Geriatrics and Gerontology
Gerontology - ANS The study of the problems of aging and all its aspects
Geriatrics - ANS Focuses on the diseases associated with aging and the
treatments for those conditions
Which 3 medications cause the most adverse effects in older adults? - ANS
-Insulin
-Oral hypoglycemics
-Warfarin
Changes in drug absorption - ANS -Decreased acidity in the stomach
-Reduced gastric blood flow
-Risk of interacting medications
Changes in drug distribution - ANS -Decrease in total body water
-Decreased serum albumin
-Increased fat storage
Changes in drug metabolism - ANS -Decreased hepatic blood flow
-Decreased hepatic enzyme activity
Can amitriptyline be used in elderly? - ANS Avoid, it has anticholinergic and
sedating effects
Can digoxin be used in elderly? - ANS Be careful, increased risk of toxicity at
doses >0.125 mg daily
"Dementia" - ANS -Decline in intellectual abilities, coupled with changes in
personality
"Cognition" - ANS Mental process by which people become aware of objects of
thought and perception
"Aphasia" - ANS language disturbance
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