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FNP STUDY > Geriatric > Flashcards

Flashcards in Geriatric Deck (31):
1

Advanced Activities of Daily Living (AADLs)

Complex measures if functional status;
Working
Volunteering
Social Activities
Recreational activities
Connection with peers and community

2

Instrumental Activities of Daily Living (IADLs)

Activities that contribute to independent functioning: SHAFT
Shopping
housekeeping (cooking, laundry, vacuuming…) and health maintenance activities (medical appointments, medications, ect.)
Accounting
Food preparation
Transportation

3

Activities of Daily Living (ADLs)

Basic Self care activities: DEATH
Dressing
Eating (self-feeding)
Ambulating
Transferring and toileting
Hygiene

4

Examples of functional assessment tools

Katz ADL scale, Barthel index, Kenny Self-care scale, IADL scale, timed manual performance, performance test ADL, Framingham Disability Scale, Lawton scale

5

Protein needed/ day

at least 0.8g/kg/day

6

Diseases to consider calcium

certain cancers, nephrolithiasis, hyperparathyroidism

7

BMI values

Underweight= - 30%

8

Medications that increase appetite

Antidepressants, tranquilizers, beta adregnergic agents, narcoleptics, hormones, steroids

9

normal albumin level

3.5-5. Less than 3.5% indicates protein malnutrition

10

normal pre albumin level

normal 16-35

11

normal transferrin level

normal >200 (a plasma protein that transports iron through the blood to liver, spleen, and bone marrow. tested to determine cause of anemia, to examine iron metabolism, , and to determine iron capacity of the blood.

12

Total lymphocyte count normal value

normal 1200-1800

13

medications that may interfere with libido

pharmacotherapy for hypertension (especially beta blockers)

14

Phosphodiesterase inhibitors and other sexual enhancement options

Sildenafil (viagra), vardenafil (Levitra), Tadalafil (cialis), Avanafil (stendra), testosterone replacement, and lubrication options

15

Fever with infection in older adults

50% of older adults present without fever

16

definition of pharmacokinetics

Study of how the body interacts with drugs, including absorption, distribution, metabolism, and excretion

17

antacid direction

take antacids 1 hour before or 4 hours after other medications

18

pharmacodynamics definition

study of how drugs interact with the body

19

Common CNS adverse reactions seen in the elderly

sedation, memory loss, dizziness, depression and confusion

20

Common adverse anticholinergic effects seen with the elderly

Blurred vision, urinary retention, consultation, dry mouth

21

Drugs causing CNS adverse effects

Benzodiazepines, antipsychotics, beta-blockers, steroids, CIMETIDINE, narcotics, diuretics

22

Drugs with Anticholinergic adverse effects

Cholingergic agonists, tricyclic antidepressants, antipsychotics

23

drugs with adverse effects on balance and movement

Neuroleptics, metronidazole, phenytoin, aspirin, aminoglycosides, furosemide, beta-blockers, vasodilators, metoclopromide

24

drugs with adverse effects on bone and supporting structures

steroids, heparin, lithium

25

Cimetidine complicates for polypharmacy

Inhibts CYO450 in the liver, prolonging the effects of others drugs in the body

26

Decongestants complications in polypharmacy

antagonizes the activity of hypertensives; are anticholinergic

27

Non-Steroidal anti-inflammatory drugs complications

decreases renal blood flow, further reducing elimination of many drugs

28

Niacin complications on polypharmacy

May exacerbate the effect on hypertensives

29

Antacids complications on polypharmacy

May absorb other oral agents, reducing their absorbance across the gut wall

30

Laxative effects on polypharmacy

May chelate other drugs so they cannot be absorbed, may increase gut motility, may reduce the absorbance of some drugs

31

Calcium effects on polypharmacy

may decrease the absorption of thyroid hormones, tetracyclines, and others