Geriatric- Increased or Decreased Flashcards
Afterload
Increases
SBP
Increases
Left ventricle size
Increases
Lung residual volume
Increases
Ventilation/perfusion mismatch
Increases
Closing capacity and closing volume
Increases
FRC
Slight increase
Dead space
Increases
Vd/Vt ratio
** Increases
Gastric pH
Increases
Heat loss
Increases
BUN
Gradually increases 0.2 mg/dL/year
Threshold for touch, temperature, pain
Increases
Threshold for proprioception, hearing, vision
Increases
Cephalad spread of epidural anesthetic
Increases
Recovery time from GA
Increases
Incidence of confusion, delirium and cognitive distruptions
Increases
Body fat
Increases
MAC
MAC decreases 4% per decade after age 40
Total body water
Decreases
Adrenergic activity
Decreases
Heart rate: resting and maximum
Decreases
Baroreceptor response
Decreases
Peak ejection fraction
Decreases
Elasticity of lung and arteries
Decreases
Alveolar surface area
Decreases
Cough
Decreases
Response to hypercapnia and hypoxia
Blunted/decreased
Max breathing capacity
Decreases
Vital capacity
Decreases
Total lung capacity
Decreases
Gastric emptying
Slows
Heat production
Decreases
Basal metabolic rate
Decreases
Renal blood flow
Decreases
GFR
Decreases
Renal mass
Decreases
Sodium handling
Decreases
Concentration and dilution by kidneys
Decreases
Drug excretion by kidneys
Decreases
RAAS response
Decreases
Potassium excretion by the kidneys
Decreases
Muscle mass
Decreases
Ability of kidneys to reabsorb glucose
Decreases
Cerebral blood flow
Decreases
Brain mass
Decreases
Peripheral nerve conduction/reflexes
Decreases
Dose for LA and general anesthetic agents
Decreases
Skin thickness
Decreases
Doses for barbs, opioids, benzos
Decreases
Plasma proteins
No change
EXCEPT:
- albumin decreases
- alpha 1-glycoprotein increases