Koronkowski Michael, Eisenhower Christine, Marcum Zachary
University of Illinois at Chicago, College of Pharmacy, Chicago, IL.
University of Rhode Island, College of Pharmacy, Kingston, RI.
Ann Longterm Care. 2016 Mar;24(3):37-40. Epub 2016 Mar 14.
The prescribing of drug therapies in older adults presents a number of safety challenges. The increased complexity of chronic care for older adults has led to polypharmacy and potentially inappropriate medication use, which can contribute to drug-induced diseases, adverse drug reactions, drug interactions, cognitive impairment, falls, hospitalization, and mortality. In this review, the authors discuss recent medication safety literature pertaining to the classes of medications commonly prescribed to older adults: anticholinergics, psychiatric medications, and antibiotics. Safety concerns associated with the use of these medications and the implications for long-term care practitioners are reviewed. The information provided can be used to inform and improve geriatric care delivered by practitioners across health care environments.
老年人药物治疗的处方存在诸多安全挑战。老年人慢性护理复杂性的增加导致了多药合用以及潜在的不适当用药,这可能会引发药物性疾病、药物不良反应、药物相互作用、认知障碍、跌倒、住院和死亡。在本综述中,作者讨论了近期与老年人常用药物类别相关的用药安全文献:抗胆碱能药物、精神科药物和抗生素。回顾了与使用这些药物相关的安全问题以及对长期护理从业者的影响。所提供的信息可用于指导和改善医疗保健环境中从业者提供的老年护理。