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NUR720 FNP Review > Geriatric > Flashcards

Geriatric Flashcards

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Family Nurse Practitioner (FNP) flashcards
1
Q

Advanced Activities of Daily Living (AADLs)

A 
Complex measures if functional status; 
Working 
Volunteering
Social Activities 
Recreational activities 
Connection with peers and community
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2
Q

Instrumental Activities of Daily Living (IADLs)

A

Activities that contribute to independent functioning: SHAFT
Shopping
housekeeping (cooking, laundry, vacuuming…) and health maintenance activities (medical appointments, medications, ect.)
Accounting
Food preparation
Transportation

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3
Q

Activities of Daily Living (ADLs)

A 
Basic Self care activities: DEATH 
Dressing 
Eating (self-feeding)
Ambulating
Transferring and toileting 
Hygiene
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4
Q

Examples of functional assessment tools

A

Katz ADL scale, Barthel index, Kenny Self-care scale, IADL scale, timed manual performance, performance test ADL, Framingham Disability Scale, Lawton scale

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5
Q

Protein needed/ day

A

at least 0.8g/kg/day

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6
Q

Diseases to consider calcium

A

certain cancers, nephrolithiasis, hyperparathyroidism

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7
Q

BMI values

A

Underweight= - 30%

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8
Q

Medications that increase appetite

A

Antidepressants, tranquilizers, beta adregnergic agents, narcoleptics, hormones, steroids

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9
Q

normal albumin level

A

3.5-5. Less than 3.5% indicates protein malnutrition

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10
Q

normal pre albumin level

A

normal 16-35

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11
Q

normal transferrin level

A

normal >200 (a plasma protein that transports iron through the blood to liver, spleen, and bone marrow. tested to determine cause of anemia, to examine iron metabolism, , and to determine iron capacity of the blood.

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12
Q

Total lymphocyte count normal value

A

normal 1200-1800

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13
Q

medications that may interfere with libido

A

pharmacotherapy for hypertension (especially beta blockers)

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14
Q

Phosphodiesterase inhibitors and other sexual enhancement options

A

Sildenafil (viagra), vardenafil (Levitra), Tadalafil (cialis), Avanafil (stendra), testosterone replacement, and lubrication options

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15
Q

Fever with infection in older adults

A

50% of older adults present without fever

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16
Q

definition of pharmacokinetics

A

Study of how the body interacts with drugs, including absorption, distribution, metabolism, and excretion

17
Q

antacid direction

A

take antacids 1 hour before or 4 hours after other medications

18
Q

pharmacodynamics definition

A

study of how drugs interact with the body

19
Q

Common CNS adverse reactions seen in the elderly

A

sedation, memory loss, dizziness, depression and confusion

20
Q

Common adverse anticholinergic effects seen with the elderly

A

Blurred vision, urinary retention, consultation, dry mouth

21
Q

Drugs causing CNS adverse effects

A

Benzodiazepines, antipsychotics, beta-blockers, steroids, CIMETIDINE, narcotics, diuretics

22
Q

Drugs with Anticholinergic adverse effects

A

Cholingergic agonists, tricyclic antidepressants, antipsychotics

23
Q

drugs with adverse effects on balance and movement

A

Neuroleptics, metronidazole, phenytoin, aspirin, aminoglycosides, furosemide, beta-blockers, vasodilators, metoclopromide

24
Q

drugs with adverse effects on bone and supporting structures

A

steroids, heparin, lithium

25
Q

Cimetidine complicates for polypharmacy

A

Inhibts CYO450 in the liver, prolonging the effects of others drugs in the body

26
Q

Decongestants complications in polypharmacy

A

antagonizes the activity of hypertensives; are anticholinergic

27
Q

Non-Steroidal anti-inflammatory drugs complications

A

decreases renal blood flow, further reducing elimination of many drugs

28
Q

Niacin complications on polypharmacy

A

May exacerbate the effect on hypertensives

29
Q

Antacids complications on polypharmacy

A

May absorb other oral agents, reducing their absorbance across the gut wall

30
Q

Laxative effects on polypharmacy

A

May chelate other drugs so they cannot be absorbed, may increase gut motility, may reduce the absorbance of some drugs

31
Q

Calcium effects on polypharmacy

A

may decrease the absorption of thyroid hormones, tetracyclines, and others

NUR720 FNP Review (24 decks)

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