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33 Cards in this Set
- Front
- Back
Gerontology |
Scientific Study of aging and problems of aged persons |
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Geriatric |
Diagnoses and treatment of diseases common in aging |
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Geontological Nursing |
Specialized area of nursing focusing on comprehensive care |
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pre elderly |
55-64 |
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Young old |
65-74 |
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Middle old |
75-84 |
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Old old |
85+ |
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Centenarian |
100+ |
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4 most common chronic health condition |
HTN, Heart Dx, DM, Respiratory Disease |
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How many seniors will have at least one chronic health condition |
80% |
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3 theories of aging |
Biological, Psychological, Sociological |
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2 psychological theories of aging |
Jungs, eriksons |
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Jungs theory of individualism |
Extroversion to introversion |
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Gerotranscendence |
Egoism to altruism- Cosmic |
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4 types of healthcare settings for elderly |
Skilled nursing care, retirement communities, Adult day care, Rehab |
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Pharmacokinetics |
What the body does to the drugs |
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Pharmacodynamics |
What the drug does to the body |
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Increased body fat in older |
Less water means more concentration of water soluble, more fat means longer effect of fat soluble |
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creatinine better in |
young
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BUN better in |
elderly |
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best renal function |
GFR
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5 things that affect enzymes that are responsible for drugs |
Herbs, foods, drugs, alcohol, nicotine |
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6 drug alerts |
New drugs, CNS, Protein bound, Kidneys, 1st pass, Low therapeutic range |
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main thing a nurse can do to avoid polypharm |
Assess for necessity |
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4 main medications that can hospitalize older adults |
Hypoglycemics, insulin, coumadin, and antiplatlets |
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anticholinergic effects |
mental mess up, constapation, urinary retintion, tachycardia |
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Table |
22.2 338 |
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table |
22.3, 389 |
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3 common drug interactions |
coumadin vit. k, digoxin- fiber, sinemet- vitB |
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beers list |
bad drugs for elderly |
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INAPPROPRIATE DRUG |
Nitrofurantoin (pulmonary toxicity)
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|
look at |
appropriate and inappropriate chemical restraint |
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look at |
Master |