Chapter 4 BNF (Dementia)

Question 1

What are the cognitive symptoms of dementia ?

Answer 1

Memory Loss, difficulty thinking, language orientation

Question 2

What are the risks with Donepizil ?

Answer 2

Neuroleptic malignant syndrome

Especially with antipsychotics

Question 3

What’s the risk with Galantamine?

Answer 3

Steven Johnson’s syndrome (rash)

Question 4

What are the cholinergic Side effects?

Answer 4

Diarrhoea 
Urinations 
Muscle issues 
Bronchospasm 
Bradycardia 
Emesis
Lacrimation 
Salivation 

Opposite to antimuscarinics

Question 5

Why are antipsychotics not generally prescribed for non cognitive symptoms of Alzheimer’s?

Answer 5

Risk of stroke

Question 6

What are the non cognitive symptoms of Alzheimer’s?

Answer 6

Aggression extreme violence extreme agitation

Question 7

How is extreme violence aggression and agitation treated in Alzheimer’s?

Answer 7

Oral benzodiazepines or Antipsychotic

Question 8

How is dementia with Lewy bodies treated?

Answer 8

Rivastigmine (parkinsons )

Question 9

Why is Donepizil given at night?

Answer 9

risk of syncope which leads to fainting