Geri Unit V Flashcards
What is pharmocodynamics
Action
What is distribution
Transport of meds
When does asthma attacks usually occur
At night
What is chronopharmocogy
Body rhythm and how they interact with meds
What is polypharmacy
The use of a lot of different meds daily
What is underuse
Person takes less meds than prescribed to save pills or money
What is misuse
Incorrect dosing, sharing meds
What is overuse
If one pill works well then 2 will work better
What is erratic use
Forgetting to take meds
What is contraindicated use
Recieving several meds from several physicians, using many different pharmacies
What is pharmacokinetics
Study of how medication moves through body
What is pharmocotherapeutics
Medications used to treat an illness
What is the primary drug abused in the world
Alcohol
What should a patient with CHF restrict from
All sodium
What is HTN
Hypotension
What side of the body should be effected if the stroke occurs on the left side of brain
Right side
What is hemorage
A bleed or clot that travels that causes a stroke
What is hemosiderosis
Permanent brown discoloration May appear bc of small hemorages
What is another name for high cholesterol
Hyperlipidemia
What is the generic name for digoxin
Lanoxin
What is pathology
Study of disease
What is chronic illness
Gradual onset long duration
What is the goal for chronic illness
Management not care
What is acute illness
Rapid onset short duration
What is CHF
Inability of the heart to pump blood to meet the metabolic demands of the body
What is osteoporosis
Brittle bones
What is deconditioning
People restrict their activity and become less capable
What is cataract
Clouding of lens
What is the most common eye disorder
Cataract
What is macular degeneration
Destroys the point of macula
Where is macular degeneration found
Only in older people
When does a person get macular degeneration
After age 60
What is glaucoma
One of the leading causes of blindness and results from increased pressure in eye that damages the optic nerve
How do you treat glaucoma
Meds
What is the major goal when working with somebody with osteoporosis
Safety
What is sinement
Type of med used to treat PD
What is the primary goal of PD
Prevent complications
When is osteoporosis worse
In the morning
Is type III or type I diabetes more common in elderly
Type III
Who is most likely at rush for osteoporosis
Caucasian and Asian women
What is levothyroxine
Med that treats hypothyroidism
What is ADR
(Adverse drug reactions)
Unwanted effects or side effects of a med
Name 3 issues that may affect safety of medication use in elderly
Visual changes, hearing changes , cognitive changes
What is the ADR S/S
Change in mood, restlessness, confusion, anxiety
What organs have a major role is excretion of most meds
Kidneys and lungs
What drugs cause dry mouth
Anticholinergics, and antiemetics
What drug promotes gastroesophageal reflux
Beta blockers
What drug is associated with ulcer formation
Aspirin
What drugs alter absorption of nutrients
Alcohol and antacids
What drug promote constipation
Narcotics
What drug promotes diarrhea
Chemo drugs, antibiotics
What drugs promote hepatic damage
TB drugs and Tylenol
What drug causes excessive depression
Alcohol and narcotics
What drug causes dysrhythmias
Dilanta and cardiac glycosides
What drug causes damage to the kidneys
Antibiotics
Considering pharmokinesthetics in the other person, which of the following statements is true
Overall absorption is decreased
Which of the following factors would be the strongest in influence compliance in an older person on a fixed income
Cost of feeling prescription
When working with the interdisciplinary team to simplify residents medication regimen, the LPN should
Review our oral medications with the person who is ill in the family, and try to unify the prescriptions to one pharmacy
Chronopharmacology relates to
The correlation between ones circadian rhythm and medication effectiveness
Miss M. 82 lives at home alone, her daughter visit her once a day and helps her bathe, Miss M cooks her own meals and works in her home and yard. Which of the following Factors Could Place Miss M at risk of making a medication error
All of the above
Miss M’s daughter reports that she seems to take laxatives two or three times per day what effect would laxative abuse have on the other medications Miss M is taking
Decreased absorption owing to increased gut motility
