Geriatrics Flashcards
1
Q
Ix falls
A
- Timed up and go
- Turn 180
- FBC, B12, folate, U+E, glucose
- ECG
2
Q
Hyperactive delirium
A
- Inappropriate behaviour
- Hallucinations or agitation
- Aggression
- Restlessness, wantering
- Delusions
3
Q
Hypoactive delirium
A
- Lethargy
- Reduced concentration
- Reduced appetite
- Excessive sleeping
- Motor retardation
4
Q
Ix delirium
A
- Urine dip
- Bloods
- Septic screen
- ECG
- CXR
5
Q
General delirium
A
- Rapid = hours to days
- Fluctuating = sundowning
- Reversible in days-weeks
- Immediate recall impaired
6
Q
Osteoporosis aetiology
A
- Steroids
- Hyperthyroid
- Alcohol and smoking
- Testosterone decreased
- Early menopause
- Renal or liver failure
- Erosive bone diseases
- Dietary calcium insufficiency
7
Q
Mx OP
A
- stop smoking
- Ca and Vit D
- Weight bearing exercise
- Bisphosphonates
- Denusomab
- HRT
8
Q
Grading pressure ulcers
A
0 = skin hyperaemia
1 = non-blanching erythema
2 = broken skin or blistering
3 = ulcer to subcut fat
4 = ulcer down to bone, joint or tendon
9
Q
Delirium screen
A
- Urinalysis
- Sputum culture
- FBC
- Folate and B12
- U+E
- HbA1c
- Calcium
- LFTs
- Inflammatory markers
- Drug levels
- TFTs
- CXR
- ECG
10
Q
DSM V delirium (4)
A
- acute onset and fluctuating course
- inattention
- disorganised thinking
- altered levels of consciousness
11
Q
score used to screen for pressure ulcer risk
A
- waterlow score
12
Q
what is the score used to stop medications
A
STOPP
