12988041
Beschreibung
Quiz von Bethany Carter, aktualisiert more than 1 year ago
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Erstellt von Bethany Carter
vor mehr als 6 Jahre
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Frage 1
Frage
15% of US population is >65 and 80% have at least one chronic condition.
Antworten
- True
- False
Frage 2
Frage
Signs that a psych issue may have organic etiology:
Antworten
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Onset > 40 yrs
-
Symptoms occur during major illness
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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
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Abnormal vital signs
Frage 3
Frage
Always remember to assess for safety: [blank_start]mobility[blank_end], [blank_start]fall risk[blank_end], [blank_start]driving[blank_end].
Antworten
-
diet
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mobility
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clean clothes
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fall risk
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bruising
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urination
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"meals on wheels" delivery
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poor eyesight
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driving
Frage 4
Frage
Drugs that can cause hallucinations or psychosis:
Antworten
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Levo-dopa
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Procainamide
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Estrogen
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Steroids
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ACE inhibitors
Frage 5
Frage
• Drugs that can cause agitation:
Antworten
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Neuroleptics and antibiotics
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Benzodiazepines and ARBs
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Bronchodilators and activating antidepressants
Frage 6
Frage
Drugs with extensive first pass effect may not be absorbed as well as those with phase II pathways in the elderly.
Antworten
- True
- False
Frage 7
Frage
The following are which type of drugs?
• Amiodarone
• Diazempam
• Chlodiazepoxide
• Clonazepam
• Lidocaine
• Haloperidol
Antworten
-
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.
Frage 8
Frage
What is an issue with Lithium in elderly?
Antworten
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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.
Frage 9
Frage
In prescribing SSRI's to the elderly, consider that:
Antworten
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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.
Frage 10
Frage
Increased renal clearance changes elimination of drugs in elderly.
Antworten
- True
- False
Frage 11
Frage
Risks of benzos with elderly:
Antworten
-
Delirium risk
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Self-neglect risk
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Dementia risk
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Fall risk
-
Greater risk of addiction
Frage 12
Frage
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]
Antworten
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Decreased CNS arousal
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Dementia
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Drooling and slurring words
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Urination and constipation
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Prolonged QTc
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Confusion and memory problems
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Orthostasis
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Increased HTN
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Gait and movement
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Auditory or visual hallucinations
Frage 13
Frage
Benzodiazepines should be tapered very slowly in elderly clients, 10% per month for chronic users (> 1 month usage).
Antworten
- True
- False
Frage 14
Frage
Types of reversible dementias:
Antworten
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Thyroid disorders
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B12 deficiency
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Neurosyphilis
-
Normal pressure hydrocephalus
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Depression
Frage 15
Frage
Alcoholic and vascular dementias are irreversible.
Antworten
- True
- False
Frage 16
Frage
Risk factors for dementia:
Antworten
-
PPI or benzo use
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Metabolic syndrome
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Pesticide or degreasing agent exposure
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PTSD
Frage 17
Frage
Treatments for Alzheimer’s disease:
Cholinesterase inhibitors: [blank_start]Donepezil, Rivastigmine, Galantamine[blank_end]
NMDA receptor agonist: [blank_start]Menantine[blank_end]
Antworten
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Cogentin, Artane, Benadryl
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Donepezil, Rivastigmine, Galantamine
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Menantine
-
Ecstacine
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