Flashcards in The Older Patient Deck (8)
What kind of temperature responses are "normal" in the elderly?
Hypothermic--also not that it is v. unusual to see an elderly individual with a v. high fever (this is a significant red flag)
What are some of the normal changes in vital signs seen in the elderly esp. related to the cardiovascular system?
- Systolic HTN (150 mm/Hg is OK)
- Widened pulse pressure
- Orthostatic HTN
*****Note that there is a stiffening of the aorta & large arteries that underlies these changes
What is the most common dysrhythmia seen in the elderly?
****Don't immediately try to convert this unless it is acute and symptomatic.
What is presbycusis?
Age-related hearing loss
What do you need to remember about the mouth & teeth of an elderly patient?
Decreased salivary production that leads to:
- Increased likelihood of aspiration
- Decreased taste & olfaction
What are elderly patients at risk for that is esp. important post-op?
Increased risk of atelectasis & pneumonia
You are able to hear a bruit in a patient's jugular arteries with auscultation. What does this mean?
At least 70% occlusion of the vessel--warrants work-up