Yu de wɔri bɔt di mɛrɛsin dɛn we dɛn kin gi to ol pipul dɛn? Mek wi tok abaut di 'Beers Criteria'!

If yu gɛt ol pɔsin na yu os, lɛk yu mama, papa, grani, ɔ granpa, sɔntɛm yu go tink smɔl bɔt di mɛrɛsin dɛn we yu de gi dɛn, nɔto so? Sɔntɛnde, we wi go to dɔktɔ, dɛn kin gi wi difrɛn mɛrɛsin dɛn . Bɔt as wi de ol, di we aw wi bɔdi de biev we wi tek mɛrɛsin kin chenj, ɛn sɔm mɛrɛsin dɛn nɔ kin fayn fɔ dɛn. Wan list de we gɛt gaydlain dɛn we de ɛp dɔktɔ dɛn fɔ kia fɔ dɛn kayn tin ya. Na dat wi kin kɔl di ‘Beers Criteria.’ Lɛ wi tɔk bɔt dis jɔs tide.

Wetin na dis ‘Bia Krayteria’?

Fɔ tɔk am simpul wan, dis na wan list fɔ di advays dɛn we di American Geriatrics Society , we na wan grup we sabi bɔt wɛlbɔdi biznɛs fɔ ol pipul dɛn, dɔn mek. I de tɛl wi us mɛrɛsin dɛn kin ambɔg pipul dɛn we dɔn pas 65 ia, ɔ us mɛrɛsin dɛn kin gɛt mɔ sayd ɛfɛkt pas di bɛnifit dɛn. Dɛn kin kɔl dis list bak di ‘Beer’s List’. Tink bɔt am, sɔv dɔn sho se pas 90% pan di pipul dɛn we dɔn pas 65 ia kin yuz at le wan mɛrɛsin fɔ wan mɔnt, ɛn pas 66% kin yuz pas tri mɛrɛsin. So na tɛm lɛk dis, dis list go rili ɛp dɔktɔ dɛn fɔ gi dɛn mɛrɛsin dɛn sef wan.

Wetin na di fayv men pɔynt dɛn we de insay di ‘Bia Krayteria’?

Dis list de bay fayv men tin dɛn, we dɔktɔ dɛn kin tink mɔ bɔt we dɛn de gi pɔsin mɛrɛsin to pɔsin we dɔn ol:

• Mɛrɛsin dɛm wae nɔr fɔ gi pipul dɛm wae dɔn pas 65 ia, mɔr lɛk di wan dɛm wae nɔr de gɛt kia fɔ dɛn layf lɛk hospice ɔ palliative care .
• Mɛrɛsin wae kin ambɔg pipul dɛm wae gɛt sɔm kayn mɛrɛsin (fɔ ɛgzampul, kidni sik, at sik).
• Mεdikeshכn dεm we de mek prכblεm bay we dεn de mek dεn drog intaraksh כn we dεn tek dεm wit כda mεdikeshכn dεm.
• Mɛrɛsin dɛm wae kin kɔz mɔr harm pas gud bikɔs ɔf sayd ɛfɛkt dɛm .
• di mεdikeshכn dεm we de afekt di kidni fכnshכn (i.e., dεn wan dεm we gεt rεnal impεryans) fכ gi insay limited dכz כ stכp kכmplit wan.

Us kayn drɔgs de na di ‘Beers Criteria’ list?

Klose to 100 kayn mɛrɛsin de na dis list. I at fɔ tɔk bɔt dɛn ɔl, bɔt fɔ gi yu wan aidia, lɛ wi luk sɔm ɛgzampul dɛn frɔm sɔm kategori dɛn. Na di sem tɛm, lɛ wi luk di rizin dɛn we mek dɛn mɛrɛsin dɛn de kin ambɔg pɔsin.

