Chapter 14 (MIDTERM) Flashcards

1
Q

What are often masked in their presentation of older adults, which may lead to delayed treatment?

A

Infections

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2
Q

What is the reservoir of an infectious disease?

A

The source

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3
Q

What is it called that is the way the pathogens enter the body and gain access to tissues where it may multiple and cause disease

A

Portal of entry

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4
Q

What is an endogenous source?

A

Persons own microbial flora

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5
Q

What is an exogenous source?

A

Something in the environment
Water, food, air, soil

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6
Q

What are the most efficient portals of entry

A

Oral cavity
GI tract

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7
Q

People with reduced gastric acidity because of a disease or drugs are more susceptible to what?

A

Pathogens invading the space

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8
Q

When adequate amount of vitamins and minerals are consumed in diet what is unnecessary that if taken may lead to toxicity

A

Supplements

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9
Q

Prolonged zinc deficiency leads to what?

A

Impaired cell mediated immunity, wound healing, protein synthesis

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10
Q

What has been associated with decreased immune function?

A

Depression

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11
Q

What are a few medications that lead to decreased immune function?

A

Chemotherapy
Cyclosporine
Corticosteroids

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12
Q

Every older adult above the age of 65 years old should receive what vaccination unless allergic to eggs

A

Influenza vaccine

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13
Q

Cancer is often accompanied by what in older adults?

A

Decrease in appetite which increases possibility of malnutrition

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14
Q

Autoimmune disorder that affects the bodies joints, skin, kidneys, heart, lungs, blood vessels, and brain. Extreme fatigue, pain, fever, butterfly rash.
No cure
Avoid the sun,
exercise, limit stress, comply with drugs

A

SLE

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15
Q

Autoimmune
Morning stiffness lasting for hours
Joint deformity in hands and feet
First line drug: NSAIDs

A

RA

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16
Q

How would you treat c.diff?

A

Antibiotic treatment then treatment with oral vancomycin or fidaxomicin

17
Q

What is a classic example of a reduced response to infection with older adults?

A

Absence of fever even though there is an increased WBC count

18
Q

What should be the nutritional goal for an older adult with infection

A

Well balanced
High calorie

19
Q

Teach patients to drink how much water a day to prevent UTIs and constipation

A

Atleast 2000 mL