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Geriatrics/Med Review
Overview
22
Astronomy
2nd Grade
02/16/2014

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Cards

Term
Intermediate acting benzodiazepines
Definition
Lorazepam, Temazepam (more often for sleep), Oxazepam (not seen a lot but fairly safe)
Term
Preferred long acting benzodiazepine, often used for anxiety because it's more predictable and does not accumulate
Definition
Clonazepam
Term
thought to be deficient in dementia patients
Definition
acetylcholine
Term
anti-cholinergic medications decrease acetylcholine resulting in
Definition
increased confusion
Term
anti-cholinergic med effect on heart rate
Definition
may increase it.
Term
anti-cholinergic med effect on brain
Definition
decreased acetylcholine --> increased confusion
Term
anti-cholinergic med effect on digestive system
Definition
constipation, slows digestive tract down
Term
anti-cholinergic med effect on mouth/eyes
Definition
mydriasis (pupil dilation), dry mouth/eyes
Term
anti-cholinergic med effect on urinary bladder
Definition
urinary retention
Term
Anticholinergics that don't cross blood brain barrier
Definition
Trospium (Sanctura) and Glycopyrroiate (Robinul)
Term
used for incontinence and over active bladder
Definition
Trospium (Sanctura)
Term
used for decreasing saliva, often in parkinsons when people struggle to swallow causing drooling
Definition
Glycopyrroiate
Term
TCA dosed at night
Definition
Nortriptyline
Term
TCA dosed during day (more stimulating)
Definition
Desipramine
Term
TCAs that are less anticholinergic than other TCAs, can be used for migraines, sleep, IBS, sometimes neuropathic pain
Definition
Nortriptyline, Desipramine
Term
used in some situations for allergy issues; don't cross BBB as easily as 1st generation
Definition
2nd generation antihistamines
Term
2nd generation antihistamines
Definition
Laratadine/desloratadine, fexofenadine, cetirizine/levocetirizine
Term
very potent, but may be used for bee sting/anaphalaxis prevention
Definition
Benadryl (diphenhydramine)
Term
causes nausea and can cause hallucinations
Definition
Dopamine
Term
can be used as anti-nausea or anti-psychotic drug
Definition
Dopamine blockers
Term
Dopamine-blockers: anti-nausea
Definition
Compazine (prochlorprazine), Reglan (metoclopramide)
Term
Dopamine blockers
Definition
may worsen Parkinsons
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