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Geri-RxFiles

rxfiles.ca/geri

The 3rd Edition of our guide to assessing medications in older adults.

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Introduction

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Drug Therapy in the Older Adult

page 1

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Frailty

page 4

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Clinical Frailty Scale

page 5

Used with permission from Kenneth Rockwood, MD.

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Cardiology

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Antiplatelets & Anticoagulants: DAPT, Dual, & Triple Therapy

page 6

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Atrial Fibrillation: Antithrombotics for Stroke Prevention

page 10

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Atrial Fibrillation: Rate vs Rhythm Control

page 18

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Dyslipidemia

page 21

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Heart Failure with Reduced Ejection Fraction

page 25

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Hypertension

page 33

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QT Prolongation & Torsades de Pointes: Drugs & Sudden Death

page 45

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Stable Ischemic Heart Disease

page 47

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Diabetes

page 55

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Diabetes Agents - Colour Comparison Chart

page 64

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Diabetes: Deprescribing Algorithm

page 65

Used with permission from www.deprescribing.org.

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Gastrointestinal

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Acid Suppression

page 67

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PPI Deprescribing Algorithm

page 74

Used with permission from www.deprescribing.org.

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Constipation

page 76

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Genitourinary

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Renal Insufficiency

page 82

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Urinary Incontinence

page 87

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Urinary Tract Infections

page 95

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Musculoskeletal &
Connective Tissue

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Falls

page 99

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Osteoporosis

page 102

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Pain Management

page 107

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Neurology & Psychiatry

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Anticholinergics: Medication Reference List

page 116

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Dementia & Cognitive Impairment

page 118

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Dementia: Behavioural & Psychological Symptoms

page 123

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Cholinesterase Inhibitors Deprescribing Algorithm

page 134

Used with permission from www.deprescribing.org.

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Antipsychotics for Dementia: Deprescribing Algorithm

page 136

Used with permission from www.deprescribing.org.

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Depression

page 138

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Insomnia

page 146 

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Benzodiazepine & Z-Drug Deprescribing Algorithm

page 151

Used with permission from www.deprescribing.org.

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Respiratory

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COPD

page 153

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How to Pick an Inhaler

page 159

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COPD Inhaler Technique

page 161

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Miscellaneous

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Dermatitis

page 162

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Drug Interactions

page 166

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Dry Eye Disease

page 176

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Electrolyte Imbalances

page 177

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Crush List

page 181

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Nutritional Supplements & Dietary Considerations for Disease Management

page 192

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Vaccines

page 204

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Tapering & Deprescribing Medications

page 208

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Older Adults: Drug Treatment & Select Consideratios

page 249