Emergency Care 13th Edition Chapter 34 Flashcards

9381751034	Starting at about age ___, our organ systems lose about 1 percent of their function each year	30	0
9381751035	The maximum H/R ______ with age, and the physiological mechanisms that cause increases in the H/R are not as sensitive	Declines	1
9381751036	A geriatric patient with internal bleeding may not exhibit the increase in ____ that we would expect to accompany significant blood loss	H/R	2
9381751037	________ is a loss of brain function	Dementia	3
9381751038	The most common cause of dementia in the elderly is ________ disease, a chronic organic disorder	Alzheimer's	4
9381751039	Older patients are at increased risk for ________ due to a diminished gag reflex	Aspiration	5
9381751040	An older person is likely to complain of _______ rather than pain when having a heart attack	Weakness	6
9381751041	Consider an elderly patient oriented to time if they can tell you what _____ it is	Year	7
9381751042	__________ is replacing lost circumstances with imaginary ones	Confabulation	8
9381751043	Many older people have a ______ threshold for pain	High	9
9381751044	As people age, the systolic B/P has a tendency to _______	Increase	10
9381751045	NSAIDS such as ibuprofen and naproxen relieve pain, but also irritate the ____ ______ and can cause internal bleeding	GI Tract	11
9381751046	______-______ interactions can occur because of the older patient's inability to clear medications from the body as quickly as before	Drug-patient	12
9381751047	______-______ interactions are very common in this age group, especially as the number of meds goes up	Drug-Drug	13
9381751048	_______ ______ _______ is the chief complaint in the elderly experiencing an MI	Shortness of Breath	14
9381751049	_________ is when the intestine provides a sac where food can lodge and cause inflammation and infection	Diverticulitis	15
9381751050	________ is the virus that causes chicken pox and shingles	Varicella	16
9381751051	________ medications have significant side effects, including weakness and dizziness	Hypertension (Diastolic above 90 mmHg)	17
9381751052	A complaint of ______ ______ should be taken seriously as it is a sign of a AAA	Abdominal pain	18
9381751053	The "silent treatment" is considered ________ abuse	Psychological Abuse	19
9381751054	Elderly _____ are most successful at committing suicide	Males	20
9381756184	What is the 1 percent rule	At age 30 our organs systems lose about 1 percent of their function.	21
9381771720	Cardiovascular system changes of geriatric patients	degeneration of the valves and muscle degeneration of conduction system thickening and narrowing of coronary and systemic arteries	22
9381780131	respiratory system changes	decreased elasticity of lungs, decreased lung volume, diminished cough and gag reflex	23
9381789772	Digestive system changes	Decreased movement of intestinal tract, decreased secretion of stomach acids, changes in GI lining, increased risk of cancers, relaxation of sphincter.	24
9381815017	Reasons for difficulties in communicating with older patients	Changes in hearing, vision, working memory, and dentition, residual effects of stroke, dementia.	25
9381833007	Should 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
9381844594	HOW to communicate with elderly patients	communicate directly with the older patient rather than asking others about them. Don't use disrespectful terms. speak to the patient at eye level.	27
9381857068	Temperature regulation of geriatrics	older patients lose body heat quickly.	28
9381865714	Identifying priority patients	suspect serious conditions exist in elderly patients, even if symptoms are seemingly mild or vague.	29
9381872382	Medication considerations	Older patients take multiple medications	30
9381882174	what causes the majority of injuries in the neck and head to patients over 65?	Falls and motor-vehicle accidents	31
9381892209	common Pelvis and Extremities injuries in geriatrics	hip or proximal femur is commonly fractured in a fall, especially in women.	32
9381902522	spine immobilization difficulties in geriatrics	abnormal curvature that accompanies ageing	33
9381913962	Drug-patient interactions	older patients inability to clear medications from the body as quickly as before	34
9381920340	drug-drug interactions	when 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
9381929650	likely conditions that cause shortness of breath	emphysema, pulmonary edema, myocardial infarction	36
9381935861	likely conditions that cause chest pain	angina, myocardial infarction, pneumonia, and aortic aneurysm.	37
9381942290	common causes of altered mental status	medications, stroke, hypoglycemia, sepsis, hypothermia	38
9381952597	shingles	herpes zoster, patient experiences pain. includes a small rash with blisters over red skin appears in that area.	39
9381964504	concerns with falls	death may not be direct result of falls, but complications from the fall.	40
9381969409	Financial abuse	exploitation and misuse of an older patients belongings or money	41
9381977028	why do you establish a rapport with elderly patients	talking with the patient during transport can be therapeutic for the patient and enlightening for the EMT.	42