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Health and Healing II - Older Adults > Ventilation > Flashcards

Ventilation Flashcards

1
Q

WATSON says:

A

Ventilation of feelings is just as important as oxygen and blood supply

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2
Q

Isolated systolic BP

A

systolic above 140, diastolic below 90

High risk = Inflamed variscocities

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3
Q

Etiology -> Cardiovascular

A
  • Arterial wall thickening + stiffening
  • Decreased compliance
  • left-side hypertrophy
  • Sclerosis of M and A valves
  • Strong art pulse, weak peripheral
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4
Q

At rest CV

A

No change in hr or CO

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5
Q

Under stress/exercise CV

A

Decrease maximal hr and co
Fatigue, SOB
Slow recovery from tachycardia

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6
Q

Cardiovascular disease

A
  • Disease effecting circ. system
  • Leading cause of death
  • 2nd most cause of disability
  • Primary LTC diagnosis
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7
Q

`Hypertension

A
  • 2 separate occasions
  • Most common risk for CVD
  • Higher risk for CVD
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8
Q

Modifiable risk factors CV

A
  • Tobacco use
  • Excessive alcohol use
  • Sedentary
  • Stress + anger mismanagement
  • high Na and fat
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9
Q

Coronary Heart disease

A
  • Blockage of vessels that supply the heart (arteriosclerosis)
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10
Q

Silent myocardial infarction

A
  • Mild discomfort
  • localized to back
  • heartburn
  • nausea
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11
Q

Heart failure

A
  • Disease of heart muscle, malfunction, inability to pump enough blood
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12
Q

Changes in pulmonary system - Etiology

A
  • Decrease resp muscle strength, stiffer chest and reduced compliance
  • Diminished ciliary and macrophage activity, drier mucous memb, diminished cough reflex
  • Decrease response to hypoxia and hypercapnia
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13
Q

With exertion Pulm.

A

Dyspnea, decreased activity tolerance

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14
Q

Respiratory rate

A

12-24 bpm

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15
Q

Respiratory disorders

A

Infectious: Obstructive/restrictive
Acute
Chronic

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16
Q

COPD

A

Asthma, bronchitis, emphysema

- Affect airflow

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17
Q

Acute episode of COPD

A
  • Sig, worsened dyspnea

- Increased volume/change colour sputum

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18
Q

TB infection vs disease

A

Infection: Positive skin test, no evidence of disease\
Disease: Positive acid-fast smear, radiographic/clinical presentation

19
Q

Self-report

A

Person verbally (or written) responds to direct questions

20
Q

Report-by-proxy

A

Info obtained indirectly

  • used for impaired cognition
  • Tend to underestimate abilities and health
21
Q

Observation

A

Nurse collects observed data

  • Accurate
  • ONLY SNAPSHOT
22
Q

When should you collect data?

A

Pt is at best if possible

23
Q

What does social history include?

A

Living, economic resources, support, food

24
Q

FANSCAPES

A 
Fluids
Aeration
Nutrition
Communication
Activity
Pain
elimination
socialization
25
Q

Functional assessment

A

More broad
- Specific changes/ services needed
IADL’s and ADL’s

26
Q

IADL vs ADL

A

IADL is instrumental, things to lie independently. (shopping, cleaning etc)
More difficult tasks

27
Q

Barthel Index

A

Measures amount of physical assistance needed to help with ADL’s

28
Q

FIM

A

Functional Independence measure

29
Q

Assessment for delerium/dementia

A

Mini-cog

30
Q

Mocha

A

Mild cognition impairment- dementia, alzheimers etc.

31
Q

Environmental assessments are especially important for…

A

Those with cog. impairments, immobility, vision/hearing impairments, fall risks

32
Q

SPICES

A 
Sleep disorders
Problems eating
Incontinence
Confusion
Evidence of falls
** Integrated assessments
33
Q

Comorbid

A

disease of another pathological process that occurs simultaneously with another

34
Q

Signs of heart failure

A

Dyspnea, making up in the night gasping, lower extremities swelling

35
Q

Interventions for Heart failure

A

Relief of symptoms, improve quality of life, reduce mortality and morbidity
- Stop/slow progression with aggressive medication

36
Q

Obstructive

A

Prevent airflow out because of obstruction or narrowing

37
Q

Restrictive

A

Decrease in total lung capacity because of limited expansion

38
Q

Emphysema

A

Little sputum, appear pink

39
Q

Bronchitis

A

Lots of sputum, cyanosis

40
Q

asthma

A

SOB and wheezing

41
Q

Pneumonia

A
  • Mistaken for COPD
  • High risk due to age related changes
  • Lower resp. infection, inflamed tissue
  • Vaccine or effective treatment
42
Q

What is TB

A
  • communicable disease caused by mycobacterium tuberculosis
  • can be reactivated with immunocompribility
  • REPORTABLE
43
Q

Influenza

A
  • # 1 DEATHS over 65
  • Vaccine best defense
  • Early detection

Health and Healing II - Older Adults (17 decks)

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