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Science For Paramedics > Againg > Flashcards

Againg Flashcards

1
Q

What is senescence

A

Is the permanent cell growth arrest normal and physiological processes but also cells stop dividing

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2
Q

What is the hayflick limit

A

The number of times a normal human cell population will divide before cell division stops

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3
Q

What occurs to the integumentary system during ageing

A

skin changes occur in the dermis
Fibroblasts decrease
Collagen fibres stiffen, separate and become disorganised
Elastic fibres lose elasticity

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4
Q

what are biological ageing

A

1.Environmental, biological and psychological influences
2.Variable experience, interpreted differently by each person
3.Accumulation of damage within cells
4.Cellular metabolism becomes less efficient with age
5.Leads to loss of function
6.Results in cell death

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5
Q

what happens to Langerhans cell during ageing

A

decrease and macrophages are less efficient so the skin’s immune response is decreased

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6
Q

What happens to Integumentary system – maintenance and repair

A

Sebaceous glands shrink, producing less oil
Skin becomes thinner and more prone to injury
Skin heals badly
Wounds can become chronic

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7
Q

What happens to the melanocytes

A

A decrease in functioning causes grey hair and uneven skin tone an increase in size causes age, or liver spots

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8
Q

What happens to the skeletal system

A

Osteoporosis:
80% sufferers female
More Calcium broken down than replaced
Loss of bone density
Increased bone weakness
Risk of fractures

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9
Q

What is kyphosis

A

exaggerated, forward rounding of the back.

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10
Q

What is osteoarthritis

A

Degenerative joint disease
Articular cartilage erodes
Friction at joints
Pain, swelling and stiffness

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11
Q

what is sarcopenia

A

Atrophy due to a decrease in adipose tissue
Decrease in musculoskeletal fibres
Reflexes and flexibility decrease

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12
Q

what happens to the lymphatic system

A

Bone marrow produces less WBCs
T cells less responsive so fewer respond to infection or invasion by pathogen
B cells less responsive so antibody levels take longer to rise in response to infection
Increased susceptibility to viral and bacterial infections
Difficulties identifying self and non-self leading to risk of autoimmune diseases.
Macrophages work more slowly

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13
Q

what happens to the adrenal glands

A

Produce less cortisol
Fluctuating levels affect circadian rhythms
Lack of good quality sleep increases stress and depression

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14
Q

Adrenal Glands – Aldosterone reduction in ageing.

A

Produce less aldosterone
Less vasoconstriction
Less sodium reabsorption in the nephron
Increased urinary frequency

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15
Q

what happens to the anterior pituitary gland

A

Decreased production of human growth hormone
Increased muscle atrophy

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16
Q

what happens to the pancreas

A

Releases insulin more slowly
Insulin Resistance
Sugar levels increase faster with food and return to normal more slowly

17
Q

what happens to the parathyroid glands

A

Parathyroid levels increase with age.

18
Q

what happens to the parathyroid glands and bones

A

In ageing, parathyroid levels are constantly elevated creating a continuum of bone degradation.the osteoblasts become less active.
In contrast, the osteoclasts become more active

19
Q

what happens to the parathyroid glands and kidneys

A

kidney function is generally reduced, resulting in less calcium reabsorption so that calcium levels remain low. This triggers the release of more parathyroid hormones exacerbating the problem

19
Q

what happens to the parathyroid glands and intestine

A

poor diet limits the presence of calcium in the gut.
Sedentary indoor lifestyles limit exposure to the sun.

20
Q

what happens to the nervous system

A

Brain mass declines
Synaptic contacts deteriorate and fewer neurotransmitters are produced. Information is processed more poorly. Decreased conductive velocity causes slower voluntary motor movements and reflexes

21
Q

what is the substantia nigra

A

is part of the basal ganglia it produces dopamine in ageing due to the degeneration of these neurones less dopamine is produced

22
Q

what happens to the Neurofibrillary Tangles and Plaques

A

Abnormal accumulations of proteins (Tau) collect in the neuron.In Alzheimer’s tau separates from the microtubule and sticks to other tau molecules.
This causes a neurofibrillary tangle which interferes with the synapse.

23
Q

What happens to the respiartory system

A

As we age, our chest wall and lungs lose their natural elastic recoil, leading to decreased tidal volume. Additionally, there is a gradual increase in rib calcification, which causes rigidity in the chest wall. Loss of muscle strength in the chest wall and diaphragm also inhibits breathing efficacy. Lastly, the gradual drying out of intervertebral discs causes kyphosis.

24
Q

What happens to resp and immune system

A

Reduced cilia and nerves that trigger cough become less sensitive so more pathogens can enter lungs
Alveoli lose some surface area
Immune response weakened – more vulnerable to pathogens and less able to expectorate

25
Q

what are the vascular changes in ageing

A

Vascular changes occur in tunica intima and media
Loss of elasticity
Walls become stiffer and thicker
Leads to increased resistance
Results in HTN
Hypertrophy
Lower HR and postural hypotension

26
Q

what is Left Ventricular hypertrophy

A

thickening of the muscle on the left wall makes it harder for the heart to pump blood efficiently.

27
Q

what happens to the digestive system

A

Reduction in taste and smell.
Gum recession
It decreased saliva production.
Decreased strength of oesophageal contractions and tension in oesophageal sphincter leads to dysphagia.

28
Q

what happens to the renal system

A

Reduction in the number of nephrons.Reduction in glomerular filtration rate. Reduced nephron sensitivity causes less reabsorption of water.Causes more frequent urination and increased daily fluid requirements.Compounded by loss of thirst

29
Q

renal system link with the bladder

A

Loss of bladder elasticity
Loss of sphincter tone
Loss of strength and control of pelvic floor muscles.
Leading to incontinence.
In females there is shortening of the urethra increasing the risk of a urinary tract infection.

30
Q

what is urinary retention

A

swelling of prostate gland prevents flow of urine and it puts more pressure on the urethra

31
Q

what occurs within the male reproductive system

A

Gradual loss of fertility
Increased risk of prostate cancer
Reduced testosterone cause shrinkage and erectile dysfunction

32
Q
A

Science For Paramedics (13 decks)

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