Lesson 5 Flashcards
geriatrics 3 categories
medical
social
psychological
cardiovascular aging changes
arteriosclerosis weakens heart function
conduction system weakens
ACS presentation/clots
respiratory aging changes
chest wall stiffens
reaction to hypoxia slows
defence mechanisms becomes less effective
urinary aging changes
filtering surface decreases
retention complications
harder to control fluid levels
GI aging changes
loss of taste/appetite
less gastric motility
decreased ability to metabolize drugs
endocrine aging changes
diabetes
musculoskeletal aging changes
brittle bones
less flexible joints
muscles atrophy
nervous sytem aging changes
memory loss
loss of vision, taste, hearing and smell
sense of body position
integumentary aging changes
thinner skin, drier less elastic
higher risk of infection
homeostatic aging changes
decreased thirst
temp and glucose regulation is impaired
psychiatric
depression in 6%
misdiagnosed dementia
toxicology and the elderly
change in liver function
increased body fat and decreased water levels
________ and ________ can lead to accidental overdose
vision and memory changes
T/F medications can interact so more meds increase risk of something going wrong
T
most common abused drug in the elderly
alcohol
changes in body composition means ________ elimination of alcohol
slower
__% of fall related deaths are elderly
75
half of all traumatic deaths involve ________
hypothermia
post fall syndrome
inability to walk without support
traumatic falls intrinsic causes
previous injuries chronic illness muscle weakness balance issues poor vision fear of falling postural hypotension
second leading cause of accidental death
MVC’s
head trauma
intracranial bleeding
chest trauma
rib fractures and flail chest
abdominal trauma
liver injury
orthopaedic trauma
hip fracture is the most common
GEMS
geriatric patients
environmental
medical assessment
social assessment
T/F temperature doesn’t matter to much to the elderly
F! presence body temp
traumatic falls extrinsic causes
poor stair design
dim lighting
tripping hazards
prehospital care for elderly
preserve body temp!