Flashcards in Geriatrics Deck (33):
Insomnia is associted w/ what characteristics?
Day time fatigue
What are the 4 common types of insomnia?
-Difficulty falling asleep
-Mid sleep awakening
-Early morning awakening
Short term/subacute insomnia?
Is polysomnography indicated for regular eval of insomnia?
How can insomnia be diagnosed?
-Interview bed partner
Non-pharm therapy for insomnia
-Bright light therapy
What class of drugs is Rx for insomnia?
Do you want to give benadryl for insomnia pt?
Clinical presentation of Sleep apnea
-morning HA or lethargy/confusion
-bed partner reporting: loud snoring, apnea, choking, gasping sounds
Dx sleep apnea?
Lab --> Hypoxia, Hypercapnia
What is the most important predictor of sleep apnea?
Obesity (increase BMI)
Tx sleep apnea
-Oral dental devices that reposition jaw/tongue
What should sleep apnea pt avoid?
What is perioidic limb movement disorder?
Recurring episodes of rhythmic movements during sleep
What is restless leg syndrome?
Uncomfortable irresitable urge to move legs just before onset of sleep
What are characterisitics of FTT?
-decreased appetite, poor nutrition
-accompanied by dehydration, depression, impaired immune function and low choelsterol
What are some appetite stimulators that can be given to FTT pt?
-Megestrol (caution edema and DVT)
-Dronabinol (limit use 2/2 side effects)
What Psychostimulant is used for geriatric depression and FTT?
What visual acuity is considered blind?
Vision impairment is defined as....?
best corrected visual acuity worse than 20/40 and better than 20/200 in better seeing eye
-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
Surgery (indicated if 20/50 or worse)
-clear corneal incision
What is the leading cause of vision loss in >60yo
Age related macular degeneration
Si/Sx macular degeneration?
-loss central vision (peripheral spared)
-impaired colored vision
-distortion straight lines
Tx neovascular Age related macular degen?
-focal photocoagulation or photogynamic therapy
-optic disc cupping
-visual field loss
Primary open angle glaucoma si/sx
-halos around light
-impaired dark adaptation
-vision loss start at nasal field
Closed angle glaucoma si/sx
-Mid dilated pupil
most common cause of hearing loss
Presbycusis (sensoneural hearing loss)