Steven Atkinson – Geriatric Pharmacology: Maximizing Safety & Effectiveness

Description

Handouts

Outline

Aging and Pharmacodynamics

• Effects of Aging on Drug Therapy
• Variations in Drug Half-life and Clearance
• Drug Dosing in Chronic Kidney Disease
• Common Inappropriate & Over-prescribed Drugs
• Identifying Subtle Clues to Prevent an Adverse Drug Reaction

Drug-Drug Interactions

• The P450 System
• The Magic Drug Number in the Elderly
• The Top 10 Medications to Avoid
• The Top 10 Drug-drug Interactions
• Drugs Associated with Weight Loss

Strategies to Avoid Adverse Drug Events

• Identifying Subtle Clues to Prevent an Adverse Drug Reaction
• Individualizing a Monitoring Plan
• Mandatory Gradual Dose Reduction (GDR)
• The Garfinkel Method for Drug Discontinuation

The “BEERS Criteria”

• What are the Experts Saying?
• Follow the Criteria OR go with your Instincts?
• When Inappropriate Drugs are OK

STOPP and START

• New Recommendations
• Guidelines by Body System
• Putting it all Together – Still a Puzzle?

Controversial Vitamins & Herbal Supplements

• Is your Multivitamin killing you?
• After 19 years, the Research is in
• Advising your Patients Appropriately
• The Vitamins that Help & the Ones that Hurt

Psychopharmacology

• Selecting the Right Medication
• Challenges in LTC
• Black Box WARNINGS

Dementia, Depression & Delirium

• The 3 “Ds” in Geriatrics
• Drugs that Cause Cognitive Impairment

Prescribing Challenges & Solutions

• Cardiovascular
  • Digoxin, Amiodarone & the Risk of Orthostatsis
  • The New Anti-Hypertensive Guidelines
• Neurological
  • The Risk of “Sleepers”: Zolpidem, Eszopiclone, Zaleplon
• Endocrinology
  • “Doc I’ve got a Low ‘T'”
  • Eliminating Sliding Scales
• Gastrointestinal
  • Risks of Proton-pump-inhibitors (PPIs)
  • Best Antiemetic Choices
• Anticholinergics
  • Associated Psychosis
  • Increased Anxiety and Agitation
• Antithrombotics
  • Is Aspirin Still Recommended?
• Anti-Infectives
  • Antibiotic Stewardship
  • Drug Resistance Concerns
  • Major Contributors to Cdiff
• Pain Meds
  • Newest Guidelines for Opioid Discontinuance
  • Alternatives to Opioids

Faculty

Steven Atkinson, PA-C, MS Related seminars and products: 18

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Steven Atkinson, PA-C, MS, is a Board-Certified Physician Assistant specializing in Geriatric Internal Medicine. He practices medicine in the greater Minneapolis area. In addition to his private practice, he has been on the faculty at the University of Utah since 1994 and has been involved in medicine for over 30 years.

Steven is the co-founder of Twin Cities Physicians, which serves older adults in nearly all levels of their care. He has presented nationally for over 15 years, primarily speaking about geriatric-related syndromes.

Steven is the author of Geriatric Pharmacology: The Principles of Practice & Clinical Recommendations, Second Edition (PESI, 2016) and also sits on several boards whose purpose is to elevate the level of care in medicine for the patients they serve. Steven has been described as a “dynamic” educator and one of the most engaging presenters around. Don’t miss him!

Speaker Disclosures:

Financial: Steven Atkinson is the founder and co-owner of Twin Cities Physicians; and owner of Mindful Geriatrics, LLC. He is an Adjunct Faculty at the University of Utah. Mr. Atkinson receives royalties as an author for PESI Publishing and Media. He receives a speaking honorarium from PESI, Inc.

Non-financial: Steven Atkinson has no relevant non-financial relationship to disclose.