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Altered mental status 70yr
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PE
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cbc
bmp
lft
tsh
vdrl
serum B12
serum Folate
CT-head

follow-up 4 days

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pt arrives (alzehiemers)

donepezil
vitamin E

Medical alert bracelet
advance directives
pt. counseling
no driving (How you write this on software??)
Family counseling (How you write this on software??)
no alcohol
no smoking
Exercise
Safety precautions

ADD:

- mimantine (helpful when given with donepezil)
- Other drugs based on symptoms:
Delusion: olanazapine
depression: fluoxetine
anxiety: buspirone
- In 5 min screen add:
Occupational therapy
Support group (Option of Supportive care present in software)
Conitive rehabilitation (how to type this ???)
- Can also add age specific test like:
Lipid profile
Colonoscopy
Depression Index
- Type Counsel: the u will get option for no driving & counsel family/patient
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it is memantine

Note: first three letters are very imp in any command.

harry

why give memantine?? please xplain??

thanks for the other stuff like occupational therapy did not know about that one. In the software you just type occupational therapy??

Assess the patient if the disease is mild to moderate, then no need of Mimanten, But if the disease is progressie ad sever, with involvement of more cognitive domains, then add Mimantin.
This is a disease modifying drug, and it inhits the NMDA receptor of Glutamate.

yes just type occupational therapy

Memantine: NMDA antagonist
- Mostly for mod-severe alzheimer
- Combination of memantine & acetylcholinesterase inhibitors (donepezil) is more efficacious then donepezil alone.

harry and zkhang thanks. This is really helping me!!