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What is a general principle of medication administration in the older adult when starting a new medication?

a) Administer the full dose immediately
b) Monitor for side effects closely
c) Skip doses to prevent overdose
d) Change medications frequently

1 Answer

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Final answer:

When starting a new medication in older adults, it is important to monitor for side effects closely, beginning with the lowest effective dose and adjusting as needed, to minimize potential side effects and ensure safety.

Step-by-step explanation:

In the older adult population, when starting a new medication, it is a general principle to monitor for side effects closely. Older adults can have altered pharmacokinetics and pharmacodynamics, meaning their bodies may not handle the medication in the same way as younger individuals do. Variables such as body mass, liver and kidney function, and susceptibility to side effects require careful consideration. It is essential to begin with the lowest effective dose and adjust as needed, rather than administering the full dose immediately. This approach helps to achieve the desired therapeutic effects while minimizing the potential for harmful side effects or toxicity.

Frequent monitoring allows healthcare providers to identify any adverse reactions or side effects quickly and to make necessary adjustments to the dosage or medication regime. The practice of 'start low and go slow' is especially important in geriatric pharmacotherapy to ensure patient safety and drug efficacy.

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