Geri

Question 1

Decreased intracellular water =

Answer 1

Higher level of drugs in plasma

Question 2

Increased lipid storage =

Answer 2

Higher volume of distribution of lipid soluble drugs

Question 3

Decreased arterial elasticity =

Answer 3

Increased afterload, increases SBP, LVH

Question 4

Decrease in HR d/t

Answer 4

Increased vagal tone and decreased sensitivity of adrenergic receptors

Question 5

Orthostatic hypotension’s d/t ______. Although reflex tachycardia is absent

Answer 5

Autonomic dysfunction

Question 6

Physiological B blockade:

Answer 6

Reduced # of B receptors;
Decreased affinity;
Reduced cAMP production;
Reduced response to both B agonist and antagonist

Question 7

Severe drop in BP during induction d/t

Answer 7

Diminished cardiac reserves

Question 8

Greatest preop concern

Answer 8

CVS

Question 9

Resp changes in elderly

Answer 9

Increased compliance, increased RV, increased closing volume/capacity, increased V/Q mismatch, increased chest wall rigidity