dehydration, electrolyte imbalance, fever, or medication reactions?
The Beers Criteria evaluates medications based on these five areas, including medications inappropriate for all older adults and medications requiring changes with impaired renal function.
What are medication appropriateness, specific conditions, caution use, renal impairment, and harmful drug-drug interactions?