Caution: Perioperative Surgery Medications

Caution: Perioperative Surgery Medications - #12

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Perioperative medication that may increase delirium risk.

Geriatric patient in a post surgery hospital setting.

Patient needs medications for pain, medical management, etc. but the medications required can cause delirium. Patient has a history of dementia.

1.List 4 classes of medication that may precipitate delirium in elderly susceptible patients.

2.Identify the mechanism of action of those 4 medication classes which my precipitate delirium.

3.Identify one neurotransmitter whose perturbation may lead to delirium.

  1. Fick D M, Cooper J W, Wade W E, Waller J L, Maclean J R, Beers M H. Updating the Beers criteria for potentially inappropriate medication use in older adults. Arch Intern Med. 2003;163:2716-2724.
  2. Drugs in the elderly. The Medical Letter 2006; 48:6-7.
  3. Chutka D S, Takahashi P Y, Hoel R W. Inappropriate medications for elderly patients. Mayo Clinic Proc. 2004; 79:122-139.
  4. Holmes HM, Hayley DC, Alexander GC, et al. Reconsidering medication appropriateness for patients late in life. Arch Intern Med. 2006;16699):605-609.
You voted '3'.
This GFF ___ my competence in geriatrics.

Kathryn Denson MD, John Petronovich

Medical College of Wisconsin, Milwaukee, Wisconsin.