Week 8 Flashcards

1
Q

What are the five main musculoskeletal changes of aging?

A
  • Decreased height
  • Decreased body mass
  • Decreased joint cartilage
  • Increased time for muscle contraction/relaxation
  • Stiffening of thoracic cage, joints, and ligaments
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2
Q

What two factors contribute to increased time for muscle contraction and relaxation due to aging?

A
  • Slower messaging in nerves

- Stiffened ligaments and joints

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3
Q

What is a major implications of the stiffening of the thoracic cage?

A

reduced pulmonary function

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4
Q

What are the three most common musculoskeletal disorders in OAs

A
  • Osteoporosis
  • Osteoarthritis
  • Rheumatoid Arthritis
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5
Q

What is osteoporosis?

A

Low bone mass and microarchitectural deterioration of the bone resulting in increased fragility and increased risk of fractures

  • More common in women
  • An imbalance of bone building/takedown
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6
Q

What are some contributing factors of osteoporosis?

A
  • Reduced estrogen in women
  • Wear and tear degeneration of bones
  • reduced weight bearing activity
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7
Q

What medications can be used to treat osteoporosis?

A
  • Biphosphonates (bone resorption inhibitor)
  • -Alendronate
  • Hormones: Hypocalcemic
  • -calcitonin
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8
Q

What is osteoarthritis?

A

Non-inflammatory degenerative joint disease where the cartilage thins in heavily used joints (Hips, hands, knees, spine)
-Wear and tare disease

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9
Q

What is the number one drug for osteoarthritis?

A

Acetaminophen

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10
Q

What types of drugs are used for osteoarthritis?

A
  • NSAIDS
  • COX-2 inhibitor
  • Steroids
  • Glucosamine Condroitin Sulfate
  • Injected artificial joint fluid
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11
Q

What is the number one complaint in osteoarthritis

A

joint pain

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12
Q

What non-medicinal treatments can be used for osteoarthritis?

A
  • Heat or cold
  • Balanced activity
  • Lose weight
  • Walking
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13
Q

What is Rheumatoid arthritis?

A

a Chronic autoimmune disease what causes inflammation in the joints
-Leads to destroyed joints and bones

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14
Q

What type of medications are used to tread Rheumatoid Arthritis?

A
  • DMARD’s (Disease-modifying antirheumatic drugs)
  • –Methotrexate
  • Also some NSAIDS and Corticosterioids
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15
Q

What are the primary aging changes to the neurological system?

A
  • Decreased neurons, brain size, cerebral blood flow, sensori-motor processing
  • Slower peripheral nerve conduction
  • No regeneration of neurons
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16
Q

What are the two common neurological disorders?

A

Parkinson’s and CVA

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17
Q

What is Parkinson’s?

A

A neurological degenerative disease caused by a decline in dopamine

18
Q

What are some signs and symptoms of Parkinson’s disease?

A
  • Tremors
  • Bradykinesia
  • Rigid muscles (Mask face)
  • Impaired posture
  • Loss of automatic movements
  • speech changes
  • Dementia
19
Q

What type of medication is used to treat Parkinson’s?

A

Dopamine Agonists

-They stimulate dopamine receptors

20
Q

What problems are associated with Parkinson’s?

A
  • Depression
  • Sleeping Problems
  • Difficulty Chewing and Swallowing
  • Urinary incontinence or urine retention
  • Constipation
  • Sexual dysfunction
21
Q

What is a CVA?

A

Cerebrovascular accident

22
Q

What are the two types of CVA?

A

Ischemic stroke (80%) and Hemorrhagic stroke

23
Q

What are the clinical manifestations of a CVA

A
  • Paralysis or loss of movement
  • Difficulty talking or swallowing
  • Memory loss or confusion
  • Pain
24
Q

What are the signs specific to Thrombotic strokes?

A
  • Facial droop
  • Slurred speech
  • Paralysis on one side of the body
25
What is Aphasia?
cant talk
26
What is disphagia?
Difficulty swallowing
27
What is global aphasia?
Nothing is understood, inability to communicate verbally
28
What does TIA stand for?
Transient Ischemic Attack
29
What should be done the moment you suspect a CVA?
Have the patient chew 325mg of aspirin
30
What are the three main medications given for CVA's?
- Salicylate - Thrombolytics, plasminogen activator - Antiplatelet agents, platelet aggregation inhibitors
31
What is expressive aphasia?
Difficulty speaking, faulty grammar
32
What is Apraxia?
Misuse of words
33
What is Amaurosis fugax
Fleeting blindness(usually mono-ocular associated with TIA)
34
What is Agnosia?
Inability to recognize common objects
35
What is Dysarthria?
Problems with articulation, slurred speech
36
What is Hemiplegia?
Paralysis on one side of the body
37
What is Hemianopsia
Defective vision, visual field, or blindness on one side
38
What is right or left neglect?
Distortion of perception of depth, vertical, and horizontal orientation
39
What is Hemispatial neglect?
Failure to report, respond, or orient to novel stimuli presented to the side of the body opposite of the brain lesion
40
What is Spasticity?
Uncontrolled muscle contractions
41
What is Ataxia?
Inability to coordinate movements, staggering gait, postural imbalance