(精选)Drugs and the Elderly_ Practical Considerations教学课件.pptVIP

Drugs and the Elderly:Practical Considerations C. Bree Johnston MD MPH SF VAMC/UCSF Copyright May 2001 Overview Scope of the issue Pharmacokinetics Pharmacodynamics Adverse drug reactions and adherence Underuse of drugs Nonprescription and alternative therapies Common sense solutions Prescription Drugs Elderly account for 1/3 of prescription drug use, while only 13% of the population Ambulatory elderly fill between 9-13 prescriptions a year (new and refills) One survey: Average of 5.7 prescription medicines per patient Average nursing home patient on 7 medicines Medicare does not pay for p