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Summary:  A little understanding of the culprit drugs can go a long way in preventing them from becoming gang members and doing harm by causing a fall.  There are usually several factors that contribute to a fall, from a difficult-to-navigate environment (extrinsic cause) to the things going on inside your mind and body (intrinsic cause), including your condition and the effects of drugs.  Here, we hope to change the question from ‘why did he fall?’ to ‘how do we prevent him falling?’    

Topics:

·      Where Most Falls Occur 02:31

·      Intrinsic Causes 02:50

·      Extrinsic Causes 03:00

·      Culprit Drugs 03:31

·      Culprit Drug Actions 04:20

·      Toileting 05:27

·      Culprit Drug Groups 06:20

(neuroleptics, antidepressants, antiepileptics, antiparkinson, narcotic analgesics, sedatives-benzodiazepines, diuretics, antiarrhythmics, vasodilators, cholinesterase inhibitors) 

·      Starting a Med and Monitoring 07:45

·      Polypharmacy 10:03

·      Example Drug Regimen 12:10

·      Lasix 12:45

·      Neurontin (Gabapentin) 13:36

·      Nitroglycerin 14:10

·      Percocet (oxycodone & acetaminophen) 14:30

·      Zoloft (sertraline) 14:52

·      Metoprolol – a Beta Blocker 15:04

·      Orthostatic Hypotension 15:42

·      Interventions 16:00

·      Education 16:23

·      Lower Doses? 16:31

·      Work With Doc for Dosage Adjustments, Med Changes17:11

·      High Risk Meds 17:23

·      Safer Therapeutic Options 18:18

·      Benzodiazepines 18:28

·      Talk With Doc 18:58

·      The Environment – Outside and Inside You 20:17

·      Resource:  CDC Website STEADI 20:53

·      Understanding the Culprit Drug 22:15

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