Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Social Behavioral Final > Block 3 June > Flashcards

Block 3 June Flashcards

1
Q

Cytokine mediated weight loss with muscle wasting:

A

cachexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

loss of appetite

A

anorexia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When is the “tipping point” between living and actively dying?

A

1-2 weeks before death

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

1st body part to “die”?

A

lower extremities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

2nd body system to lose function during active dying?

A

GU/GI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

3rd body system to lose function during active dying?

A

mouth and esohagus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why are upper extremities preserved so long?

A

easy for heart to perfuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Late metabolic acidosis causes which breathing pattern?

A

Kussmaul breathing

hyperpnea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Breathing pattern associated with damage to respiratory CNS centers or metabolic encephalopathies?

A

Cheyne-Stokes respirations

“oscillatory overcompensation”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Breathing pattern due to damage to medulla oblongata?

A

Ataxic respirations

-irregular pauses of irregular lengths

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Breathing pattern due to cerebral ischemia?

A

Agonal respiration

“fish out of water”

-grunts, groans, myoclonus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hear loss occurs when?

A

very late

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Time of death?

A

cardiopulmonary arrest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Basis for dosing enteral opiates?

A

half-life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Biggest problem with opiate equianalgesic dosing?

A

incomplete cross tolerance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

problems with methadone

A

difficult to dose (start low, go slow)

long QT syndrome (check EKG if reach 30 mg/day)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

patients never build tolerance to which opiod side effect?

A

constipation

18
Q

Pathophysiology of anorexia:

A

hypothalamus fails to respond to orexigenic signals

19
Q

Sarcopenia

A

muscle wasting

20
Q

two causes of cachexia:

A

metabolic change

reduced food intake

21
Q

can anorexia/cachexia syndrome be fully reversed?

A

no

22
Q

four primary symptoms of ACS:

A

muscle loss

anorexia

fatigue

early satiety

23
Q

fatigue and weakness

A

pre-cachexia

24
Q

fatigue and weakness

anorexia

> 5% weight loss

more likely to be clinically evident

A

cachexia

25
Q

> 10% weight loss

irreversible

underlying condition is usually irreversible

A

Refractory cachexia

26
Q

possible rx for cachexia

used as antidepressant

may increase lean body mass

A

methylphenidate

27
Q

possible rx for cachexia

increased appetite and pleasure from eating

no change in GF/cytokines

increased fat deposition

A

dronabinol

28
Q

possible rx for cachexia

hypothalamic stimulation

progestin analogue

adipose deposition

A

megestrol acetate

29
Q

better alternative to pts with with advanced dementia than feeding tube:

A

oral assisted feeding

30
Q

Meds that are dangerous in old people?

A

Beers list

31
Q

Preferred rx for dementia/delirium?

A

antipsychotics

  • try to avoid benzos
    • like getting the person drunk–>unknown effect
32
Q

Does oxygen treat dyspnea or air hunger?

A

no

O2 treats sats but not patient’s feeling

33
Q

3 treatments for mucus management in SOB?

A

hydration

saline nebs

guaifenesin

34
Q

what to avoid in treating SOB?

A

essential oils

35
Q

meds for SOB?

A

opiates

treat anxiety

inhalers

disease modifiers

36
Q

full body edema

A

anasarca

37
Q

an unstable or crucial time or sate of affairs whose outcome will make a decisive difference for better or worse:

A

crisis

38
Q

four stories told by people relating to coping with terminal/life threatening illness:

A
  1. signature stories
  2. public/private – surface/deep
  3. secret
  4. untold
39
Q

what you see is not always obvious….

A

Iceberg theory

40
Q

How people define their family:

A

Family mobiles

41
Q

three phases associated with life threatening illness:

A
  1. period of impact
  2. the battle
  3. period of defeat – looking to the future?
42
Q

four types of losses and their impact:

A
  1. loss of possesions
  2. loss of self
  3. developmental loss
  4. loss of significant others

Social Behavioral Final (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions