NURS 3035 FINAL EXAM: weeks 7,8,10,11(100% verified latest update)

NURS 3035 FINAL EXAM: weeks 7,8,10,11 Older adults are at risk for ____ w/ med administration correct answer: -high use -polypharmacy -nonadherence -increased incidence of chronic illnesses -sensory and motor deficits -prescribing cascade Pharmacokinetics correct answer: how drug is absorbed, distributed, metabolized, and excreted what drugs are more likely to be affected by altered gastric levels or by prolonged exposure to acids because of delayed emptying correct answer: pH sensitive meds (penicillin, ferrous sulfate) onset correct answer: time required for the drug to elicit a therapeutic response peak correct answer: time required for a drug to reach its maximum therapeutic response duration correct answer: length of time the concentration of a drug in blood/tissues is sufficient enough to elicit therapeutic response Pharmacodynamics correct answer: how body is affected by the med clearance rate correct answer: measurement of volume of blood from which medication is eliminated per unit of time Elimination half-life correct answer: the length of time it takes to decrease drug concentration by 1/2 of its original value changes that affect action of meds in the body correct answer: -decline in GFR & hepatic blood flow -decreased renal clearance (increase serum levels of meds) Beers Criteria correct answer: A list of medications that are generally considered inappropriate when given to elderly people STOPP criteria correct answer: Screening Tool of Older Persons' potentially inappropriate Prescriptions START criteria correct answer: Screening Tool to Alert doctors to Right Treatment effect of grapefruit juice can increase the bioavailability of these meds correct answer: -statins -benzos -calcium channel blocker functional consequences associated w/ meds in older adults correct answer: -altered therapeutic effects -increased potential for adverse effects -anticholinergic adverse effects -altered mental status -tardive dyskinesia -drug-induced parkinsonism target population of American Geriatrics Society (AGS) BEER criteria correct answer: older adults >65yrs of age most common sources of pain among older adults correct answer: musculoskeletal conditions persistent pain is associated w/ __ and often results in __ correct answer: -w/ physical disability and psychosocial problems -depression and functional impairments treatment cautions for pain in older adults correct answer: -they metabolize meds more slowly -greater risk for adverse effects -risk of GI bleeding w/ NSAIDs -multiple med use biopsychosocial phenomenon; whatever the person experiencing it says ... ? correct answer: -unpleasant sensory/emotional experience associated w/ actual or potential tissue damage -it is existing whenever they say it does 4 processes of nociceptive pain correct answer: transduction, transmission, perception, modulation nociceptive pain correct answer: physiologic process leads to perception of noxious stimuli as painful neuropathic pain correct answer: -abnormal processing of sensory stimuli by CNS or PNS -can occur in the absence of immediate tissue damage or inflammati