• Analjɛsik: Fɔ ɛgzampul, mɛrɛsin lɛk `(meperidine)`. dis kin bi toxic to di nervous system (`(Nyurotoksisiti ()) ɛn dilirium (`(delirium)`) kin apin bak.
• Antibayɔtik: Sɔm antibayɔtik, fɔ ɛgzampul, siproflɔksasin, kin mek yu gɛt mɔ blɔd we yu tek am wit warfarin (wan tin we de mek yu blɔd tan).
• Antiseizure mεdikeshכn: Mεdikeshכn lεk carbamazepine kin mek yu gεt wan kכndyushכn we dεn kכl SIADH - Syndrome of inappropriate antidiuretic hormone secretion, we de disrupt di bכdi in wata εn sכlt bεlε.
• Antihistamines (old types): Mεdikeshכn dεm lεk brompheniramine kin mek yu kכnfyushכn, i kin mek yu nכ no fayn , εn delirium .
• Sɔm mɛrɛsin fɔ ay blɔd prɛshɔn (Antihypertensives): Sɔm mɛrɛsin, lɛk `(alpha-blockers),` kin mek di blɔd prɛshɔn go dɔŋ wantɛm wantɛm (`(Hypotension)`) .
• Antiplatlɛt ɔ antikɔagulant: Sɔntɛnde, mɛrɛsin lɛk ɛdoxaban kin afɛkt di kidni dɛn (rɛnɛral impairment) .
• Antisaykotiks: Ɛni mɛrɛsin we de na dis klas kin mek pɔsin gɛt strok, i kin mek i nɔ ebul fɔ ɔndastand , ɛn i kin mek i nɔ gɛt bɛtɛ maynd we i gi am to ol pipul dɛn.
• Anxiolytics: Mεdikeshכn dεm na di benzodiazepines grup (e.g. diazepam) kin slo di bכdi in brok dכn, mek yu nכ de wach bכku, εn mek yu shek we yu de waka .
• Sɔm mɛrɛsin fɔ mek yu at pwɛl: Mɛrɛsin lɛk disopyramide kin mek yu at nɔ wok fayn .
• Sentral nεv sεstem ejen dεm: Dimenhydrinate (we dεn kin fכnshכn insay sכm antiemetics) kin mek yu kכnfyus, i kin mek yu nכ no natin, εn i kin mek yu fil bad .
• Sɔm mɛrɛsin fɔ dayabitis: Ol mɛrɛsin lɛk kloroprɔpamid kin mek yu blɔd shuga smɔl (haypoglycemia) .
• Gastrointestinal mεdikeshכn dεm: sכm mεdikeshכn dεm na di ``H2-blocker'' klas kin mek di delirium wכs, spεshal wan if pכsin dεn dכn כlrεdi gεt am .
• Ɔmon dɛn: We dɛn gi ɛstrojen na do, sɔm uman dɛn kin gɛt mɔ kansa na dɛn bɔdi ɛn kansa na dɛn bɛlɛ .
• Sɔm slip pils (hypnotics): Risk de fɔ adikshɔn to drɔgs lɛk barbiturates ɛn ɔvados kin mek yu gɛt prɔblɛm dɛn we denja .
• Di tin dɛn we de mek di mɔsul ɛn skel (muscle relaxers): Dɛn tin ya kin mek pɔsin kɔnfyus, yu mɔt kin dray, ɛn yu kin gɛt kɔnstipɛshɔn .
• Nɔn-stɛroyd anti-inflammatory drugs (NSAID): Mɛrɛsin lɛk aspirin (mɔ pas 325 miligram fɔ wan de) kin mek pɔsin gɛt siriɔs prɔblɛm lɛk bɛlɛ ɔlsa, blɔd, ɔ fɔdɔm .
• Sɔm mɛrɛsin dɛn we pɔsin kin tek fɔ blo: Mɛrɛsin lɛk atropine kin mek pɔsin kɔnfyus, i kin mek i nɔ no natin igen, ɛn i kin mek i gɛt delirium .
• Sɔm mɛrɛsin dɛm fɔ urinary: ``(desmopressin)`` kin mek yu blɔd sodium lɛvɛl smɔl (``(hyponatremia)``) , we denja bak.
• Sɔm mɛrɛsin dɛn we de mek di blɔd vesel dɛn big (vasodilators): Mɛrɛsin dɛn lɛk `(ergoloid mesylates)` nɔ kin gi di rizɔlt we dɛn bin de op fɔ .

Impɔtant: Dis na jɔs sɔm ɛgzampul dɛn. Yu dɔktɔ go disayd us mɛrɛsin go fayn fɔ yu. Ivin if dɛn dɔn gi yu wan mɛrɛsin we de na dis list, rizin kin de fɔ am. So nɔ panik, tɔk to yu dɔktɔ ɔltɛm.

Aw ɔltɛm dɛn go ɔpdet dis ‘Bia Krayteria’ list? Aw dɛn kin du am?

Dis nɔto wan tɛm list we dɛn jɔs put na sayd. Di American Geriatrics Society kin luk ɛn ɔpdet dis list lɛk ɛvri tri ia.

Aw dɛn kin du am? Dɛn kin du dis bay we dɛn de yuz di laytst infɔmeshɔn frɔm nyu mɛdikal risach ɛn klinik trial dɛm. Wan tim we sabi bɔt mɛrɛsin kin kam togɛda, luk di ol list, ɛn dɛn kin pul sɔm mɛrɛsin dɛn, ad nyu wan dɛn, ɔ chenj di advays dɛn we dɔn de bay we dɛn yuz nyu pruf.

Ustɛm dɔktɔ dɛn kin yuz di ‘Beers Criteria’?

Dis list na wan kɔmɔn tin we dɔktɔ dɛn kin yuz we dɛn de gi mɛrɛsin to pipul dɛn we dɔn pas 65. Bɔt nɔto sɔntin we yu jɔs de luk ɛn disayd bɔt. Yu dɔktɔ go tink bɔt yu kɔmplit mɛdikal istri, yu wɛlbɔdi naw, ɛn ɛni ɔda mɛrɛsin, vaytamɛn, ɛn sɔpɔtmɛnt we yu de tek . Dɔn dɛn go disayd if nyu mɛrɛsin ɔ di doz fɔ di mɛrɛsin we dɛn de tek naw nɔ bad fɔ yu. Dɛn kin nid bak fɔ chenj di mɛrɛsin, di doz, ɔ di tɛm we dɛn fɔ gi am bay dis list.

