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Geriatrics and NP Role Exam With Accurate Solutions 100% Verified Latest Update
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Geriatrics and NP Role Exam With Accurate Solutions100% Verified Latest Update
symptoms of a UTI?
will geres have these ?
diagnostic criteria for a UTI - ANSWER s increased frequency of urination
burning upon urination
incontinence
----
No, they might not have any symptoms or they might have preexisting incontinence from
detrusor instability
----
at least 100,000 colony-forming units (CFUs) per milliliter of urine in a voided midstream
clean-catch specimen, or at least 100 CFUs per milliliter of urine from a catheterized
specimen
WBCs in urine
what could give rise to difficulty diagnosing a UTI with a gere
what to do about it - ANSWER difficulties with cognition or communication also may
hinder elders' ability to provide an accurate history of new signs and symptoms
re-questioning them and pressing for more details may a possible symptom surface
The BEERS drugs are associated with - ANSWER confusion
,falls
mortality
How to use the BEERS drug list - ANSWER don't prescribe the drug
renal impairment decrease the dose based on renal function
drug-drug interactions decrease the dose based on drug-drug interactions
for whom does the BEERS list apply to- ANSWER 65 or older
Drug-Drug Interactions -ANSWER alpha 1 blocker + loop diuretic = urinary incontinence
in women
three or more CNS-active drugs concomitantly = falls
ACEI + potassium sparing-amiloride and triamterene = hyperkalemia-only combine if
needed for systolic heart failure
lithium + ACEI or loop diuretic = lithium toxicity
proton pump inhibitor exposure increases the risk for - ANSWER C. Diff
bone loss
fracture
, who does the beers list not apply to - ANSWER those in hospice or palliative care
BEERS - drugs to not combine with NSAIDS and why
what to not combine with one of these drugs and why - ANSWER warfarin - bleeding
Corticosteroids, oral or parenteral - PUD, GI bleeding
----
amiodarone + warfarin = bleeding
BEERS - drugs that increase risk of falls if combined with others - ANSWER
Antidepressants (i.e., TCAs and SSRIs)
Antipsychotics
Benzodiazepines and nonbenzodiazepine, benzodiazepine receptor agonist hypnotics
---- and fractures
Opioid receptor agonist analgesics
BEER - when can antipsychotics be considered - ANSWER patient might harm self and
others
and
nonpharm measures have failed
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