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Cin Med IV Exam 2 > Geriatrics > Flashcards

Flashcards in Geriatrics Deck (33):
1

Insomnia is associted w/ what characteristics?

Day time fatigue
Irritability
Problems concentrating

2

What are the 4 common types of insomnia?

-Difficulty falling asleep
-Mid sleep awakening
-Early morning awakening
-Nonrestorative sleep

3

Transient/acute insomnia?

<1wk

4

Short term/subacute insomnia?

1wk-3mo

5

Chronic insomnia?

>3mo

6

Is polysomnography indicated for regular eval of insomnia?

no

7

How can insomnia be diagnosed?

-Sleep questionnaires
-Sleep log
-Interview bed partner

8

Non-pharm therapy for insomnia

-sleep hygiene
-behavioral therapy
-Bright light therapy

9

What class of drugs is Rx for insomnia?

Benzos

10

Do you want to give benadryl for insomnia pt?

No

11

Clinical presentation of Sleep apnea

-daytime sleepiness
-morning HA or lethargy/confusion
-bed partner reporting: loud snoring, apnea, choking, gasping sounds

12

Dx sleep apnea?

Polysomnography
Lab --> Hypoxia, Hypercapnia

13

What is the most important predictor of sleep apnea?

Obesity (increase BMI)

14

Tx sleep apnea

-Weight loss
-Oral dental devices that reposition jaw/tongue
-CPAP

15

What should sleep apnea pt avoid?

-alcohol
-sedatives
-sleeping supine

16

What is perioidic limb movement disorder?

Recurring episodes of rhythmic movements during sleep

17

What is restless leg syndrome?

Uncomfortable irresitable urge to move legs just before onset of sleep
-motor restlessness

18

What are characterisitics of FTT?

-weight loss
-decreased appetite, poor nutrition
-inactivity
-accompanied by dehydration, depression, impaired immune function and low choelsterol

19

What are some appetite stimulators that can be given to FTT pt?

-Megestrol (caution edema and DVT)
-Dronabinol (limit use 2/2 side effects)

20

What Psychostimulant is used for geriatric depression and FTT?

Methylphenidate

21

What visual acuity is considered blind?

<20/200

22

Vision impairment is defined as....?

best corrected visual acuity worse than 20/40 and better than 20/200 in better seeing eye

23

Si/Sx cataracts

-glare-related vision loss
-painless, progressive decline in vision
-difficult w/ contrast sensitivity
-color perception is off
-yellow discolroation to lens
-alteration in red reflex

24

Tx cataracts

Surgery (indicated if 20/50 or worse)
-phacoemulsification
-clear corneal incision

25

What is the leading cause of vision loss in >60yo

Age related macular degeneration

26

Si/Sx macular degeneration?

-loss central vision (peripheral spared)
-bilateral
-impaired colored vision
-scotomas
-distortion straight lines

27

Tx neovascular Age related macular degen?

Laser surgery
-focal photocoagulation or photogynamic therapy

28

Define glaucoma

-elevated IOP
-optic disc cupping
-visual field loss

29

RF Glaucoma

Black
hispanic
fam hx

30

Primary open angle glaucoma si/sx

-blurred vision
-halos around light
-impaired dark adaptation
-vision loss start at nasal field

31

Closed angle glaucoma si/sx

-Blurred vision
-HA
-N/V
-Corneal edema
-Mid dilated pupil

32

most common cause of hearing loss

Presbycusis (sensoneural hearing loss)

33

most common cause hearing loss in middle/external ear?

Wax