Intro

Question 1

What percent of those costs are incurred in the last 60 days?

Answer 1

50%`

Question 2

What are some physiologic changes that affect adverse drug reactions?

Answer 2

Lower serum albumin levels, diminished renal function

Changes in CNS

Question 3

What do B-blockers and CCBs do?

Answer 3

Decrease HR and have negative inotropic effects

Question 4

What must be done at every geriatrics visit?

Answer 4

Geriatric assessment

Question 5

genetic factors contribute ___ and environmental factors contribute __ on the human lifespan?

Answer 5

1/3, 2/3

Question 6

What cell counts stay the same?

Answer 6

Granulocytes/lymphocytes/platelets

Question 7

Do liver test results change?

Answer 7

No if they are abnormal the do indicate liver pathology

Question 8

What are the risk factors for Adverse drug reactions?

Answer 8

Increasing age 
Woman
Small body size
Duration of therapy
Non-compliance
Underlying disease states

Question 9

What do diuretics affect?

Answer 9

Increase risk of orthostatic hypotension

Question 10

issues w/ the oral cavity lead to what?

Answer 10

increased risk of malnutrition

Question 11

What are the lab values that increase w/ aging?

Answer 11

ESR
Alkaline phosphate
AUTOANTIBODIES

Question 12

What happenss to the PaO2?

Answer 12

Decreases

Question 13

What kind of hematopoietic stem cell decline?

Answer 13

Fewer stem cells, but normal platelet count

Question 14

Cardiac filling and preload are __ resulting in __ symptoms due to increased wall thickness and decrease in HR response to stress. Increased ___ from ___ and increased pulmonary vascular resistance.

Answer 14

Decreased, CHF, afterload, atherosclerosis

Question 15

What lab values do not chang?

Answer 15

PH, PaCO2, LFTs, thyroid function, coat tests, platelets

Question 16

What happens to the GFR?

Answer 16

It deacreases

Question 17

How do vaccines affect the body diffferently?

Answer 17

There’s a decline in the antibody response, and it takes longer for them to work

Question 18

MC chronic diseases

Answer 18

diabetes, arthritis, kidney and bladder problements, demntia, parkinson’s, glaucoma, lung disease, cataracts

Question 19

What happens to t and b lymphocytes?

Answer 19

The numbers are unchanged, but they lose functional capacity and activity of t lymphocytes specifically

Question 20

What test should be used for mediation dosage adjustments?

Answer 20

GFR

Question 21

What is the #1 cause of mortality in adults over 65?

Answer 21

Heart disease

Question 22

How to prevent adverse drug reactions?

Answer 22

Use the least number of drugs possible in the lowest effective dose possible

Question 23

adults 65+ had the __ rate of acohol related deaths

Answer 23

highest

Question 24

What is the best way to assess renal function in the elderly?

Answer 24

Creatinine clearance >1.5 mg/dL

Question 25

What ca a failing RAAS cause?

Answer 25

Increased Na excretion and K retention

Question 26

what are the common body changes?

Answer 26

1. decreased lean body mass
2. decreased water content
3. increased fat per unit

Question 27

What are two factors that contribute to the rate of aging?

Answer 27

Genetic and environmental

Question 28

What percent of Medicare costs are incurred in last year of life?

Answer 28

25%

Question 29

What are the lab values that decrease w/ age?

Answer 29

PaO2
Albumin
Vit. B-12

Question 30

What er the 2 environmental factors that affect lifespan?

Answer 30

Sedentary lifestyle

Increased caloric intake