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Geriatrics > final gerit > Flashcards

final gerit Flashcards

1
Q

risk factors for hep C

A 
IVDU
Hemophiliacs who received clotting factors before 1987
Received blood/organs before 1992
Hemodialysis
Medical workers who had needle Sticks
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2
Q

sxs of hep c

A 
MC symptom = asymptomatic 
Nausea, vomiting
Fever, fatigue
Dark urine
Jaundice Fever
Pruritus
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3
Q

sxs of CHRONIC hep c

A

Arthritis
Itching
Numbness
Leads to Hepatocellular carcinoma

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4
Q

what diarrhea is characteristic of C diff

A

3 watery bowel movements daily for 2 or

more days

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5
Q

other than diarrhea what sxs do we see associated with C Diff

A

Fever, nausea, abdominal pain

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6
Q

what are the three complciations associated with C diff

A

■ Colitis
■ Sepsis
■ Death

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7
Q

High risk patients for C. diff

A 
hospitilized
Nursing Homes
Assisted Living
RCFE (residential care for elderly)
Community Care Facilities
Less so in prisons 
The Elderly
The Ill
Immunocompromised → HIV, Chemo, Chronic steroid use, COPD...etc.
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8
Q

Recent ABX use puts you at risk for c.diff, especially if you’ve recently been on

A

{the drugs that treat oral, tooth UTI and PNA}

Ampicillin
amoxicillin
Cephalosporin (e.g. Keflex)
Fluoroquinolones (eg Levaquin)

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9
Q

sepsis criteria

A

T >39.4 degrees C (102.9 F), RR>30, P>120
WBC>11
Shaking chills, DM, Major comorbidities, AMS, abd pain, and vomiting

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10
Q

MEDS associated with UI

A 
ETOH
Adrenergic antagonists
Antidepressants
Antipsych
CCB
Loop
Narcotics
NSAIDS
Sedative 
Thiazolidinediones
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11
Q

Neurological

A 
Stroke 
Parkinson’s
Normal pressure hydrocephalus
Dementia
Depression
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12
Q

detrusor activity can be

A 
age related 
idiopathic
secondary to a lesion 
due to local irritation
stress related
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13
Q

causes of urge UI

A

interstitial cystitis

spinal cord injury –> impaired detrusor compliance

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14
Q

this type of incontinence occurs with increased intra abdominal pressure

A

stress

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15
Q

most common type of UI in older women

A

Urge and then stress

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16
Q

most common types of UI in older men

A

urge and then outlet obstruction

17
Q

ULS definition of urge/stress UI

A

Residual volume: >50 urge/stress.

18
Q

ULS definition of urinary retention

A

> 250 outlet obstruction ton or detrusor inactivity

19
Q

overflow incontinence is the result of

A

detrusor under-activity bladder outlet obstruction or both

20
Q

stress UI is due to

A

impaired pelvic supports

failure of urethral closer

21
Q

which type of incontinence results from trauma

A

failure of urehtral closure or stress incontinence is due to trauma

can also see outlet obstruction in women who;’ve had surgery for UI

22
Q

peripheral neuropathy can cause what type of incontinence

A

detrusor underactivity or overflow

23
Q

Frailty for FTTT

what are they and how many do you need

A 
Wt loss
Exhaustion 
Weakness
Slow Walking
↓ Physical Activity

(3 out of 5)

24
Q

FTT Neuro

A

Parkinson, Stroke, MS, ALS

25
Q

Medications:

A

Psychotropics, Anticholinergics, Antidepressants

26
Q

Physical

A

Chronic heart dz, lung dz, dysphagia, GI and CA

27
Q

detrusor muscle

A

Contracts via parasympathetic nerves (S2–S4)

28
Q

storage of urine is under control of

A

SNS

29
Q

when to cath

A

Short-term decompression of acute urinary retention
Chronic retention not manageable surgically/medically
Patients with wounds that must be kept clean of urine
Very ill patients who cannot tolerate garment changes
Patients who request catheterization despite informed consent regarding risks

30
Q

risk factors for catheter blockage

A

alkaline urine

femal gender

poor mobility

calciuria

proteinuria

copious mucin
proteus colonization

preexistant bladder stone

31
Q

CHF criteria for hospice

A

Class IV failure, EF <20%

2-3 admits to acute care in a year

32
Q

COPD criteria for hospice

A 
O2 dependent(<88% r/a)
 poor response to bronchodilators
 resting pcO2>50
 PO2<55 on oxygen, cor pulmonale
wt loss HR>100
33
Q

Renal Failure criteria for hospice

A

Cr >8.0, off dialysis

34
Q

Cirrhosis/liver failure criteria for hospice

A 
bed bound, albumin <2.5,
INR >2.5 + (encephalopathy, SBP - spontaneous bacterial peritoniti
 refractory ascites
recurrent variceal bleed
hepatorenal syndrome)
35
Q

CHF criteria for hospice

A

Class IV failure, EF <20%, 2-3 admits to acute care in a year

36
Q

phrase that refers to the changes in health status over time as the patient nears death

A

Trajectory of death

Geriatrics (12 decks)

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