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Geriatric Disorders > Common Disorders > Flashcards

Common Disorders Flashcards

1
Q

What are the 9 physical characteristic changes in the geriatric community?

A
  1. Thinning of epidermis
  2. Decreased Resiliency
  3. Dehydration
  4. Males: ED Females: Dry (lack of estrogen)
  5. Decreased muscle mass
  6. Slowed reflexes
  7. Higher risk for orthostatic hypotension
  8. Decreased ability to cough and expectorate sputum
  9. Easy Bruising
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2
Q

Two most common types of disease in the geriatric community

A
  1. PNA

2. UTI

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3
Q

Most common sign of infection in the elderly?

A
  1. Confusion

2. Weakness

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4
Q

Confusion is not normal, usually 2/2:

A
  1. Dehydration

2. Medication

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5
Q

Nursing interventions for constipation

A
  1. Increase Activity
  2. Increase fiber
  3. Increase hydration
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6
Q

What is orthostatic hypotension?

A

A decrease of SBP>20 and a decease DBP>10 when in standing position

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7
Q

Symptoms of orthostatic hypotension

A
  • Dizziness
  • Blurred vision
  • Become fall risk
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8
Q

Why are elderly at risk for orthostatic hypotension?

A

Baroreceptos that regular blood pressure dont work as well, slow as you age

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9
Q

Meds that put patients at risk for hypotension?

A
  1. BP meds

2. Diuretics

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10
Q

Urge Incontinence most common in elderly 2/2

A
  1. DM2
  2. Parkinson’s
  3. CVA
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11
Q

Med Treatments for Urge Incontinence

A
  1. Detrol
  2. Vesicare
  3. Oxybutynin
  4. All meds that reduce bladder spasms
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12
Q

Non-pharm urge incontinence treatment

A

Bladder training

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13
Q

What is BPH?

A

Slow enlargement of the prostate gland that leads to urinary retention and weak stream

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14
Q

Treatment for BPH

A
  • surgery (TURP)

- flomax

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15
Q

Delirium

A
  • acute
  • short
  • sleep cycle impaired
  • agitated
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16
Q

Delirium treatment

A
  • underlying cause
  • pain
  • constipation
  • infection
  • interrupted sleep-wake cycles
  • ICU delirium/sundowners
  • Meds, Benzos
  • Opioids
17
Q

Dementia

A
  • Chronic
  • Long term
  • Normal Sleep Cycle
  • Behavior baseline
18
Q

Dementia treatment

A
  • Aricept

- Namenda

19
Q

What is Alzheimers Disease? (5)

A
  • Type of dementia
  • Progressive permanent neurologic disorder that results in cognitive impairments
  • Memory loss
  • Inability to recognize loved ones
  • Brain tissue is physiologically different
20
Q

Bizarre behavior in Alzheimers disease?

A
  • night wondering
21
Q

Alzheimers treatment for Memory (2)

A
  • Aricept (acetyl-cholinesterase inhibitor)

- Namenda (NMDA antagonist)

22
Q

Alzheimers treatment for Behavior (3)

A
  • Seroquel
  • Zyprexa
  • Risperdal
23
Q

Alzheimers treatment for Sleep (2)

A
  • Antipsychotics

- Antidepressants (Trazadone/ Mirtazapine)

24
Q

MEDS WE DO NOT USE for behavior/sleep

A
  • Benzos
  • Hypnotics
  • Vistaril/ Benadryl

Geriatric Disorders (4 decks)

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