EMT Chapter 35 Flashcards
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Questions and Answers

What does the patient's acute onset of altered mental status suggest?

  • Sleep deprivation
  • General confusion
  • Delirious behavior (correct)
  • Memory loss
  • What is a specific legal document that directs relatives and caregivers regarding the medical treatment for patients who cannot speak for themselves called?

    advance directive

    What should the EMT suspect in a bedridden patient who presents with altered mental status?

  • Fatigue
  • Systemic infection (correct)
  • Dehydration
  • Dementia
  • What is an abdominal aortic aneurysm often the result of?

    <p>hypertension and atherosclerosis</p> Signup and view all the answers

    What should you attempt to differentiate in older patients due to their complex complaints?

    <p>chronic and acute problems</p> Signup and view all the answers

    What is the most likely reason for rising medication levels in the elderly?

    <p>Renal insufficiency</p> Signup and view all the answers

    What is clouding of the lenses of the eyes called?

    <p>cataracts</p> Signup and view all the answers

    Which of the following is NOT a common cause of depression in the elderly?

    <p>An acute onset of dementia</p> Signup and view all the answers

    What results from a decrease in the number of functional cilia in the respiratory system during aging?

    <p>a decreased ability to cough</p> Signup and view all the answers

    Why are older patients more prone to a decrease in blood pressure upon standing?

    <p>the body is less able to adapt the BP to rapid postural changes</p> Signup and view all the answers

    Poor maintenance of home, poor personal care, and dietary neglect are all possible indicators of ____________ elder abuse.

    <p>physical</p> Signup and view all the answers

    What does sedentary behavior while healing from a hip fracture predispose an older patient to?

    <p>pneumonia</p> Signup and view all the answers

    What can talking about an elderly patient in front of them lead to?

    <p>Feeling excluded</p> Signup and view all the answers

    What symptoms are associated with left-sided heart failure in geriatric patients?

    <p>Tachypnea and paroxysmal nocturnal dyspnea</p> Signup and view all the answers

    What is the leading cause of death in geriatric patients?

    <p>heart disease</p> Signup and view all the answers

    What is the stooped posture of older individuals called?

    <p>kyphosis</p> Signup and view all the answers

    What should you do to minimize distractions when assessing an older patient?

    <p>have only one EMT speak to the patient at a time</p> Signup and view all the answers

    What might the EMT need to do when immobilizing a patient with a kyphotic spine?

    <p>place blankets behind the patient's head</p> Signup and view all the answers

    Which observation represents the 'E' in the GEMS diamond?

    <p>The patient's residence is cold due to a malfunctioning heater.</p> Signup and view all the answers

    What clinical presentation is consistent with hyperosmolar hyperglycemic nonketotic syndrome?

    <p>high blood glucose, intense thirst, frequent urination, dizziness</p> Signup and view all the answers

    Study Notes

    Patient Assessment

    • Altered mental status in elderly patients can indicate a new health problem, such as delirium.
    • Common signs of distress in older adults include pale, cold skin and rapid, shallow respirations, often suggesting systemic infections.
    • Advance directives guide medical treatment for patients who cannot communicate their wishes.

    Aging and Health Risks

    • Abdominal aortic aneurysms often result from hypertension and atherosclerosis, emphasizing the need for regular monitoring.
    • Elderly individuals may experience renal insufficiency, leading to elevated medication levels and potential toxicity.

    Common Conditions and Symptoms

    • Cataracts refer to the clouding of eye lenses, a frequent condition in older adults.
    • Physical signs of elder abuse may include poor home maintenance and personal care neglect.

    Impacts of Aging

    • The elderly have a decreased ability to cough due to fewer functional cilia in the respiratory system.
    • Blood pressure regulation upon standing declines with age, increasing the risk of orthostatic hypotension.

    Psychological Health

    • Depression in older adults has various causes, excluding an acute onset of dementia.
    • Family discussions about an elderly patient should be conducted sensitively to avoid feelings of exclusion.

    Heart and Lung Conditions

    • Left-sided heart failure in elderly patients can manifest as tachypnea and paroxysmal nocturnal dyspnea.
    • Heart disease is the leading cause of death in the geriatric population.

    Physical Changes

    • Kyphosis is characterized by a stooped posture, resulting in a humpback appearance.

    Patient Interaction

    • To reduce confusion, communication with elderly patients should occur one-on-one.
    • When immobilizing a patient with kyphosis, additional support like blankets may be necessary to ensure comfort and stability.

    Environmental Considerations

    • Observing the patient’s living conditions, such as cold environments due to heating issues, is essential in assessing overall health.

    Diabetes Complications

    • Symptoms such as intense thirst, frequent urination, and confusion with high blood sugar may indicate hyperosmolar hyperglycemic nonketotic syndrome in patients with type 2 diabetes.

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    Test your knowledge on EMT concepts with these flashcards from Chapter 35. Focused on patient assessment and recognition of acute health issues, this quiz will help reinforce critical thinking skills necessary for EMT professionals. Perfect for studying and reviewing essential terms and definitions in emergency medical training.

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