100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
FRAIL ELDER MIDTERM EXAM QUESTIONS AND ANSWERS 100% CORRECTLY VERIFIED GRADED A++ $10.49   Add to cart

Exam (elaborations)

FRAIL ELDER MIDTERM EXAM QUESTIONS AND ANSWERS 100% CORRECTLY VERIFIED GRADED A++

 4 views  0 purchase
  • Course
  • Institution

FRAIL ELDER MIDTERM EXAM QUESTIONS AND ANSWERS 100% CORRECTLY VERIFIED GRADED A++ The ability of an organism to maintain optimal internal environment in face of physiologic stress, the process in which the body maintains internal equilibrium homeostasis narrowing of reserve capacity, the chanc...

[Show more]

Preview 3 out of 23  pages

  • September 25, 2024
  • 23
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
avatar-seller
FRAIL ELDER MIDTERM EXAM QUESTIONS AND

ANSWERS 100% CORRECTLY VERIFIED GRADED A++


The ability of an organism to maintain optimal internal environment in face of physiologic stress, the

process in which the body maintains internal equilibrium


homeostasis


narrowing of reserve capacity, the chance of developing some diseases increases with age, the normal

decline the the body's functional reserves


homeostenosis


the limit beyond which homeostasis cannot be restored


physiologic limit


describe the structural changes of the heart normally seen with aging


^ LV wall thickness, decreased LV chamber size, aortic valve/mitral annulus calcification


describe normal cellular changes of the heart with aging


decrease in number of cardiomyocytes, increased myocyte size, increased apoptosis, lipid deposits,

fibrosis, thickening of arterial intima


what are normal molecular changes seen in the heart with aging


altered ca2 handling, decreased beta-adrenergic responsiveness


what are normal functional changes seen in the heart with aging

,increased after load, diastolic dysfunction, decreased contractility and maximum heart rate


the HRmax decreases progressively by about ___ BPM/year


1


SVxHR=


CO


what is the clinically measured index of contractility


ejection fraction


what are changes with aging that effects blood pressure


hypertension (systolic), predisposed to hypotension, baroreflex decreases with age, arterial stiffening,

decline of cerebral autoregulation


what are SX of dehydration


AMS, lethargy, syncope, weakness


what are causes of dehydration


poor intake, DM, diarrhea, CKD, febrile illness, vomiting, diuretics


what does the physical exam of dehydration show


decreased skin turgor, dry MM, orthostatic hypotension


what does lab work show with dehydration


^ HCT, BUN/cr ratio (normally 10:1)


what is the treatment for dehydration

, Unless patient in shock, safely correct 2-3 days, Oral rehydration if possible, Isotonic saline, Monitor labs

and PE


what is orthostatic hypotension associated with


dizziness, presyncope, syncope, falls, stroke, MI


Fall in systolic BP of >20mm Hg OR Diastolic drop of >10mm Hg


orthostatic hypotension


what are differential diagnoses of orthostatic hypotension


Common: Medications such as diuretics, anticholinergics, nitrates, antihypertensives, anti-Parkinsonian,

Dehydration, Blood loss/anemia, Hypokalemia, Bed rest/deconditioning, Malnutrition, Less common:

aortic stenosisSevere venous insufficiencyParkinson's DiseaseDiabetic autonomic

neuropathyIdiopathicPerhaps more w/ tall thin elderly men


how do you assess for orthostatic hypotension


Measure BP and HR after 10 min of rest in supine position AND 1 AND 3 minutes after standing


what is the treatment for orthostatic hypotension


medication adjustment, liberalize salt and fluid intake, rise slowly, florin or midodrine in refractory cases


what are consequences of frailty symptoms


weight loss, weakness, fatigue, inactivity, decreased food intake, social withdrawal, sarcopenia,

balance/gait abnormalities, de-conditioning, decreased bone mass


decline in muscle mass associated with aging


sarcopenia

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller NurseAdvocate. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling

Recently viewed by you


$10.49
  • (0)
  Add to cart