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| 80 years old can be an important cut-off |
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| a set of symptoms that occure together |
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Term
| syndromes may or may not be related to |
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Definition
| a specific medical condition |
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| not all patients will have a problem with |
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Definition
| Beers criteria medications |
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Term
| some medications may have |
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Definition
| potential risk or better alternatives |
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| all benzos can have significant |
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Definition
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Definition
| can be an issue for elderly patients |
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| intermediate acting benzos that are LESS likely to accumulate |
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Definition
| lorazepam, temazepam, oxazepam |
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Definition
| preferred long-acting benzo that has less accumulation |
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| newer overactive bladder meds that are more selective for the bladder (DONT cross the BBB) |
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Definition
| trospium (Sanctura) and Glycopyrrolate (Robinul) |
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Definition
| 1 TCA's are considered to be preffered |
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| TCA's with reduced anticholinergic effect |
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Definition
| nortriptyline and disipramine |
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| second generations antihistamines are less of an issue |
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Definition
| loratadine/ desloratadine, fexofenadine, cetirizine/ levocetirizine |
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| very potent antihistamine that is often "hidden" in some OTC products |
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Definition
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| new anti-histamine agents |
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Definition
| not effective for some conditions |
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| Dopamine blockes mostly used for |
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Definition
| anti-nausea and anti-psychotic (hallucinations) |
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Definition
| metoclopramide and prochloperazine (Compazine) |
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Definition
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| is the affected drug dose likely to be |
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Definition
| excessive or too low to cause an interaction? |
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| specialists may be more inclined to use |
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Definition
| higher doses than recommended |
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Term
| metformin induced lactic acidosis |
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Definition
| is rare but can be serious or fatal |
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Term
| watch for change in diuretic or potassium |
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Definition
| without a change in the other |
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Definition
| usually monitored frequently when on K+ wasting diuretic/ ACE inhibitor |
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| common SE's of anticholinergics |
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Definition
| dry mouth/eyes, constipation, urinary retention, tachycardia |
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| American Geriatrics Society HbA1C target |
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Definition
| <8 may be appropriate for some patients |
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| HYVETT study blood pressure target |
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Definition
| <150/80 may be appropriate for patients 80 and older |
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| decreasing cholesterol may |
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Definition
| increase non-cardiovascular dealths in older patients (>80 yr old) |
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Definition
| evidence-based screening tool to detect prescribing omissions in elderly patients |
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Term
| patients may start on osteoporosis medication |
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Definition
| but do not take Ca and vit D |
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Term
| often appropriated to start medication below normal adult starting dose |
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Definition
| may still need to increase dose however, geriatric patients need more time to tolerate medication |
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