Aging Flashcards

1
Q

2/3rds of medical expenditures

A

last 1/3 of life

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2
Q

what percentage of the population is over 85

A
  1. 4% in 1990

2. 4% in 2030

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3
Q

by 2050 what % of the population will be over 65

A

1/3

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4
Q

rule of fourths

A

1/4 disease
1/4 disuse
1/4 misuse
1/4 physiological changes

four reasons people age

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5
Q

disuse

A

sedentary lifestyles bread diseases like obesity

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6
Q

decrease in response to stimuli

A

characteristic of aging that results in

decreased hearing
reduced taste
reduced smell
reduced reflex

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7
Q

epigenetic changes

A

genes present themselves differently depending on environmental stimuli

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8
Q

four age related physical changes

A

BP regulation: orthostasis
volume regulation : dehydration
thermoregulation:colder
impaired immune response –> increased infection and cancer

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9
Q

changes in HR seen with agre

A

195 to 155

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10
Q

kidneys reduced profusion by ____ in aging

A

50%

this is important because of medications that are renally cleared

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11
Q

GI changes in aging

A

reduced peristalsis and secretions

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12
Q

reductions in these sleep stages are seen in the elderly

A

3 and 4

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13
Q

size of the prostate gland increases by

A

100%

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14
Q

CKD is the ___leading cause of death

A

8th

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15
Q

changes seen in the brain

A

loss of brain parenchyma

enlargement of ventricles

widened sulci

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16
Q

Osteophytic changes

A

in osteophytes (bone spur) –> pain

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17
Q

CHF

A

PA chest

interstitial pulmonary edema

cardiomegaly

redistribution of pulmonary blood to the upper lungs

increasing the likelihood of pneumonia if backing up from the left side of the heart

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18
Q

leading cause of death

A

CHF

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19
Q

causes of CHF

A

infection

valve infection

high blood pressure is the most significant

20
Q

ejection fraction

A

measurement that determines CHF

21
Q

blood back up in the right side of the heart leads to…

A

pitting edema legs
liver and
digestive organs

22
Q

Occam’s razor

A

simpler explanation is better this does not apply in atypical presentations of diseases

seldom is a unifying diagnosis possible must assume things are multifactorial

23
Q

iatrogenic if the ______ leading cause of death

A

1/3

24
Q

causes of death 1-10

A
  1. heart dz
  2. cancer
  3. iatrogenic
  4. COPD
  5. accidents
    5 CVA
    6 dementia
    7 diabetes
    8 PNA
    9 CKD
    10 suicide
25
Q

Influenza vaccine

A

1qyr

26
Q

tetanus

A

1q10

27
Q

varicella

A

2 doses if pt has ever had varicella

28
Q

zoster

A

1

29
Q

MMR

A

1 dose if never had the dz

30
Q

pneumococcal

A

1 dose unless high risk then 1q5yr

31
Q

hepatitis A

A

only if high risk

32
Q

breast cancer screening

A

biennal mammography 50-74 yo>75 no evidence

33
Q

colon cancer

A

FOBT

fecal occult blood test annual 50-75 yo

34
Q

GIB

A

gastrointestinal bleed

seen as the iatrogenic COD with prescribed blood thinners

35
Q

cervix and prostate screenign

A

no screening over 65yo

exception is if a female has never had a pap the no pap if there are 2x negative paps

36
Q

brain weight decreases by what percentage in elderly

A

7% due to atrophy

37
Q

cardiac maximum function in elderly is typically seen as

A

going from 195 to 155 bpm

38
Q

bone mineral content decreases by

A

10-30

39
Q

interstitial pulmonary edema, cardiomegaly, and redistribution of pulmonary blood are all common findings in this aging dz

A

chf

40
Q

colon cancer screening for pts 76-85

A

not routine

41
Q

colon cancer screening for pts >85

A

no screening

42
Q

Majority of 65yo plus have how many prescriptions?

A

over 5 rx

43
Q

how many individuals over 65 have ADE

A

1/3

44
Q

what % of population has AKI

A

2/3 of pt over 65 yo

45
Q

what specialist referral do you make following an elderly fall

A

: neuro (hydro) cards (arrhythmia), ortho spine (stenosis)