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Emergency Care 13th Edition Chapter 34 Flashcards

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9381751034Starting at about age ___, our organ systems lose about 1 percent of their function each year300
9381751035The maximum H/R ______ with age, and the physiological mechanisms that cause increases in the H/R are not as sensitiveDeclines1
9381751036A geriatric patient with internal bleeding may not exhibit the increase in ____ that we would expect to accompany significant blood lossH/R2
9381751037________ is a loss of brain functionDementia3
9381751038The most common cause of dementia in the elderly is ________ disease, a chronic organic disorderAlzheimer's4
9381751039Older patients are at increased risk for ________ due to a diminished gag reflexAspiration5
9381751040An older person is likely to complain of _______ rather than pain when having a heart attackWeakness6
9381751041Consider an elderly patient oriented to time if they can tell you what _____ it isYear7
9381751042__________ is replacing lost circumstances with imaginary onesConfabulation8
9381751043Many older people have a ______ threshold for painHigh9
9381751044As people age, the systolic B/P has a tendency to _______Increase10
9381751045NSAIDS such as ibuprofen and naproxen relieve pain, but also irritate the ____ ______ and can cause internal bleedingGI Tract11
9381751046______-______ interactions can occur because of the older patient's inability to clear medications from the body as quickly as beforeDrug-patient12
9381751047______-______ interactions are very common in this age group, especially as the number of meds goes upDrug-Drug13
9381751048_______ ______ _______ is the chief complaint in the elderly experiencing an MIShortness of Breath14
9381751049_________ is when the intestine provides a sac where food can lodge and cause inflammation and infectionDiverticulitis15
9381751050________ is the virus that causes chicken pox and shinglesVaricella16
9381751051________ medications have significant side effects, including weakness and dizzinessHypertension (Diastolic above 90 mmHg)17
9381751052A complaint of ______ ______ should be taken seriously as it is a sign of a AAAAbdominal pain18
9381751053The "silent treatment" is considered ________ abusePsychological Abuse19
9381751054Elderly _____ are most successful at committing suicideMales20
9381756184What is the 1 percent ruleAt age 30 our organs systems lose about 1 percent of their function.21
9381771720Cardiovascular system changes of geriatric patientsdegeneration of the valves and muscle degeneration of conduction system thickening and narrowing of coronary and systemic arteries22
9381780131respiratory system changesdecreased elasticity of lungs, decreased lung volume, diminished cough and gag reflex23
9381789772Digestive system changesDecreased movement of intestinal tract, decreased secretion of stomach acids, changes in GI lining, increased risk of cancers, relaxation of sphincter.24
9381815017Reasons for difficulties in communicating with older patientsChanges in hearing, vision, working memory, and dentition, residual effects of stroke, dementia.25
9381833007Should you assume geriatrics have chronic conditions when presenting altered mental status?NO, suspect that an altered mental status may be the result of the present illness or injury.26
9381844594HOW to communicate with elderly patientscommunicate directly with the older patient rather than asking others about them. Don't use disrespectful terms. speak to the patient at eye level.27
9381857068Temperature regulation of geriatricsolder patients lose body heat quickly.28
9381865714Identifying priority patientssuspect serious conditions exist in elderly patients, even if symptoms are seemingly mild or vague.29
9381872382Medication considerationsOlder patients take multiple medications30
9381882174what causes the majority of injuries in the neck and head to patients over 65?Falls and motor-vehicle accidents31
9381892209common Pelvis and Extremities injuries in geriatricship or proximal femur is commonly fractured in a fall, especially in women.32
9381902522spine immobilization difficulties in geriatricsabnormal curvature that accompanies ageing33
9381913962Drug-patient interactionsolder patients inability to clear medications from the body as quickly as before34
9381920340drug-drug interactionswhen two drugs interact. one may block or reduce the effect of the other, or one may increase the effects of the other. outcome can be life threatening.35
9381929650likely conditions that cause shortness of breathemphysema, pulmonary edema, myocardial infarction36
9381935861likely conditions that cause chest painangina, myocardial infarction, pneumonia, and aortic aneurysm.37
9381942290common causes of altered mental statusmedications, stroke, hypoglycemia, sepsis, hypothermia38
9381952597shinglesherpes zoster, patient experiences pain. includes a small rash with blisters over red skin appears in that area.39
9381964504concerns with fallsdeath may not be direct result of falls, but complications from the fall.40
9381969409Financial abuseexploitation and misuse of an older patients belongings or money41
9381977028why do you establish a rapport with elderly patientstalking with the patient during transport can be therapeutic for the patient and enlightening for the EMT.42

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