Gero Flashcards

1
Q

Gero -

increased or decreased sense of touch?

A

decreased

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2
Q

Gero -

increased or decreased pain tolerance?

A

increased

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3
Q

Gero -

typical change to fever response?

A

blunted or absent

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4
Q

Gero -

typical change to DTRs?

A

diminished

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5
Q

Gero -

typical change to speed of cognitive processing?

A

slowed

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6
Q

Gero -

Change to taste and thirst perception?

A

decreased

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7
Q

What are common causes of constipation in the elder adult? (5)

A
lack of fiber
lack of exercise
poor dentition
dehydration
impaired defecation signal
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8
Q

What affect does aging have on absorption and metabolism of drugs?

A

both are decreased

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9
Q

Gero -

what is the change to total lung capacity (TLC)? and what is the related physiology?

A

TLC remains constant BUT…

VITAL CAPACITY decreases (that which can be forcibly exhaled) …because…

RESIDUAL VOLUME increases (air remaining after forced exhalation)

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10
Q

Is the cough reflex affected by aging?

A

yes, it diminishes

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11
Q

Living in a LTC facility increases chance of pneumonia by how much?

A

30% risk in a two year period

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12
Q

What picture might the gero patient present with in pneumonia?

A

classic symptoms might be absent

watch for:
change in LOC or confusion
anorexia
generalized weakness

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13
Q

What are the top two differentials in a gero patient who presents with recent onset of confusion or LOC change?

A

UTI

pneumonia

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14
Q

What blood pressure changes are expected in the elderly?

A

blood pressure typically increases with age due to physiologic changes of aging

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15
Q

Hypertension puts the patient at risk for:

A

MI
CVA
CHF related to LVH
Renal failure

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16
Q

What is immunosenescence?

A

theory that says the immune system diminishes with age

17
Q

what is the impact of aging from a functional immune perspective?

A

increased susceptibility to infection
poor wound healing
exacerbation of chronic disease
waning of antibody response (vaccine implication)