Geriatric Pharmacotherapy

Copyright 1998, 2002 The University of Kansas Medical Center
  1. Case

Be prepared with your answers for the following questions for discussion in class on
April 12, 2002

A Sack Full of Medicines

An 88-year-old woman comes to a geriatric assessment clinic for the first time. Her family has requested she be assessed for increasing memory problems and difficulties with self-care. As requested, they bring her sack full of medicines. Many appear to be quite old, and she has difficulty telling you exactly which ones she takes when, and for what purpose.  The bag contains the following:

  • Digoxin 0.25 mg orally daily

  • Diltiazem CD 180 mg orally daily

  • Lasix 40 mg one daily for congestive heart failure

  • Propoxyphene/acetaminophen one every six hours as needed for pain

  • Meclizine 12.5 mg orally every 8 hours as needed for dizziness

  • Ranitidine 150 mg orally twice a day “for stomach”

  • Hydrochlorothiazide/Triamterene 50/75 mg one as needed “for edema”

  • Tylenol P.M. over the counter product

  • Lanoxin 0.125 mg orally daily

  • Norvasc 5 mg orally daily for blood pressure

  • Alendronate 10 mg orally daily for osteoporosis

  • Atrovent meter dose inhaler, no label

  • Diazepam 10 mg orally at night which she says she has taken for 15 years

  • Ex-lax over-the-counter product

Be prepared to list as many potential problems as possible during your small group interaction with geriatrics & pharmacology faculty.

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