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Geri-RxFiles

rxfiles.ca/geri

The 4th Edition of our guide to assessing medications in older adults.

Table of Contents Introduction Indices

Introduction

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Drug Therapy in the Older Adult

page 1

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Frailty

page 8

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Clinical Frailty Scale

page 10

Used with permission from Kenneth Rockwood, MD.

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Cardiology

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Antiplatelets & Anticoagulants: DAPT, Dual, & Triple Therapy

page 12

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Atrial Fibrillation: Antithrombotics for Stroke Prevention

page 19

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Atrial Fibrillation: Rate vs Rhythm Control

page 23

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Dyslipidemia

page 24

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Heart Failure Management

page 27

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Hypertension

page 36

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QT Prolongation & Torsades de Pointes: Drugs & Sudden Death

page 43

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Chronic Coronary Disease - Ischemic Heart Disease

page 45

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Endocrine & Metabolic

RETURN TO TOP VIEW RxFILES DIABETES BOOK

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Type 2 Diabetes Medication Management

page 49

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Diabetes Agents - Colour Comparison Chart

page 57

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Diabetes: Deprescribing Algorithm

page 59

Used with permission from www.deprescribing.org.

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Gastrointestinal

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Acid Suppression

page 63

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PPI Deprescribing Algorithm

page 67

Used with permission from www.deprescribing.org.

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Constipation

page 69

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Genitourinary

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Renal Insufficiency

page 73

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Urinary Incontinence

page 77

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Urinary Tract Infections

page 83

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Musculoskeletal &
Connective Tissue

RETURN TO TOP VIEW RxFILES PAIN BOOK

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Preventing Falls in Community Dwelling Older Adults

page 89

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Osteoporosis

page 91

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Pain Management

page 95

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Neurology & Psychiatry

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Anticholinergics: Medication Reference List

page 105

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Dementia & Cognitive Impairment

page 108

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Cholinesterase Inhibitors Deprescribing Algorithm

page 113

Used with permission from www.deprescribing.org.

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Dementia: Behavioural & Psychological Symptoms

page 115

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Antipsychotics for Dementia: Deprescribing Algorithm

page 122

Used with permission from www.deprescribing.org.

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Delirium

page 126

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Depression

page 134

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Insomnia

page 140

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Benzodiazepine & Z-Drug Deprescribing Algorithm

page 143

Used with permission from www.deprescribing.org.

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Respiratory

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COPD

page 145

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How to Pick an Inhaler

page 150

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COPD Inhaler Technique

page 152

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Miscellaneous

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Dermatitis

page 154

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Dry Eye Disease

page 158

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Electrolyte Imbalances

page 159

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Crush List - Medication Administration Challenges

page 163

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Nutritional Supplements & Dietary Considerations for Disease Management

page 178

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Vaccines - Preventable Diseases

page 186

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Tapering & Deprescribing Medications

page 192

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Older Adults: Drug Treatment & Select Considerations

page 223

Abbreviations

Key Terms Listed by Drug, Disease, & Trial

Acknowledgements

References

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