Gero Exam 2 TLC Flashcards
What is the MOST common chronic condition?
OA followed by HTN
Criteria for Malnutrition?
Identification of 2 or more of the following recommended for diagnosis of malnutrition:
Insufficient protein intake
Weight loss
Loss of muscle mass
Loss of SubQ fat
Localized or generalized fluid accumulation that may sometimes mask weight loss
Diminished functional status as measured by hand grip strength
_____________ makes elders sleepy, contraindication
Benadryl
Myxedema Coma, Hypothyroidism
Rare and life threatening complication with HIGH mortality rate
Causes:
Untreated or uncontrolled hypothyroidism
External stressors including surgery, trauma, infection, excessive exposure to cold temps
CM:
Hypothermia
Mental function ranges from depression to unconscious
Respiratory depression (hypoventilation)
Hypotension
Bradycardia
Treatment:
Supportive measures and stabilization of VS
Treat underlying cause
Thyroid hormone replacement - must be slow r/t toxicity with rapid replacement
depression medication side effects
SSRIs
Hyponatremia
Feeling agitated, shaky, or anxious
Feeling or being sick
Indigestion
Diarrhea or constiptaion
Loss of appetite or weight loss
Dizziness
Blurred vision
Dry mouth
What is Frank Sterling Law?
stroke volume increases in response to increased blood going through…
The stroke volume of the L ventricle will increase as the L ventricular volume increases due to the myocyte stretch causing a more forceful systolic contraction
What are the labs for liver function?
ALT and LST
You can use _____ to check for osteoporosis and osteoarthritis
DEXA
What are the Chronic illness trajectory phases?
Preventive phase (pre-trajectory) - no s/s
Definitive phase (trajectory onset) - s/s and diagnosis PRESENT
Crisis phase - life threatening situation
Acute phase - active illness requiring hospitalization
Stable phase - controlled illness course/symptoms
Unstable phase - not controlled but not requiring/desiring hospitalization
Downward phase - progressive decline
Dying phase - immediate weeks/days/hours before death
_______________ with __________ ___________ deals with the bond to protein, protein deposits in the brain
Dementia with lewy bodies
Sleep cycle _____ = BEST
REM
My Plate nutrients for elders?
Potassium
Vitamin B
Vitamin B12
Calcium
Fiber
______________________ (Bisphosphonates) —> take on empty stomach
Fosamax (Bisphosphonates)
Watch out for aspiration pneumonia in
GERD
Parkinson’s is a _____ progressive disease
SLOW
