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Flashcards in Issues in Aging Deck (19):
1

Average life expectancy for a female in the US

80.8

2

Average life expectancy for a male in the US

75.7

3

Key organ systems most vulnerable to disease in the elderly

cardiovascular
musculoskeletal
renal
neuro

4

In an older adult, the system associated with a symptom is MORE or LESS likely to be the source of that symptom.

LESS likely

for example, confusion in an elder could be caused by a UTI

5

Danger signs in the older person - may need additional support

sudden weight loss
burn, injury
peculiar behavior
medication errors
car accidents
general forgetfulness

6

Three categories of ADLs

Advanced ADLs - volunteering, social
Instrumental ADLs - cooking, medication, finances
Basic ADLs - dressing, eating, ambulating

7

What is normal albumin level?

What does less indicate?

3.5 - 5 g/dL

indicates protein malnutrition

8

What is the earliest lab value indicative of protein malnutrition?

prealbumin

9

What is one complication of protein deficiency?

impaired healing

also edema

10

Elder losing how much weight in one month is a concern?

5 lbs or more

11

Albumin - normal range

3.5 - 5 g/dL

12

Prealbumin - normal range

16 - 35 mg/dL

13

Transferrin

> 200 mg/dL

14

Total lymphocyte count

1200 - 1800 cells/mm3

15

Normal body temperature in an elder is:

1-2 degrees F below that of younger adults

16

Fluid volume regulation in an elder is affected by:

lower thirst drive
less ability to concentrate urine
lower percentage of body water
less kidney response to dehydration

17

What percent of the elderly with infection/sepsis have no fever?

50%

18

What is one rule of thumb for defining fever in the elderly?

An increase of 2` F or 1.1 ` C from baseline

19

Leading causes of death in US - in rank order

heart disease
cancer
chronic lower respiratory diseases
stroke