Author Question: Which medication is matched correctly to the condition given of an older adult patient according to ... (Read 11 times)

Destiiny22 · **on:** Jul 11, 2018

Which medication is matched correctly to the condition given of an older adult patient according to current medical knowledge?

a. Methylphenidate (Ritalin) for depression at bedtime
b. Buspirone (BuSpar) for chronic anxiety states
c. Amitriptyline (Elavil) for depression in the morning
d. Haloperidol (Haldol) long-term for psychotic behavior

Question 2

The interaction between each prescription and food or nutritional supplement is unfavora-ble except for which of the following?

a. Warfarin (Coumadin) and ginkgo biloba
b. Terazosin (Hytrin) and increased fluids
c. Lithium (Eskalith) and low-sodium diet
d. Warfarin (Coumadin) and leafy, green vegetables

wilsonbho · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

B

Feedback
A Incorrect. Stimulants such as methyphenidate (Ritalin) should be given in very low doses in cases of chronic depression; to prevent insomnia, extended-release forms should be administered early in the morning and shorter-acting forms at the latest in the early afternoon.
B Correct. Buspirone (BuSpar) is safer for older adults than benzodiazepines for anxiety. Because it can take up to 5 to 7 days for the therapeutic benefit to be felt, it should be used only for chronic anxiety.
C Incorrect. Tricyclic antidepressants such as amitryptaline (Elavil) are contrain-dicated for use with older adults because of the risk for anticholinergic and sed-ative effects. Tricyclic antidepressants have been replaced with selective seroto-nin reuptake inhibitors (SSRIs), which are more effective at lower doses with fewer side effects.
D Incorrect. Antipsychotic agents such as haloperidol (Haldol) can cause extrapy-ramidal effects, especially in older adults. For long-term administration, they should be used only after a thorough psychiatric evaluation.

Answer to Question 2

B

Feedback
A Incorrect. Ginkgo biloba can amplify the anticoagulant effect of warfarin, lead-ing to an increased risk of bleeding.
B Correct. Increased fluids can combat the hypotensive effects of alpha-adrenergic blockers such as terazosin.
C Incorrect. Reduced sodium intake contributes to the toxicity of lithium.
D Incorrect. Leafy, green vegetables can diminish the anticoagulant effect of war-farin (Coumadin).