Week 10 Monday Flashcards
(37 cards)
1
Q
Geriatric Syndromes
A
- falls and gait abnormalities
- frality
- delirium
- urinary incontinence
- sleep disorders
- pressure ulcers
2
Q
FANCAPES
A
Fluids Aeration Nutrition Communication Activity Pain Elimination Social skills
3
Q
SPICES
A
Sleep Disorders Problems eating Incontinence Confusion Evidence of falls Skin breakdown
4
Q
OARS
A
Functional Assessment
- social resources
- economic resources
- mental health
- physical health
- ADL and IADLs
5
Q
Resident Assessment Instrument
A
comprehensive health, social and functional profile
6
Q
Outcomes and Assessment Info Set
A
- Identifies the plan for nursing care in the home
- Aimed at preventing rehospitalizations and ensuring safety in the home settingCopyright
7
Q
Factors that Complicate Assessment of the Older Adult
A
- effects of aging vs disease
- comorbidities
- under-reporting sx
- atypical presentation or nonspecific presentations
- iatrogenic illnesses
8
Q
What is hematological testing affected by?
A
•dehydration•malnutrition•infection•inflammation
9
Q
RBC
A
4.4-5.8
10
Q
Hb
A
14-18
11
Q
Hct
A
39-48
12
Q
Anemia common finding
A
- frail older adult
- chronic disease
- African Americans
13
Q
Neutrophils
A
55-70
14
Q
Eosinophil
A
1-4
15
Q
Basophils
A
.5-1
16
Q
Monocytes
A
2-8
17
Q
Lymphocytes
A
20-40
18
Q
What can affect platelet function
A
NSAIDs
19
Q
Erythrocyte Sedimentation Rate
A
indicator of -inflammation, infection -necrosis -infarction -advanced neoplasm slightly elevated due to second disease
20
Q
Blood Chem Imbalances R/t
A
excessive diuresis
med interactions
dehydration
21
Q
Hyponatremia
A
<130
- decreased ECF
- impaired water excretion
- SIADH
- most common causes of delirium
- slow replacement
22
Q
Hypernatremia
A
> 145
- cause: impaired thirst
- associated with mortality in LTC
- confusion, thirst, seizures
23
Q
Hypokalemia
A
- generalized muscle weakness
- fatigue
- ECG changes
24
Q
Hyperkalemia
A
- impaired muscle activity
- weakness
- muscle pain/cramps
- ECG changes
25
Glucose
70-126
26
Acute Cardiac Events
- creatine kinase
| - troponin I & T (gold standard)
27
Testing and monitoring risk and health
- C reactive
- homocysteine
- B type natriuretic peptide
28
Triglycerides
>200 = risk for pancreatitis
29
Albumin
3. 5-5.8
- measures nutritional status
- half-life: 3 wks
- indicator of severity of illness and risk of mortality
30
Prealbumin
May be more informative of current nutritional status as the half-life is 2-3 days
31
Blood Urea Nitrogen
•Measurement of nitrogen portion of urea•Used as gross measurement for renal functioning•Normal 8-18 mg/dL
32
Creatinine
.6-1.2
•Key component in determining glomerular filtration rate (GFR)•Used to diagnose and monitor renal function•More accurate reflection of renal health than blood urea nitrogen (BUN)
33
INR: A fib or flutter
2.0-3.0
34
INR: Mechanical heart valve, DVT, PE
2.5-3.5
35
Common Drug Food Interactions
- fiber and digoxin
- vitamin K and warfarin
- vitamin B and levatopa
- citrus juice and CCB
- leafy greens and warfarin
36
Beer's Criteria
inappropriate meds for older people
37
Issues with Psychoactive Meds
- malignant syndrome
- movement disorders
- acute dystonia
- akathisia
- parkisonian
- tardive dyskinesia
