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Adverse Medication Events in the Older Population

Terms in this set (11)

What are some common issues with medication usage with the older population?
-polypharmacy
-intolerance to standard drug doses
-age related changes affecting absorption, distribution, metabolism, and excretion
-self administration issues
What self-administration issues effect issues with medication usage with the older adults?
-poor communication with HCP
-take OTC drugs that interact with prescribed drugs
-make errors (forget to take med, take too often, take more than prescribed)
-discontinue drug therapy
-use leftover drugs from previous illness
-borrow from others
-use more than one pharmacy
What health promotion should be included with older adults?
-yearly flu vaccine
-pneumonia and shingles vaccine
-TDAP
-seat belt
-alcohol in moderation or not at all
-avoid smoking
-have smoke detectors installed
-hazard-free environment
-use meds appropriately
-yearly physical
-reduce fat to > 30% of calories
-increase intake of complex carbs and fiber
-increase calcium intake
-Vitamin D supplements
-10-15 minutes of sun exposure 2-3 times a week
-exercise 3-5 times a week
-get together with people
-reminisce about life
What % of diet should be fat in older adults?
< 30%
What % of diet should be saturated fat in older adults?
< 10%
How many servings of fruit and veggies should an older adult have a day?
5
How many servings of grains should an older adult have a day?
6
How much sun exposure should an older adult have a week?
10-15 minutes 2-3 times a week
What should be included when obtaining a complete drug list from older adults?
-OTC
-prescribed
-herbs
-supplements
What drugs are part of the Beers criteria?
-meperidine
-cyclobenzaprine
-digoxin
-ticlopidine
-fluoxetine
-amitriptyline
-diazepam
-promethazine
-ketorolac
-short acting nifedipine
How can you help avoid adverse drug events in older adults?
-obtain a complete drug list
-highlit drugs that are part of beers criteria
-assess for duplicate drugs
-give verbal/written information
-remind not to share or borrow drugs
-aware of the common adverse events
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