Which of the following principles are applicable when prescribing ...

[jjjetplane]

Which of the following principles are applicable when prescribing drugs for the older adult? Se-lect all that apply.
 
  a. Start low and go slow.
  b. Start with one drug, add two if needed, and stop with three if possible.
  c. Use a drug interactions database to identify possible problems.
  d. When adverse effects occur, determine if the intended therapeutic value out-weighs the problematic symptoms.
  e. Assess the patient's response frequently.
  f. Consider drug holidays from time to time.

Question 2

A patient does not know how to properly dispose of expired oral drug tablets in the home set-ting. Select the statement which describes the best method of disposal.
 
  a. Soak them in water to soften them, and put them in a trash can.
  b. Flush them down a toilet.
  c. Mix them with an undesirable substance in an impermeable container and throw in trash.
  d. Put them into a paper bag that is taped closed.

[Koolkid240]

Answer to Question 1

ANS: A, C, E, F
Prescribing drugs for an older adult is complex and involves numerous considerations. There are six basic principles for safe prescribing:
 Start low and go slow.
 Start one (drug), stop two (if possible).
 Use a drug interactions database to identify possible problems.
 Do not use a drug if the adverse effects are worse than the disease.
 Use as few drugs as possible, choosing non-drug therapies when possible.
 Assess the patient's response frequently.
 Consider drug holidays from time to time.

Answer to Question 2

ANS: C
For proper disposal of prescription drugs, take unused or outdated prescription drugs out of their original containers. Mix the drugs with an undesirable substance (e.g., used coffee grounds, kitty litter) and put them in impermeable, non-descript containers (e.g., empty metal can, resealable milk bottles) to ensure the drugs are not diverted or accidentally ingested by children or pets. Throw the sealed containers in the trash.

[jjjetplane]

Excellent

[kishoreddi]

TYSM