Geriatrics Flashcards

(55 cards)

1
Q

Ageism actions

A

calling them sweetie or honey
directing questions at family member rather than patient
routine delivery of care for all patients over a specific age instead of applying clinical decision making

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2
Q

Number of __ units decrease so each one must innervate a larger number of muscle fibers resulting in motor unit hypertrophy.

A

motor

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3
Q

Increase in ___ mass. Infiltration of this is a predictor of mobility restriction.

A

fat

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4
Q

Adults begin to experience decrease in bone mass in

A

40s and 50s

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5
Q

Type __ fibers are denervated

A

IIb

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6
Q

___% decline in strength per decade especially during sixth and seventh.

A

10

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7
Q

Decreased ___ of muscular contraction.

A

velocity

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8
Q

Decreased ability to

A

perform forceful and alternating movement

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9
Q

Decreased skeletal bone mass after ___ decade.

A

fourth

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10
Q

Decrease in

A

brain size

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11
Q

Decrease in nerve

A

conduction velocity which results in overall decrease in central processing.

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12
Q

Decrease in processing times that affect

A

nociceptors and other peripheral receptors

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13
Q

Decreased sense of

A

pain, joint proprioception and coordination, decreased somatosensory input, impaired balance reactions and reflexes and increased gait instability.

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14
Q

Decreased __ density in heart.

A

myocyte

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15
Q

Decreased ___ node pacemaker cells.

A

SA

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16
Q

Increased cardiac ___.

A

afterload

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17
Q

Decreased sensitivity to ___-____ stimulation.

A

beta-adrenergic

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18
Q

Increased ____ and ____ of heart valves.

A

calcification and fibrosis

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19
Q

Increased ___ tone leading to increased SBP.

A

vascular

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20
Q

Decreased arterial ___ and ____.

A

elasticity and compliance

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21
Q

Decreased ___ muscle strength.

A

inspiratory

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22
Q

Decreased ___ (respiratory value)

A

FEV1

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23
Q

Increased ___ volume following maximal expiration.

24
Q

As VC decreases, RV ___. TLC stays the same.

25
What do you need to consider with thermal modalities?
monitor tolerance
26
Present with blunted
fever response
27
Exhibit higher blood ___ levels secondary to reduction n number and function of beta cells in pancreas as well as an increase to peripheral resistance to insulin.
glucose levels
28
Decreased __ and __ sensations.
taste and smell
29
Sensation associated with the need to urinate is often
delayed or nonexistent in older adults.
30
Medical conditions such as ___ and __ result in detrusor muscle instability which leads to overactive bladder.
alzheimers parkinsons
31
Presbycusis
progressive hearing loss beginning in 4th decade
32
Visual impairment starts... and is associated with
75 years old falls, depression, functional decline
33
How to help visual impairment issues?
use contrasting colors to highlight edge of steps, thresholds, transition areas remove throw rugs use diffuse lighting allow for extra time when transitioning from bright to dark and vice versa maintain clear hallways and rooms have hand rails, preferrably two
34
Episodic memory
personally experienced events
35
Semantic memory
knowledge of facts
36
procedural memory
performance of skills
37
What memory is affected to a greater degree?
episodic
38
What type of attention is is lost?
divided ability to dual task
39
General intelligence begins to decline when
50s and 70s
40
Crystallized intelligence
accumulation of knowledge and skills
41
is crystallized intelligence maintained?
yes and can even improve
42
Fluid intelligence
speed and ability to reason and problem solve
43
how is fluid intelligence impacted?
declines
44
MCI does not infer that individual will progress to
dementia
45
Delirium
memory, orientation and arousal may all be affected commonly experienced with hospitalization, post-surgically, during course of untreated medical condition or side effect of certain meds
46
Pharmacokinetics
study of what happens to the drug once in body absorption, distribution, metabolism, excretion
47
Metabolism
component of drug clearance in liver
48
Excretion system
kidneys
49
Pharmacodynamics
study of how a drug exerts therapeutic effects on body at cellular or organ level.
50
Polypharmacy two forms
rational irrational
51
Rational polypharmacy
multiple meds to treat multiple medical issues or to treat a single issue where each drug works together to control symptoms.
52
Irrational polypharmacy
excessive or duplicate or contraindicated meds are prescribed to treat a medical condition.
53
Two most common forms of medication related problems
non-adherence adverse drug reaction
54
Adverse drug reactions
n/v diarrhea constipation nervousness drowsiness confusion delirium depression tachycardia orthostatic hypotension falls weakness dyskinesia
55
Three drugs responsible for 1/3 of all ER visits
digoxin, warfarin, insulin