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33 Cards in this Set

  • Front
  • Back

Gerontology

Scientific Study of aging and problems of aged persons

Geriatric

Diagnoses and treatment of diseases common in aging

Geontological Nursing

Specialized area of nursing focusing on comprehensive care

pre elderly

55-64

Young old

65-74

Middle old

75-84

Old old

85+

Centenarian

100+

4 most common chronic health condition

HTN, Heart Dx, DM, Respiratory Disease

How many seniors will have at least one chronic health condition

80%

3 theories of aging

Biological, Psychological, Sociological

2 psychological theories of aging

Jungs, eriksons

Jungs theory of individualism

Extroversion to introversion

Gerotranscendence

Egoism to altruism- Cosmic

4 types of healthcare settings for elderly

Skilled nursing care, retirement communities, Adult day care, Rehab

Pharmacokinetics

What the body does to the drugs

Pharmacodynamics

What the drug does to the body

Increased body fat in older

Less water means more concentration of water soluble, more fat means longer effect of fat soluble

creatinine better in

young

BUN better in

elderly

best renal function

GFR

5 things that affect enzymes that are responsible for drugs

Herbs, foods, drugs, alcohol, nicotine

6 drug alerts

New drugs, CNS, Protein bound, Kidneys, 1st pass, Low therapeutic range

main thing a nurse can do to avoid polypharm

Assess for necessity

4 main medications that can hospitalize older adults

Hypoglycemics, insulin, coumadin, and antiplatlets

anticholinergic effects

mental mess up, constapation, urinary retintion, tachycardia

Table

22.2 338

table


22.3, 389

3 common drug interactions

coumadin vit. k, digoxin- fiber, sinemet- vitB

beers list

bad drugs for elderly

INAPPROPRIATE DRUG

Nitrofurantoin (pulmonary toxicity)

look at

appropriate and inappropriate chemical restraint

look at

Master