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Geriatrics-CH 45
Mosby's Paramedic Textbook 3ED-R
51
Health Care
Undergraduate 1
04/19/2012

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Cards

Term
What is gerontology
Definition
the study of the problems of all aspects of aging
Term
What organ systems are most affected by the aging process
Definition
respiratory, cardiovascular, renal, nervous and musculoskeletal
Term
Why does pulmonary capacity reduce with age?
Definition
muscles shrink, muscles and ligaments calcify decreasing thoracic compliance
Term
Why are pulmonary diseases more common in the elderly
Definition
loss of cilia in the airways and diminished cough reflex and impaired gag reflex
Term
How does age affect the cardiovascular system
Definition
diminished ability to raise the heart rate, decrease in compliance of the ventricle, prolonged duration of contraction and decreased responsiveness to catecholamine stimulation
Term
What are the most common dysrhythmias in the elderly
Definition
a-fib, sick sinus syndrome, bradycardia and heart blocks
Term
What makes an elderly patient more susceptible to problems with medications
Definition
decreasing kidney and liver function, loss of muscle mass and body water
Term
Why does motor or position sense and delays in reaction time and motor responses get affected with age
Definition
because the velocity of nerve conduction decreases
Term
what is kyphosis
Definition
its a result of osteoporosis resulting in a humpback posture
Term
What is a common cause of death in the elderly
Definition
falls
Term
What are signs and symptoms of cancer
Definition
change in bowel habits, rectal bleeding, malaise, fatigue, unusual weight loss
Term
Why can older patients suffer from silent MI'S
Definition
because pain may be diminished or absent
Term
what disease is often fatal in frail adults
Definition
pneumonia
Term
what is the most reliable indicators of bacterial pneumonia in the prehospital setting
Definition
tachycardia and tachypnea
Term
When do COPD exacerbations usually happen in the elderly
Definition
following an acute respiratory infection
Term
what is the most common formation site of PE
Definition
forms in the veins of the legs
Term
what is the hallmark sign for PE
Definition
unexplained tachycardia
Term
A lack of chest pain with MI's is common in this age group of people
Definition
>70 y/o
Term
What is the most common complaint in geriatric patients with MI's
Definition
dyspnea
Term
what is the first symptom of left-sided heart failure
Definition
fatigue
Term
What is heart failure
Definition
ventricular output cannot meet the metabolic demands of the body
Term
What is the most common cause of dysrhythmias in geriatric patients
Definition
HTN
Term
What is a common cause of abdominal and thoracic aneurysm
Definition
atherosclerotic disease
Term
What is the most common type of aneurysm
Definition
acute dissecting aortic aneurysm
Term
what BP is considered hypertensive
Definition
140/90
Term
Because of HTN, geriatric patients may complain of this
Definition
headache, forgetfulness, and general malaise
Term
What are S&S of COPD
Definition
extreme anxiety, cyanosis, wheezing and abnormal breath sounds

Extreme cases include paradoxical breathing, JVD, and dysrhythmias
Term
What are S&S for PE
Definition
Left ventricular failure with sudden tachypnea
Term
If the patient is having a stroke, what is the window for fibrolynic therapy
Definition
3 hours
Term
What makes a hospital a stroke center
Definition
they can provide treatment within 1 hr after arrival at the the ED
Term
This is an abrupt disorientation to time and place and usually includes illusions and hallucinations
Definition
Delirium
Term
What causes delirium
Definition
organic brain dysfunction
Term
what is encephalitis
Definition
swelling and irritation of the brain most commonly caused by infections
Term
This is a slow progressive loss of awareness of time and place
Definition
Dementia
Term
What is confabulation
Definition
Making up stories to fill memory gaps
Term
What is meant by a second childhood
Definition
It is the last stage in dementia in which the patient will need full time care like a child
Term
What is the key difference between delirium and dementia
Definition
delirium is sudden onset and dementia is slow onset
Term
This is a condition in which nerve cells in the cerebral cortex dies and the brain substance shrinks
Definition
Alzheimer's disease
Term
What is the most common form of dementia
Definition
Alzheimers disease
Term
This disease is caused by degeneration of damaged nerve cells in the basal ganglia
Definition
Parkinson's disease
Term
What are the S&S of Parkinsons disease
Definition
Muscle tremor (classic sign), stiffness and weakness
Term
What are the two most common endocrine disorders with the elderly
Definition
diabetes and thyroid disease
Term
This is a serious type II diabetic condition with a high mortality rate. The paramedic often finds the pt comatose
Definition
HHNK- Hyperglycemic hyperosmolar nonketotic coma
Term
What are sever complications from thyroid disease
Definition
thyroid storm and myxedema coma
Term
What is the most common complaint for a bowel obstruction
Definition
constipation, abdominal cramping and an inability to pass gas, vomiting of fecal matter
Term
what is continence
Definition
it is the ability to control bladder or bowel function
Term
Is incontinence normal or abnormal with age
Definition
abnormal
Term
Geriatric patient usually experiences bowl incontinence because of this medical condition
Definition
fecal impaction
Term
What is a decubitus ulcer
Definition
the often develop on the skin of patients who are bedridden or immobile
Term
where are common sites for ulcers
Definition
lower legs, back, and buttocks and over bony areas
Term
What do pressure ulcers result from
Definition
tissue hypoxia
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