Ageing 3 Flashcards
stroke patients
hemiplegic gait
sensory ataxia
antalgic gait
primal myopathy
waddling gait
slow rising pulse indicates what
significant aortic stenosis
what can help define the severity of aortic stenosis
exercise testing
key MDT members
doctor nurse physio OT care manager
cerebrally disease tone
reduced
fragmin proph dose
125000 units
does clonazepam cause a tremor
no
DVT and AF
risk is not high
ACS in older people
can present with shortness of breath
pain thresholds
lower in older age
PE more likely to present with
syncope
heart failure may present with
delirium
common risk factors for falling muscle history drugs age eyes brain
muscle weakness previous fall poly pharmacy, sedating drugs visual impairment cogn impairment
long term deterioration in patients with delirium
can happen
pH of pleural fluid in an empyema
<7.2
low glucose
raised lactic dehydrogenase
massive unilateral pleural effusion
usually due to cancer
in infection the protein content of the fluid will be
exudate >25
transudates are usually what
bilateral
anti emetic for parkinson’s px
domperidone
postural hypotension can occur with what
dehydration
Benzo’s in delirium
can be used to treat
but can worsen delirium
hypothermia diagnosis
don’t use oral/auricular temperature - not reliable
commonest cx of BPH
acute urinary retention
liverpool care pathway designed why
ensure patients who were nearing death received appropriate care
when is the Liverpool care pathway supposed to be used
in the last 48-72 hours of life - doesn’t mean patient will die in this time
thrombosis is indicated
can be given up to 12 hours of onset of symptoms
most effective in the first 6 hours
bifocal glasses
can distort images when looking down -> falls
falls best prevented by
muscle strengthening and balance
calcium supplementation and falls
no link
exercises increases what when performed weight bearing
bone mineral density
exercises improves what in osteoarthritis
joint flexibility
prostate cancer and back pain
technetium bone scan
becks triad
CBT depression
slef worthless
world/environment if unfair
future is hopeless
amitryp and BPH
makes it worse
urinary incontincnace
statins
grapefruit
metro
alcohol - flush
warfarin
leaf vegetables / cranberry
bananas oranges grean leafy veg
potassium
ACIE
ARB
k sparing diuretics
donepazil and atenolol
hypertension
drug drug interaction
BZD causing memory loss
idiosyncratic effect
steady of 1st order drugs
rate of administration = rate of elimination
