Geri-RxFiles

rxfiles.ca/geri

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

Introduction

Drug Therapy in the Older Adult

page 1

Frailty

page 4

Clinical Frailty Scale

page 5

Used with permission from Kenneth Rockwood, MD.

Cardiology

Antiplatelets & Anticoagulants: DAPT, Dual, & Triple Therapy

page 6

Atrial Fibrillation: Antithrombotics for Stroke Prevention

page 10

Atrial Fibrillation: Rate vs Rhythm Control

page 18

Dyslipidemia

page 21

Heart Failure with Reduced Ejection Fraction

page 25

Hypertension

page 33

QT Prolongation & Torsades de Pointes: Drugs & Sudden Death

page 45

Stable Ischemic Heart Disease

page 47

Diabetes

page 55

Diabetes Agents - Colour Comparison Chart

page 64

Diabetes: Deprescribing Algorithm

page 65

Used with permission from www.deprescribing.org.

Gastrointestinal

Acid Suppression

page 67

PPI Deprescribing Algorithm

page 74

Used with permission from www.deprescribing.org.

Constipation

page 76

Genitourinary

Renal Insufficiency

page 82

Urinary Incontinence

page 87

Urinary Tract Infections

page 95

Musculoskeletal &
Connective Tissue

Falls

page 99

Osteoporosis

page 102

Pain Management

page 107

Neurology & Psychiatry

Anticholinergics: Medication Reference List

page 116

Dementia & Cognitive Impairment

page 118

Dementia: Behavioural & Psychological Symptoms

page 123

Cholinesterase Inhibitors Deprescribing Algorithm

page 134

Used with permission from www.deprescribing.org.

Antipsychotics for Dementia: Deprescribing Algorithm

page 136

Used with permission from www.deprescribing.org.

Depression

page 138

Insomnia

page 146 

Benzodiazepine & Z-Drug Deprescribing Algorithm

page 151

Used with permission from www.deprescribing.org.

Respiratory

COPD

page 153

How to Pick an Inhaler

page 159

COPD Inhaler Technique

page 161

Miscellaneous

Dermatitis

page 162

Drug Interactions

page 166

Dry Eye Disease

page 176

Electrolyte Imbalances

page 177

Crush List

page 181

Nutritional Supplements & Dietary Considerations for Disease Management

page 192

Vaccines

page 204

Tapering & Deprescribing Medications

page 208

Older Adults: Drug Treatment & Select Consideratios

page 249