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Flashcards in Gero Deck (17):
1

Gero -
increased or decreased sense of touch?

decreased

2

Gero -
increased or decreased pain tolerance?

increased

3

Gero -
typical change to fever response?

blunted or absent

4

Gero -
typical change to DTRs?

diminished

5

Gero -
typical change to speed of cognitive processing?

slowed

6

Gero -
Change to taste and thirst perception?

decreased

7

What are common causes of constipation in the elder adult? (5)

lack of fiber
lack of exercise
poor dentition
dehydration
impaired defecation signal

8

What affect does aging have on absorption and metabolism of drugs?

both are decreased

9

Gero -
what is the change to total lung capacity (TLC)? and what is the related physiology?

TLC remains constant BUT...

VITAL CAPACITY decreases (that which can be forcibly exhaled) ...because...

RESIDUAL VOLUME increases (air remaining after forced exhalation)

10

Is the cough reflex affected by aging?

yes, it diminishes

11

Living in a LTC facility increases chance of pneumonia by how much?

30% risk in a two year period

12

What picture might the gero patient present with in pneumonia?

classic symptoms might be absent

watch for:
change in LOC or confusion
anorexia
generalized weakness

13

What are the top two differentials in a gero patient who presents with recent onset of confusion or LOC change?

UTI
pneumonia

14

What blood pressure changes are expected in the elderly?

blood pressure typically increases with age due to physiologic changes of aging

15

Hypertension puts the patient at risk for:

MI
CVA
CHF related to LVH
Renal failure

16

What is immunosenescence?

theory that says the immune system diminishes with age

17

what is the impact of aging from a functional immune perspective?

increased susceptibility to infection
poor wound healing
exacerbation of chronic disease
waning of antibody response (vaccine implication)