3 Medications That Increase Fall Risk Free Online FlashCards

How can benzodiazepines and Z-drugs increase fall risk?

Benzodiazepines and Z-drugs such as zolpidem can cause sedation and impaired coordination, effects that may contribute to falls.

Which other medication groups can raise fall risk through central nervous system effects?

Opioids, antidepressants, antipsychotics, and anticonvulsants—including gabapentinoids—may increase fall risk through effects such as sedation or impaired balance.

How may antihypertensives contribute to falls?

Antihypertensives may cause dizziness or orthostatic hypotension, which can make standing and walking less safe.

Why can diuretics raise fall risk?

Diuretics can increase urinary urgency and bathroom trips; some may also contribute to orthostatic symptoms.

Why is combining several central nervous system-active medicines concerning?

Combining central nervous system-active medicines can compound adverse effects such as sedation and impaired coordination.

What combination threshold does the AGS Beers Criteria flag for fall and fracture risk?

The AGS Beers Criteria identifies increased fall and fracture risk with concurrent use of three or more specified central nervous system-active medication classes.

Which products should be included in medication reconciliation?

Reconcile prescription, over-the-counter, and herbal products to build a complete picture of medication use.

What symptoms and history should be assessed during a fall-risk medication review?

Ask about dizziness, drowsiness, unsteadiness, and recent falls when reviewing possible medication-related fall risk.

What timing details can help clarify medication-related symptoms?

Note whether symptoms occur in relation to medication doses or position changes; this timing can help clarify possible causes.

What assessment is appropriate for lightheadedness on standing?

Assess symptoms and orthostatic vital signs when a patient reports lightheadedness on standing.

How can nursing care reduce risk during frequent toileting?

Assist with safe transfers and toileting when symptoms or frequent bathroom trips could make mobility risky.

What should follow findings that raise concern about medication-related falls?

Document relevant symptoms and findings, then communicate concerns to the prescriber or pharmacist for medication review.