Wetin na di tin dɛm fɔ tink bɔt we yu de yuz di ‘Beers Criteria’?

Dis na kwɛstyɔn we rili impɔtant. Wetin na di ‘Bia Krayteria’?Dɛn mek am fɔ bɔku pipul dɛn. So, i nɔto ``pɔsin-spɛsifi k'' . Dat min se dis list nɔ de tɔk bɔt pɔsin in jenɛral wɛlbɔdi, ɛni ɔda sik we i kin gɛt, ɔ di patikyula tin dɛn we mek dɔktɔ pik wan patikyula mɛrɛsin.

So, dis na jɔs fayn tin fɔ dɔktɔ dɛn fɔ yuz. I nɔ de disayd fɔ dɔktɔ we sabi du in wok ɛn we gɛt ɛkspiriɛns.

Fɔ ɛgzampul, if dɔktɔ want fɔ gi yu wan mɛrɛsin we de na dis list we dɛn tink se go ambɔg yu, i go tink bɔt bɔku tin dɛn, lɛk yu wɛlbɔdi biznɛs ɛn di say we dɛn de trit yu. Na da tɛm de nɔmɔ i go disayd fɔ no if di mɛrɛsin nɔ bad fɔ yu. Bɔku tɛm, dɔktɔ dɛn kin pik ɔda mɛrɛsin pas wan mɛrɛsin we de na dis list. Bɔt if dɛn gi yu wan mɛrɛsin we de na dis list, di dɔktɔ go wach yu gud gud wan fɔ si if ɛni bad bad tin de apin to yu.

Wetin mek di we aw mɛrɛsin kin afɛkt wi bɔdi kin chenj as wi de ol?

Dis na pɔynt we rili impɔtant. As wi de ol, wi bɔdi kin chenj bɔku tin dɛn. Dɛn chenj ya kin afɛkt di we aw dɛn kin tek mɛrɛsin ɛn aw dɛn kin wok na wi bɔdi. Na sɔm ɛgzampul dɛn ya:

• I kin tek lɔng tɛm fɔ mek di bɔdi brok (mɛtabolayz) ɛn pul di mɛrɛsin kɔmɔt. Dis min se di drɔg kin de na yu bɔdi fɔ lɔng tɛm. Dis na di rizin we mek sɔntɛnde dɔktɔ dɛn kin gi pipul dɛn we dɔn ol smɔl smɔl mɛrɛsin.
• Wan mɛrɛsin fɔ wan sik kin afɛkt ɔda wan. Bikɔs sɔm mɛrɛsin dɛn kin chenj di we aw wi bɔdi kin biev, dɛn kin afɛkt bak aw ɔda tritmɛnt dɛn kin wok fayn.
• Di we aw pipul dɛn de liv dɛn layf kin chenj. Tin dɛm lɛk yu aktiviti lɛvɛl ɛn di it wae yu de it kin afɛkt aw sɔm mɛrɛsin dɛn kin woke fayn fayn wan. So we yu go to dɔktɔ, i impɔtant fɔ tɔk bɔt di tin dɛn we yu de du ɛvride, wetin yu de it, ɛn if yu de du ɛksɛsayz. Da we de, i kin pik di tritmɛnt we go fayn fɔ yu.

Dɔktɔ dɛn no wi bɔdi gud gud wan ɛn aw dɛn kin chenj wit di ej. If dɛn gi yu wan mɛrɛsin, dɛn go wach aw yu bɔdi de ansa am fɔ mek shɔ se i sef.

So, wetin na di tin dɛn we wi fɔ mɛmba frɔm dis stori?

Okay, so naw yu go dɔn ɔndastand se di ‘Beers Criteria’ we wi bin tɔk bɔt na wan list fɔ impɔtant gaydlain dɛn we de ɛp dɔktɔ dɛn we dɛn de gi mɛrɛsin to pipul dɛn we dɔn pas 65 ia.

Dis kin ɛp dɔktɔ dɛn fɔ pe atɛnshɔn pan mɛrɛsin dɛn we go ambɔg pɔsin we dɔn ol ɛn pik ɔda mɛrɛsin dɛn we nɔ bad.

Mɛmba se dis na tin fɔ dɔktɔ dɛn, nɔto sɔntin we yu fɔ yuz fɔ stɔp ɔ bigin fɔ tek mɛrɛsin fɔ yusɛf.If yu gɛt ɛni kwɛstyɔn ɔ wɔri bɔt wan mɛrɛsin we yu de tek, duya tɔk to yu dɔktɔ. Na in na di bɛst pɔsin fɔ gi yu kɔrɛkt advays. Fɔ lisin to aw yu de fil na di bɛst we fɔ mek yu gɛt wɛlbɔdi.

` Bia Krayteria, Adult Helt, Mεdikeshכn, Sayd Efεkt, Sef Mεdikeshכn, Ol