EXAM 1 TLC REVIEW

Question 1

Anticholinergic effects?

Answer 1

can’t…
SEE (blurry vision)
PEE (urinary retention)
SPIT (dry mouth)
SHII (constipation)

+ confusion and dizziness

Question 2

KATZ?

Answer 2

ADLS (living on their own)

bathe each day on their own

can make it to the restroom w/o incontinence

can dress themselves each day

you want a high score (6=independent)

Question 3

Lawson?

Answer 3

performance and living on their own

Question 4

primary preventions?

Answer 4

flu vaccine
cognitive stimulation
active (exercise)
immunization

Question 5

what is erythrocyte sedation? (ESR)

Answer 5

for inflammation

diabetes, HTN, atherosclerosis
= ESR is elevated with all 3

Question 6

hearing?

Answer 6

check with otoscope (L, 3 day)

Question 7

constipation?

Answer 7

walk 20-30 mins daily (“i will walk 20-30 mins a day)

Question 8

presbyopia =

Answer 8

red, orange, yellow – bright colors

Question 9

Levodopa –> parkinson ?

Answer 9

confused and muscle twitching = TOXIC

Question 10

Satins used for?

Answer 10

cholesterol NOT BLOOD SUGAR

Question 11

Adult Respiratory?

Answer 11

cough relief
diminished cough reflex
recoil (decrease in alveoli recoil)
stiff chest
increase residual volume

Question 11

Adult Respiratory?

Answer 11

cough relief
diminished cough reflex
recoil (decrease in alveoli recoil)
stiff chest
increase residual volume

Question 12

expected neuro age related change?

Answer 12

short term memory loss –> memory loss

Question 13

older adult skin?

Answer 13

moisturize
soap and H2O
adequate hydration
use of sunscreen

Question 14

which lab alters hydration?

Answer 14

SODIUM
Na+ goes H2O follows

Question 15

antipsychotic malignant syndrome?

Answer 15

call HCP and hold meds (spiked fever) = if they have an reaction STOP THE MEDs

Question 16

what are the 3 G’s?

Answer 16

ginkgo
ginseng
garlic

Question 17

when do you need to stop taking the 3 G’s before surgery?

Answer 17

2 weeks before surgery

Question 18

what is echinacea?

Answer 18

cold and flu therapy
taken in tea form and tincture

CONTRAINDICATIONS in the autoimmune disease (RA) –> tell the PT to STOP TAKING THE HERB

Question 19

Tamilol?

Answer 19

eye drips
BP changes WATCH for BP
-LOL = BP med

Question 20

Na+ =

Answer 20

decreased LTC
low intake, altered ADH, increased H2O

Question 21

Ca+ =

Answer 21

decreased
increased bone resorption
vitamin D

Question 22

Glucose =

Answer 22

low is most dangerous
insulin, malnutrition

Question 23

albumin =

Answer 23

decreased
prealbumin = acute malnutrition

Question 24

PSA =

Answer 24

limited use (>75 and high risk)

Question 25

creatinine =

Answer 25

more accurate measure of renal function
used to diagnose and monitor renal insufficiency

Question 26

polypharmacy?

Answer 26

taking multiple meds at the same time
20% 65+ adults take 10+ meds
more meds taken in LTC facilities
disabled have higher %
increased risk for drug interactions
increased risk of AE

Question 27

Pain medications:

Answer 27

Tricyclics for neuropathic pain
avoid drugs that precipitate or potentiate EPS
avoid tranquilizers that produce sedation and have long half-life
drugs with short half life are more suitable
corticosteroids
topical agents
muscle relaxants