POLYPHARMACY IN GERIATRICS.pptx presentation

About polypharmacy in geriatric population as they are talking a lot of medicine

1. POLYPHARMACY IN GERIATRICS BY DR AYESHA KHALID SABZAZAR CAMPUS, LHR

2. CASE SCENARIO Mr. Smith is 79 years old and lives at home alone. Mr. Smith has been in and out of the hospital a lot since he takes care of himself and has had recurrent illnesses. He is obese and struggles with type 2 DM and constantly has a productive cough that is hard to get rid of. Mr. Smith was a smoker for 20 years and stopped when he developed a cough. He has a long history of illness that also includes CAD, HTN, glaucoma, asthma and bronchitis

3. The patient has been prescribed, and regularly takes, metoprolol, atorvastatin, regular insulin, acetaminophen, furosemide, mucomyst (acetylcysteine), potassium supplements, lisinopril, carvedilol, latanoprost, heparin (in hospital visits only), Salbuterol , combo of paracetamol and orphanedine on and off for body aches, iron and calcium supplements often, cetirizine for allegic symptoms at least 2 times per month, and some herbal medicines as well . Mr. Smith’s vital signs at his last visit were 142/83, RR 22 at rest, pulse 89,temperature 98.8 F, and O2 98% on room air.

4. WHAT IS POLYPHARMACY ? TAKING HOW MUCH MEDICINES 3 4 10 5 14

5. AVOIDING POLYPHARMACY IN GERIATRICS (OVER 65 YEARS) Beers criteria STOPP/START criteria

6. BEERS CRITERIA The AGS Beers criteria for Potentially Inappropriate Medication(PIM) use is a list of medication guidelines that help healthcare providers safely prescribe meds for adults over 65 years of age. The AGS reviews and publishes the Beers Criteria list every three years, last in 2023. Improves med safety and quality of care.