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NUR 321 Health Promotion II Exam 2

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NUR 321 Health Promotion II Exam 2

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  • June 2, 2024
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  • 2023/2024
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NUR 321 Health Promotion II Exam 2
6 Ps of a circulation assessment - ANS-1. Pain
2. Pulse
3. Pallor
4. Paresthesia
5. Paralysis
6. Poikiolothermia

Ace Inhibitors - ANS-Prevent the conversion of Angiotensin I to Angiotensin II
Side effects: Dry cough, orthostatic hypotension

Afib - ANS-atrial fibrillation
Atria quivers randomly
Risk for blood pools and can form clots
Often treated with blood thinner

Aging changes in cardiovascular system - ANS--Aorta dilates
-Heart valves stiffen
-Loss of arterial elasticity
-Veins thicken and lose elasticity
-Myocardial hypertrophy
-Arteriosclerosis
-Atherosclerosis
-Left ventricular wall thickens
-Myocardial musculature less efficient
-decrease in pacemaker cells

Aging changes in cartilage - ANS-Decrease in:
-cartilage
-lubricating fluid
-elasticity
-flexibility
-ROM

Aging changes in muscles - ANS--Muscle tension and mass decrease
-Muscle size decreases
-Number of muscle fibers decrease
-Sarcopenia

, -Lower extremity muscles atrophy earlier
-Tire more quickly and take longer to recover

Aging changes of the GI system - ANS--Tongue atrophies
-Xerostomia
-Saliva production decreases
-Swallowing increasingly difficult
-changes to teeth/gums
-weakening of espohageal sphincter
-diminished gastric motility with decereased stomach emptying times
-Decreased stomach elasticity
-diminished capacity of the gastric mucosa to resist damage
-decrease in intestinal absorpiton and blood flow
-pancreas decreases in size
-Liver size and blood flow decreased
-decrease thirst and hunger
-decreased mucosal immune function

Aging Changes on Musculoskeletal System - ANS--Bones become stiff, weak, brittle,
pourous
-Lose 1-2cm every decade in height bc the vertebral column shortens and discs thin
-Erosion of hyaline cartilage
-Kyphosis (hunchback)- Shorter trunk, long extremities, forward bent hips with bent
knees

Aging impact on nutrition - ANS-Reduced need for caloric intake
Decrease in lean body mass in relation to adipose tissue
Burn calories less quickly and efficiently
Metabolic rate declines
activity level decreases
Quality of quantity of calories

Angina - ANS-Imbalance between oxygen supply and demand

Angiontensin II agonsists: - ANS-Block aldosterone producing effects of angiotensin II
Given to patients that can not tolerate ACEs
Side effects: Dizziness, hypotension, fatigue

Arterial disease - ANS-Systemic atherosclerosis
Partial or total arterial occlusion

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