Geriatric Clinical Pearls: Cases, Nutrition, and PK/PD Changes
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Clinical Case Scenarios
- 85 YO Patient: DM/Osteoporosis (B) → Insufficient physical activity. Recommendation: Calcium supplementation.
- 68 YO Patient: (C) → Nitro 100mg x2, T 4mg. (B) → J/UC/CRP/US (Interpretation unclear, likely lab/imaging tests).
- 82 YO Patient: Pneumonia (Pn) + Pyelonephritis (B) → Ceftriaxone 750 mg once.
- 86 YO Patient: C. difficile Treatment (Tx) (D) → Discontinue Ceftriaxone; initiate Vancomycin.
- 84 YO Patient: Fall Prevention in Elderly → Shortest option (Focus on factors other than fatigue or agility).
- Women with Depression → Treatment: CITALOPRAM.
Key Clinical Concepts and Questions
- Gastrointestinal (GI) Changes with Age (D): Decreased salivary gland function, decreased liver size, decreased detoxification potential.