Geriatrics Flashcards

1
Q

Ageism actions

A

calling them sweetie or honey
directing questions at family member rather than patient
routine delivery of care for all patients over a specific age instead of applying clinical decision making

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2
Q

Number of __ units decrease so each one must innervate a larger number of muscle fibers resulting in motor unit hypertrophy.

A

motor

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3
Q

Increase in ___ mass. Infiltration of this is a predictor of mobility restriction.

A

fat

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4
Q

Adults begin to experience decrease in bone mass in

A

40s and 50s

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5
Q

Type __ fibers are denervated

A

IIb

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6
Q

___% decline in strength per decade especially during sixth and seventh.

A

10

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7
Q

Decreased ___ of muscular contraction.

A

velocity

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8
Q

Decreased ability to

A

perform forceful and alternating movement

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9
Q

Decreased skeletal bone mass after ___ decade.

A

fourth

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10
Q

Decrease in

A

brain size

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11
Q

Decrease in nerve

A

conduction velocity which results in overall decrease in central processing.

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12
Q

Decrease in processing times that affect

A

nociceptors and other peripheral receptors

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13
Q

Decreased sense of

A

pain, joint proprioception and coordination, decreased somatosensory input, impaired balance reactions and reflexes and increased gait instability.

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14
Q

Decreased __ density in heart.

A

myocyte

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15
Q

Decreased ___ node pacemaker cells.

A

SA

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16
Q

Increased cardiac ___.

A

afterload

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17
Q

Decreased sensitivity to ___-____ stimulation.

A

beta-adrenergic

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18
Q

Increased ____ and ____ of heart valves.

A

calcification and fibrosis

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19
Q

Increased ___ tone leading to increased SBP.

A

vascular

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20
Q

Decreased arterial ___ and ____.

A

elasticity and compliance

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21
Q

Decreased ___ muscle strength.

A

inspiratory

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22
Q

Decreased ___ (respiratory value)

A

FEV1

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23
Q

Increased ___ volume following maximal expiration.

A

residual

24
Q

As VC decreases, RV ___. TLC stays the same.

A

increases

25
Q

What do you need to consider with thermal modalities?

A

monitor tolerance

26
Q

Present with blunted

A

fever response

27
Q

Exhibit higher blood ___ levels secondary to reduction n number and function of beta cells in pancreas as well as an increase to peripheral resistance to insulin.

A

glucose levels

28
Q

Decreased __ and __ sensations.

A

taste and smell

29
Q

Sensation associated with the need to urinate is often

A

delayed or nonexistent in older adults.

30
Q

Medical conditions such as ___ and __ result in detrusor muscle instability which leads to overactive bladder.

A

alzheimers
parkinsons

31
Q

Presbycusis

A

progressive hearing loss beginning in 4th decade

32
Q

Visual impairment starts…
and is associated with

A

75 years old
falls, depression, functional decline

33
Q

How to help visual impairment issues?

A

use contrasting colors to highlight edge of steps, thresholds, transition areas

remove throw rugs

use diffuse lighting

allow for extra time when transitioning from bright to dark and vice versa

maintain clear hallways and rooms

have hand rails, preferrably two

34
Q

Episodic memory

A

personally experienced events

35
Q

Semantic memory

A

knowledge of facts

36
Q

procedural memory

A

performance of skills

37
Q

What memory is affected to a greater degree?

A

episodic

38
Q

What type of attention is is lost?

A

divided
ability to dual task

39
Q

General intelligence begins to decline when

A

50s and 70s

40
Q

Crystallized intelligence

A

accumulation of knowledge and skills

41
Q

is crystallized intelligence maintained?

A

yes and can even improve

42
Q

Fluid intelligence

A

speed and ability to reason and problem solve

43
Q

how is fluid intelligence impacted?

A

declines

44
Q

MCI does not infer that individual will progress to

A

dementia

45
Q

Delirium

A

memory, orientation and arousal may all be affected
commonly experienced with hospitalization, post-surgically, during course of untreated medical condition or side effect of certain meds

46
Q

Pharmacokinetics

A

study of what happens to the drug once in body
absorption, distribution, metabolism, excretion

47
Q

Metabolism

A

component of drug clearance in liver

48
Q

Excretion system

A

kidneys

49
Q

Pharmacodynamics

A

study of how a drug exerts therapeutic effects on body at cellular or organ level.

50
Q

Polypharmacy two forms

A

rational
irrational

51
Q

Rational polypharmacy

A

multiple meds to treat multiple medical issues or to treat a single issue where each drug works together to control symptoms.

52
Q

Irrational polypharmacy

A

excessive or duplicate or contraindicated meds are prescribed to treat a medical condition.

53
Q

Two most common forms of medication related problems

A

non-adherence
adverse drug reaction

54
Q

Adverse drug reactions

A

n/v
diarrhea
constipation
nervousness
drowsiness
confusion
delirium
depression
tachycardia
orthostatic hypotension
falls
weakness
dyskinesia

55
Q

Three drugs responsible for 1/3 of all ER visits

A

digoxin, warfarin, insulin