12988041
Descripción
Test por Bethany Carter, actualizado hace más de 1 año
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Creado por Bethany Carter
hace alrededor de 6 años
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Pregunta 1
Pregunta
15% of US population is >65 and 80% have at least one chronic condition.
Respuesta
- True
- False
Pregunta 2
Pregunta
Signs that a psych issue may have organic etiology:
Respuesta
-
Onset > 40 yrs
-
Symptoms occur during major illness
-
Altered mental state
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Eye abnormalities
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Speech disturbances
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Psychosis
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Gait disturbances
-
Abnormal vital signs
Pregunta 3
Pregunta
Always remember to assess for safety: [blank_start]mobility[blank_end], [blank_start]fall risk[blank_end], [blank_start]driving[blank_end].
Respuesta
-
diet
-
mobility
-
clean clothes
-
fall risk
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bruising
-
urination
-
"meals on wheels" delivery
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poor eyesight
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driving
Pregunta 4
Pregunta
Drugs that can cause hallucinations or psychosis:
Respuesta
-
Levo-dopa
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Procainamide
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Estrogen
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Steroids
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ACE inhibitors
Pregunta 5
Pregunta
• Drugs that can cause agitation:
Respuesta
-
Neuroleptics and antibiotics
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Benzodiazepines and ARBs
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Bronchodilators and activating antidepressants
Pregunta 6
Pregunta
Drugs with extensive first pass effect may not be absorbed as well as those with phase II pathways in the elderly.
Respuesta
- True
- False
Pregunta 7
Pregunta
The following are which type of drugs?
• Amiodarone
• Diazempam
• Chlodiazepoxide
• Clonazepam
• Lidocaine
• Haloperidol
Respuesta
-
Hydrophilic drugs that build up in the leaner elderly.
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Lipophilic drugs that get increased in with increased adipose tissue.
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Protein-bound drugs that are increased in the elderly.
Pregunta 8
Pregunta
What is an issue with Lithium in elderly?
Respuesta
-
They don't like it.
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Hydrophilic drugs have decreased distribution with decreased total body water.
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They are too demented for it to have any effect.
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It can cause delirium.
Pregunta 9
Pregunta
In prescribing SSRI's to the elderly, consider that:
Respuesta
-
They may disguise organic conditions.
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They are only indicated for <65 years old.
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Decreased fat:muscle ratio can result in serotonin syndrome.
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Decreased plasma protein results in increased unbound, active drug.
Pregunta 10
Pregunta
Increased renal clearance changes elimination of drugs in elderly.
Respuesta
- True
- False
Pregunta 11
Pregunta
Risks of benzos with elderly:
Respuesta
-
Delirium risk
-
Self-neglect risk
-
Dementia risk
-
Fall risk
-
Greater risk of addiction
Pregunta 12
Pregunta
Common side effects of psychotropic drugs in elderly:
o General: [blank_start]Decreased CNS arousal[blank_end]
o Peripheral cholinergic blockade: [blank_start]Urination and constipation[blank_end]
o Central cholinergic blockade: [blank_start]Confusion and memory problems[blank_end]
o Alpha-adrenergic blockade and central pressor blockade: [blank_start]Orthostasis[blank_end]
o Dopamine blockade: [blank_start]Gait and movement[blank_end]
Respuesta
-
Decreased CNS arousal
-
Dementia
-
Drooling and slurring words
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Urination and constipation
-
Prolonged QTc
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Confusion and memory problems
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Orthostasis
-
Increased HTN
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Gait and movement
-
Auditory or visual hallucinations
Pregunta 13
Pregunta
Benzodiazepines should be tapered very slowly in elderly clients, 10% per month for chronic users (> 1 month usage).
Respuesta
- True
- False
Pregunta 14
Pregunta
Types of reversible dementias:
Respuesta
-
Thyroid disorders
-
B12 deficiency
-
Neurosyphilis
-
Normal pressure hydrocephalus
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Depression
Pregunta 15
Pregunta
Alcoholic and vascular dementias are irreversible.
Respuesta
- True
- False
Pregunta 16
Pregunta
Risk factors for dementia:
Respuesta
-
PPI or benzo use
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Metabolic syndrome
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Pesticide or degreasing agent exposure
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PTSD
Pregunta 17
Pregunta
Treatments for Alzheimer’s disease:
Cholinesterase inhibitors: [blank_start]Donepezil, Rivastigmine, Galantamine[blank_end]
NMDA receptor agonist: [blank_start]Menantine[blank_end]
Respuesta
-
Cogentin, Artane, Benadryl
-
Donepezil, Rivastigmine, Galantamine
-
Menantine
-
Ecstacine
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