Miss M seems to have difficult remembering whether or not she has taken her pill. Which of the following would be helpful to her
All of the above
What is grief
Normal reaction to a catastrophic loss
What are the 5 stages of grief
Denial Anger Bargaining Depression Acceptance
When a patient has depression,
He or she doesn’t want a lot of ppl around
What is the key to most situations
Communication
Name 3 qualities to develop before working with dying people
Motivation
Flexibility
Dependability
List 3 examples of imminent signs of death
Rapid weak pulse
Loss of hearing
Bladder and bowel incontinence
When a elderly client experiences TR, he or she will display symptoms such as
Involuntary muscle twitching or jerks
Palliative care is described as
The type of care that provides comfort and management of symptoms
What are the stages of grief in order
Denial Anger Bargaining Depression Acceptance
When speaking to an elderly dying patient, it is important to
Communicate clearly, possibly with a sense of humor in a manner that the patient will be able to hear what is being said
Four of the eight signs of imminent death are
Rapid weak pulse, profuse perspiration, loss of hearing and decline in the BP
What makes up our immune system
Lymphatic system
What is the purpose of the immune system
Protect the body from bacteria, fungi, etc
Name S/S of skin infection
Redness,swelling, pain, lesions, and discoloration
How often should you get Tdap
Every 10 years
How often should you get seasonal influenza
Once a year
How often should you get shingles shot
Once a lifetime
How often should you get pneumococcal shot
Every 5 years
What age of Americans get shingles
60 years or older
Can older people get STDs
YES
S/S of TB
Weight loss, fever, night sweats
S/S of West Nile Virus
Fever, chills, headache, aching bones
Mrs R is 80 yo and is in good health. On a recent visit her daughter noticed that her mother seems confused and has decreased energy. Mrs R may ave developed
UTI
The vaccination should be given annually to every resident in a long-term care facility
Influenza
Mr. Z is discussing his immunization history with the nurse. He mentions that at age 63 he received a pneumococcal vaccine when does Mr. Z need another dose of this vaccine
5 years after his 1st dose
You are admitting Miss J. 75 years old to your rehabilitation facility after her knee replacement surgery is part of the admission assessment you:
Ask her partner to leave the room before asking her questions about her sexual history
When discussing HIV/AIDS with an older adult, that person needs to understand:
HIV/AIDS is incurable and is considered a chronic disease
What is CVA
Cerebrovascular accident
3 rationales of ROS
- identify possible causes for present problems
- show an interaction between systems
- tie the past into the present problem
S/S of MI
Dizziness, weakness, abrupt confusion, fatigue, upper abdominal pain
Causes of CHF
Hypertension, heart valve calcification, arrhythmia, anemia
S/S of HTN
Constipation, drowsiness, depression, cough, dizziness
List 3 teaching for peripheral vascular disease
Keep legs elevated when sitting
Use cotton socks and properly fitting shoes
Avoid extreme temp changes
Is PD found more often in men or women
MEN
What shape of chest will patients with COPD have
Barrel chest
List 3 risk factors for osteoporosis
Smoking
Low body wt
High intake of caffeine
List 3 risk factors for Type II diabetes
Age 45 years or older
Overweight
Family history of Type II diabetes
S/S of hypothyroidism
Fatigue, memory loss, dry skin
Chronic health conditions differ from acute conditions in which of the following ways
Chronic conditions require active work by patient or family
A review of systems helps the nurse I need to find which of the following
Possible interaction among healthcare problems
When a person has a right sided stroke one way to ensure the patient’s continued attention to both sides of the body is to do which of the following
Observe the condition of the skin or mucous membranes on the affected side
A major concern with older adults who have chronic condition such as osteoarthritis it’s lack of activity. which of the following is an unwanted result of decreased activity
Deconditioning
An older person with a chronic condition such as HTN may not take prescribe medications routinely the main reason for this is which of the following
Lack of symptoms that indicate blood pressure is high
