Shared Flashcard Set

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13 at risk medications for older adults
13 examples of potentially inappropriate medication use in older adults
13
Nursing
Undergraduate 2
10/19/2015

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Cards

Term
Meperidine (Demerol)
Definition
Opioid pain relief.Use decreased daily total dosage. Usual 50-100mg 3-4 hours as needed.
Term
Cyclobenzaprine (Flexeril)
Definition
Muscle relaxer. Dosage frequency reduced for elderly and hepatic impaired individuals.Usual 5mg-10mg, 3 times a day
Term
Digoxin (Lanoxin)
Definition
Used for atrial heart issues. Toxicity n elders at doses tolerated by most people. 125-350mcg 1-2 times per day (IV), 125-500mcg per day (Elixir/tabs)
Term
Ticlopidine (Ticlid)
Definition
Reduces stroke risks after stroke, reduces subsequent stroke risk. Irreversibly affects platelet aggregation. 250mg twice daily.
Term
Fluoxetine (Prozac)
Definition
For depression. Lower dosage for hepatic impairment, multiple meds and elderly. 20 min to 80mg/max per day.
Term
Amitriptyline (Elavil)
Definition
Antidepressant. For elderly, 10mg 3 times per day plus 20mg at bedtime. Usual dose is 40-100mg per day
Term
Diazepam (Valium)
Definition
Anticonvulsant, sedative-hypnotic, muscle relaxant. 2-2.5mg once or twice daily, increased as needed and tolerated by elderly
Term
Promethazine (Phenergan)
Definition
Anti-emetic, sedative-hypnotic, Antivertigo, antihistamine. Dosages decreased for older adults. Doses based on what is being treated.
Term
Ketorolac (Toradol)
Definition
Anti-inflammatory analgesic. Oral 10mg for elderly to start, max 40g/day for 5 days. IM 30mg initial dose, IV 15mg initial dose. Initial dose halved for elderly.
Term
Short Acting Nifedipine (Procardia)
Definition
Anti-angina, antihypertensive. Doses reduced for elderly, heart failure, impaired hepatic or renal function. Max 80-180mg/day depending on pill type.
Term
Ferrous Sulfate (Iron)
Definition
Anti-anemic. Dosage increased for elderly as they don't absorb iron as easily. 10-15mg/day
Term
Chlorpropamide (Diabinese)
Definition
Anti-diabetic. Dosage halved for elderly, initial dose also halved to 100-125mg daily.
Term
Diphenhydramine (Benadryl)
Definition
Sedative-hypnotic/Antihistamine, antitussive. Elderly patients more sensitive to the negative side effects, decreases their cognitive function.
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