Pharmacology and the Elderly Trauma Patient-Pharmacology and the Elderly Trauma Patient

Pharmacology and the Elderly Trauma Patient - handout

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Pharmacology and the Elderly Trauma Patient<br /><br />This document discusses the impact of pharmacology on the management of elderly trauma patients. The elderly population is growing rapidly and faces unique challenges when it comes to trauma. Older adults are more likely to have pre-existing medical conditions and reduced physiological reserves, making them more susceptible to poor outcomes after trauma. It is important to understand the aging anatomy and physiology of these patients in order to provide appropriate care. <br /><br />Pharmacokinetic differences in the elderly can affect medication management. Absorption is generally unchanged, but there are considerations such as increased gastric pH that can decrease absorption of certain medications. Distribution is impacted by increased body fat and decreased total body water, which can affect the volume of distribution for lipophilic drugs. Hepatic metabolism and renal elimination of drugs decrease with age, leading to a higher risk of toxicity and the need for dose adjustments. <br /><br />Various medications commonly used in the elderly population can have side effects and interactions that can complicate trauma management. The document discusses medications like anticholinergics, antithrombotics, cardiovascular medications, central nervous system medications, and pain medications. It emphasizes the need for careful prescribing and monitoring of these medications to avoid adverse effects and drug interactions.<br /><br />Strategies for improving outcomes in elderly trauma patients include medication reconciliation, involving geriatric specialists in the trauma team, and following established guidelines for geriatric trauma care. Tools such as the Beers Criteria, STOPP/START criteria, and the Structured Tool to Reduce Inappropriate Prescribing can aid in the appropriate management of medications in the elderly population. The document also highlights the importance of communication and coordination among healthcare providers to optimize medication safety and patient outcomes.<br /><br />Overall, understanding the unique pharmacological considerations in the elderly trauma patient is essential for providing appropriate and safe care. By considering the physiological changes of aging, conducting medication reviews, and implementing evidence-based guidelines, healthcare providers can improve outcomes for this vulnerable population.

Keywords

Pharmacology

Elderly trauma patient

Medication management

Aging anatomy

Physiological reserves

Pharmacokinetic differences

Medication side effects

Drug interactions

Geriatric trauma care

Medication safety