Geriatric- Increased or Decreased Flashcards

1
Q

Afterload

A

Increases

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2
Q

SBP

A

Increases

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3
Q

Left ventricle size

A

Increases

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4
Q

Lung residual volume

A

Increases

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5
Q

Ventilation/perfusion mismatch

A

Increases

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6
Q

Closing capacity and closing volume

A

Increases

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7
Q

FRC

A

Slight increase

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8
Q

Dead space

A

Increases

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9
Q

Vd/Vt ratio

A

** Increases

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10
Q

Gastric pH

A

Increases

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11
Q

Heat loss

A

Increases

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12
Q

BUN

A

Gradually increases 0.2 mg/dL/year

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13
Q

Threshold for touch, temperature, pain

A

Increases

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14
Q

Threshold for proprioception, hearing, vision

A

Increases

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15
Q

Cephalad spread of epidural anesthetic

A

Increases

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16
Q

Recovery time from GA

A

Increases

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17
Q

Incidence of confusion, delirium and cognitive distruptions

A

Increases

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18
Q

Body fat

A

Increases

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19
Q

MAC

A

MAC decreases 4% per decade after age 40

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20
Q

Total body water

A

Decreases

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21
Q

Adrenergic activity

A

Decreases

22
Q

Heart rate: resting and maximum

A

Decreases

23
Q

Baroreceptor response

A

Decreases

24
Q

Peak ejection fraction

A

Decreases

25
Q

Elasticity of lung and arteries

A

Decreases

26
Q

Alveolar surface area

A

Decreases

27
Q

Cough

A

Decreases

28
Q

Response to hypercapnia and hypoxia

A

Blunted/decreased

29
Q

Max breathing capacity

A

Decreases

30
Q

Vital capacity

A

Decreases

31
Q

Total lung capacity

A

Decreases

32
Q

Gastric emptying

A

Slows

33
Q

Heat production

A

Decreases

34
Q

Basal metabolic rate

A

Decreases

35
Q

Renal blood flow

A

Decreases

36
Q

GFR

A

Decreases

37
Q

Renal mass

A

Decreases

38
Q

Sodium handling

A

Decreases

39
Q

Concentration and dilution by kidneys

A

Decreases

40
Q

Drug excretion by kidneys

A

Decreases

41
Q

RAAS response

A

Decreases

42
Q

Potassium excretion by the kidneys

A

Decreases

43
Q

Muscle mass

A

Decreases

44
Q

Ability of kidneys to reabsorb glucose

A

Decreases

45
Q

Cerebral blood flow

A

Decreases

46
Q

Brain mass

A

Decreases

47
Q

Peripheral nerve conduction/reflexes

A

Decreases

48
Q

Dose for LA and general anesthetic agents

A

Decreases

49
Q

Skin thickness

A

Decreases

50
Q

Doses for barbs, opioids, benzos

A

Decreases

51
Q

Plasma proteins

A

No change
EXCEPT:
- albumin decreases
- alpha 1-glycoprotein increases