Geriatrics and NP role-Questions and Complete
Answers| Verified 100% Correct| Newest 2024-
2025
The BEERS drugs are associated with - ✔✔confusion
falls
mortality
How to use the BEERS drug list - ✔✔don't prescribe the drug
reduce the dose in light of kidney function
reduce the dose in light of drug-drug interactions
who does the BEERS list apply to - ✔✔65 or older
Drug-Drug Interactions - ✔✔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 - ✔✔C. Diff
bone loss
fracture
who does the beers list not apply to - ✔✔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 - ✔✔warfarin - bleeding
Corticosteroids, oral or parenteral - PUD, GI bleeding
----
amiodarone + warfarin = bleeding
BEERS - drugs that increase risk of falls if combined with others - ✔✔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 - ✔✔patient might harm self and
others
and
nonpharm measures have failed
BEERS - risk of anticholinergics - ✔✔dementia
reduce cognitive and physical function
only antiarrhythmic on the beers list - ✔✔amiodarone
most common adverse effect of tube feeding someone with advanced dementia
other adverse effect - ✔✔Aspiration pneumonia
tube occlusion
leaking
, local infection
physical or chemical restraints
are antipsychotics effective at treating behavioral and psychological symptoms of
dementia - ✔✔no
do older adults benefit from intensive A1C targeting
why - ✔✔no, not as much as younger adults
it takes 10 to 19 years before the benefits of more-intensive glycemic control are seen,
and many older adults with diabetes mellitus have numerous comorbidities that may
result in limited life expectancy
risk of intensive A1C control for geres - ✔✔more hypoglycemia
more hospital admission for hypoglycemia
evidence suggesting greater all cause mortality
drug of choice for gere DM type 2 - ✔✔metformin
risk of using benzos or Z-compounds for geres with insomnia, agitation, or dilirium -
✔✔memory problems
disorientation
Answers| Verified 100% Correct| Newest 2024-
2025
The BEERS drugs are associated with - ✔✔confusion
falls
mortality
How to use the BEERS drug list - ✔✔don't prescribe the drug
reduce the dose in light of kidney function
reduce the dose in light of drug-drug interactions
who does the BEERS list apply to - ✔✔65 or older
Drug-Drug Interactions - ✔✔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 - ✔✔C. Diff
bone loss
fracture
who does the beers list not apply to - ✔✔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 - ✔✔warfarin - bleeding
Corticosteroids, oral or parenteral - PUD, GI bleeding
----
amiodarone + warfarin = bleeding
BEERS - drugs that increase risk of falls if combined with others - ✔✔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 - ✔✔patient might harm self and
others
and
nonpharm measures have failed
BEERS - risk of anticholinergics - ✔✔dementia
reduce cognitive and physical function
only antiarrhythmic on the beers list - ✔✔amiodarone
most common adverse effect of tube feeding someone with advanced dementia
other adverse effect - ✔✔Aspiration pneumonia
tube occlusion
leaking
, local infection
physical or chemical restraints
are antipsychotics effective at treating behavioral and psychological symptoms of
dementia - ✔✔no
do older adults benefit from intensive A1C targeting
why - ✔✔no, not as much as younger adults
it takes 10 to 19 years before the benefits of more-intensive glycemic control are seen,
and many older adults with diabetes mellitus have numerous comorbidities that may
result in limited life expectancy
risk of intensive A1C control for geres - ✔✔more hypoglycemia
more hospital admission for hypoglycemia
evidence suggesting greater all cause mortality
drug of choice for gere DM type 2 - ✔✔metformin
risk of using benzos or Z-compounds for geres with insomnia, agitation, or dilirium -
✔✔memory problems
disorientation
