Cms Age Related Vs. Path Associations

Front 1

reach higer initial conc.

water soluble drug

Back 1

digoxin

Front 2

loading dose is less

water soluble

Back 2

aminoglycoside(gentamiacin)

Front 3

thyroid hormone, digoxin, warfarin, phenytoin

are all examples of

Back 3

protein bound drugs

Front 4

leads to decreased first pass metabolism and decreased rate of biotransofrat of some drugs

Back 4

reduced hepatic mass and reduced hepatic blood flow

Front 5

are distributed less wideley

Back 5

water soluble

Front 6

are distributed more wideley

Back 6

fat soluble

Front 7

leads to decreased renal eliminated of drugs and metabolies

Back 7

reduced renal flow

low gfr

reduced elimination

decreased secreation function

Front 8

sicca think which disease

Back 8

sjorgens syndrome

Front 9

droopy eyelids fat pads herniate, ectropion, entropin(lid inversion), as a result tear duct may be damaged leading to

Back 9

keratoncinjt sicca

Front 10

thickening and flatteing of cornea

Back 10

astigmatism

Front 11

anterior chamber volme decreases

Back 11

glaucoma

Front 12

vitrious humor loses water and accumulates

affecting vision

Back 12

floaters

Front 13

with lens issues in older ppl

protein changes increase densita opacit and yellowing

causing these 2 problems

Back 13

cataracts and presbyopia

Front 14

difficulty accommoadatig to near vision

Back 14

presbyopia

Front 15

leading cause of viosn loss in americans 60+

Back 15

macular degeneration

Front 16

less common of the 2, but responisble for the greatest loss of vision in elderly pts

Back 16

wet(exudative/neovascularization

Front 17

affects ppl over 75+

leading cause of vision loss in the world

Back 17

cataracts

Front 18

accounts for 30% acute hearing loss

Back 18

cerumen impaction

Front 19

bilateral symmetrical high frequency hearing loss

Back 19

presbycusus

Front 20

secondary to loss of hair cells in organ of corti

Back 20

presbycusus

Front 21

consantsn more difficult than vowels

Back 21

presbycusus

Front 22

decreased cough reflex

what's more likely?

Back 22

aspiration

Front 23

decreased bronchocilliary activitiy =

Back 23

pneumonia

Front 24

what happens to total lung capacity?

Back 24

unchangeced

Front 25

with respiratoy, complaints of this must be taken seroiously b/c as older may not develp this sympomt in late stage of illness

Back 25

dyspnea

Front 26

consider this when elderyl presetn with new syoms of wheezing or cough

Back 26

gerd

Front 27

with respiratoy

2 most common causes of death

Back 27

pneoo

influenza

Front 28

causes altered wave forms, incread aortic pulse wave

Back 28

aortic stiff

Front 29

increase systemic arterial pressure

decrease in diastolic pressure

Back 29

increase ulse pressure

Front 30

useful hemoydnyami indicator of vasucl stiffness

Back 30

pulse pressure

Front 31

max heart rate with exercise

increases or decresase?

Back 31

decreases

Front 32

this predisposes to Afib

Back 32

decreased early diasotlic filling

Front 33

decread early diastolic filling rate predisposes to

Back 33

afib

Front 34

clinical implicaito of ORTHOSTATIC hypotension

Back 34

falls

Front 35

most common abnormality

Back 35

ekg changes

Front 36

most common abnormaly on ekg in elderly

associted with drugs like digi, diruect or other anti arryhmti

Back 36

non st changes

Front 37

this drug class have a warning about qt interventral

Back 37

fq

Front 38

complaints are patholgic until proven otherwise

Back 38

esophagus as insigan changes

Front 39

swallowing disorders more comomon due to increased

Back 39

dementia

Front 40

seropositive evidence THIS is common,which leads to thinking of gastric mucosa and decrese in gastric acid production

Back 40

h pylori

Front 41

secondary to the increased use of nsaids and the increased prevalance of h pyloria infeciton

Back 41

PUD

Front 42

severe atrophic gastritis can result in diminsed product on intrisnt factor by y parietls cells

of this

Back 42

vit b12 malasproitnts

Front 43

no change in transit time or absort capacity

si vs li

Back 43

si

Front 44

slowing of transit time, results in constipation

si vs. li

Back 44

li

Front 45

solid vs liquid

food empytyin appears to be unaccted by age,

Back 45

solid

Front 46

solid vs liquid

food empytimy may be somewhat delay

Back 46

liquid

Front 47

assosicted with impaird phyisc activ, altered dieat and meticat

Back 47

constipated

Front 48

most common ab surgery in the eldery

Back 48

gall blader surgery

Front 49

with renal changes

prone to which type of natremia especially with

Back 49

hyponatremia with diuretics

Front 50

is incontinenc normal or not normal?

Back 50

not normal

Front 51

this leads to decreased complex learning and intellecutual performance

Back 51

frontal lobe atrophy

Front 52

WHAT MAY return in nervous system

Back 52

primitive reflexes

Front 53

with aging false postive with this test

Back 53

rpr

Front 54

this makes elarder more prone to dehyrdation

Back 54

shrking pituatiry

Front 55

is characterized by dry skin, pruritus, and crackling skin

Back 55

xerosis

Front 56

flattening of the dermo epiderm jx=

Back 56

decubits ulcers

Front 57

aka pressure sores

Back 57

decutbits ulcers

Front 58

decubits ulcers commonly occurs over

Back 58

BONY prominces

sacrusm, heeals, anks, isch, greater trocange

Front 59

which decubitsi ulcers?

stage

non blanchage erythema of an intact skin(reversible)

Back 59

1

Front 60

which decubitsi ulcers?stage

partial thinkc skin loss inovling the dermi or epiders, suprficial ulcer prsend asn abrasion blister or shallow crater(reversibe

Back 60

2

Front 61

which decubitsi ulcers?stage

full thicknesss skin loss, the subcuatinos tissue is visible in the wound

subcuant is damge or necorsi

Back 61

3

Front 62

which decubitsi ulcers?stage

fascia of underlying tissue is intact

Back 62

3

Front 63

which decubitsi ulcers?stage

full thinkc loss with eded in tou bbone or muscle

Back 63

4

Front 64

which 2 stages of decubit ulcers are reversible

Back 64

1 and 2