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High Yield Apex Cards For Boards > Geriatrics > Flashcards

Geriatrics Flashcards

(58 cards)

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1
Q

one MET is how much O2

A

3.5mlO2/kg/min

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2
Q

less than 4 mets means what?

A

increased risk of periop risk

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3
Q

examples of 4 met activities

A

climb flight of stairs
raking leaves

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4
Q

what is fraility

A

decreased reserve and decreased resistance to stress

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5
Q

how does MV change

A

increased

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6
Q

how does lung compliance change

A

increased

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7
Q

how dose chest wall copmliance change?

A

decreased

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8
Q

how does the responsen to hypercarbia nd hypoxia change?

A

decreased

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9
Q

how do protective airway reflexes change?

A

decreaesd

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10
Q

how does upper airway tone change?

A

dcreased

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11
Q

when does closign capcity surpass FRC in supine position?

A

45yrs

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12
Q

when does closign capacity surpass FRC in standing positing

A

about 65yrs

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13
Q

how does FRC change?

A

increased

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14
Q

how does closing capacity change?

A

incrased

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15
Q

how does Total lung capacity change?

A

no chagne

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16
Q

how does vital capacity change?

A

decreased

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17
Q

how does IRV change?

A

decreased

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18
Q

how does RV change?

A

increased

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19
Q

how does ERV change?

A

decreased

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20
Q

how do FEV1 and FCV change?

A

decreased

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21
Q

what is the most common comorbities in the elderly?

A

cardiac disease

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22
Q

4 most common cardiac diseases in the elderly

A

HTN
CAD
CHF
myocardial ischemia

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23
Q

how do arterial, venous, and myocardial compliance change?

A

decreased

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24
Q

how does cardiac conduction change?

25
how does myocardial mass change?
increased
26
how do BP and pulse pressure change>
increased
27
how does systolic funciton change?
no change
28
how does diastolic function, SV, HR, and CO change?
decreased
29
how do SNS and PNS tone change in the elderly?
SNS increases PNS decreases
30
response to catecholamiens
decreased
31
baroreceptor function
decreased
32
ability to thermoregulat
decreased
33
neurtransmitter activity in the brain?
decreased
34
brain mass
decreased
35
peripheral nerve quality and function
decreased
36
most common periop CNS copmlication in the elderly?
post op delerium
37
when does post op delerium tend to occur
tends to occur early
38
when does post op cognitive dysfunction ten to occur?
weeks to months after surgery
39
tx for post op delerium
reverse underlying cause antipsychotics minimize polypharmacy
40
Post op cognitive dysfunction treatment
no specific tx
41
when will post op cognitive dysfunction resolve?
tends to resolve after three months and most cases are mild (but not all)
42
nerve tissue sensitivity to LAs
increased
43
epidural and intrathecal spread?
increased in both
44
response to epi test dose
decreased more likely to get false negative
45
serum creatinine
no change
46
RBF renal mass creatine clearance GFR response toa cid load response to aldosterone response to ADH
decreased
47
hepatocellular function
no change
48
phase 2 reactions
no change
49
hepatic mass hepatic blood flow periop hepatic funciton albumin production
decreased
50
psuedocholinesterase production
decreaesd
51
phae 1 reactions
decrased
52
first pass metabolism
decreased
53
alph-1-acid- glycoprotein production
incrased
54
surface area to body mass ratio
increased
55
total body fat
increased
56
leand body mass
decreased
57
plasma protein binding
decreased
58
recovery from VAs
prolonged from increased total body fat

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