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Questions and Answers

Which form om hypertension is the most common in elderly population

  • Isolated systolic hypertension (correct)
  • Isolated diastolic hypertension
  • Orthostatic hypertension
  • Secondary hypertension

An acute state of confusion, which is relatively short and reversible is named

  • Dementia
  • Deliriant state (correct)
  • State of anxious hopelessness
  • Disorientation

Decubities are parts of picture of

  • Decubity syndrome
  • Immobilization syndrome (correct)
  • Hyperventilation syndrome
  • Orthostatic syndrome

Ageism means

<p>Discrimination of seniors in the society (B)</p> Signup and view all the answers

Sleeping disorders in the elderly

<p>Include hypersomnia (B)</p> Signup and view all the answers

Insomnia is

<p>Introgenous, is associated with taking some medicine (C)</p> Signup and view all the answers

Which are the most favourable antihypertensive drugs in the elderly

<p>Calcium antagonists (B)</p> Signup and view all the answers

Hypertension crisis in the old age is a serious issue in which

<p>BP has to be reduced, not necessarily brought to the normal (B)</p> Signup and view all the answers

3rd Degree AV Block in elderly should be treated by

<p>Implantation of cardio stimulator (D)</p> Signup and view all the answers

Which tools are used to assess mental state of geriatric patient

<p>MMSE (B)</p> Signup and view all the answers

Geriatrics main task as branch of medicine is to

<p>Provide diagnostics and treatments of acute reversible illnesses with focus on restoring and retaining independence (C)</p> Signup and view all the answers

We refer to a geriatric patient as one at the age of

<p>65 and higher (A)</p> Signup and view all the answers

Immune system of a geriatric patient is characterized by

<p>Immune deficit due to malnutrition (C)</p> Signup and view all the answers

Changes in the blood circulation system of a geriatric patient are characterized by

<p>Worsening left ventricle flexuosity (D)</p> Signup and view all the answers

Typical feature of geriatric patients illness development is

<p>Absence of claudicational or anginous pain in patients with osteoarhrosis of lower limbs (B)</p> Signup and view all the answers

Pharmacotherapy of geriatric patients is characterized by

<p>Incidence of poly-pragma (A)</p> Signup and view all the answers

Immobilization syndrome is associated with

<p>Hyperventilation and developing pneumonia (B)</p> Signup and view all the answers

Risk factors of immobility do NOT include

<p>Uroinfection (B)</p> Signup and view all the answers

The highest pre-operation risk in the elderly is represented by

<p>Operation on big arteries (C)</p> Signup and view all the answers

Prior to planned surgical operation it is not necessary to stop administering

<p>LMWH / low weight molecular heparin (D)</p> Signup and view all the answers

Flashcards

What is common hypertension in the elderly?

Isolated systolic hypertension is the most common type of hypertension in the elderly. It means the top number (systolic pressure) is high, but the bottom number (diastolic pressure) is normal.

What is another name for acute confusional state?

Acute confusional state, also known as delirium, is a sudden and temporary change in mental state. It can be caused by various factors, including infections, medications, dehydration, and alcohol withdrawal.

What are pressure sores also known as?

Pressure sores or decubitus ulcers are skin sores that develop due to prolonged pressure on a specific area of the body, often caused by immobility.

What is discrimination based on age called?

Ageism is a form of prejudice or discrimination based on a person's age.

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What sleep disorder is common among the elderly?

Insomnia is a common sleep disorder in the elderly, characterized by difficulty falling asleep, staying asleep, or both.

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What are two preferred antihypertensive drugs for older adults?

Thiazide diuretics and ACE inhibitors are commonly prescribed antihypertensive drugs for older adults due to their lower risk of side effects.

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What is a serious condition with extremely high blood pressure in older adults?

Hypertensive crisis is a serious condition in older adults characterized by extremely high blood pressure that needs immediate medical attention to prevent organ damage.

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What device can help elderly patients with third-degree AV block?

A pacemaker is a device that helps regulate a slow heart rate, often required for elderly individuals with third-degree AV block, a condition in which the heart's electrical signals aren't transmitted properly.

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What are two tools used to assess the mental state of geriatric patients?

Tools like the Mini-Mental State Examination (MMSE) and the Clock Drawing Test assess the cognitive abilities of geriatric patients, helping to detect potential cognitive decline or dementia.

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What is the branch of medicine that focuses on the health of elderly people?

Geriatrics is the branch of medicine specifically dedicated to the health and well-being of older adults. It involves the diagnosis, treatment, and prevention of diseases and health conditions unique to this age group.

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What age is generally considered to be part of the geriatric population?

A geriatric patient is generally considered to be 65 years of age or older. This age group experiences unique health challenges and requires tailored medical care.

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What is the decline of the immune system in the elderly called?

Immunosenescence is the gradual decline of the immune system's function with age. This makes elderly individuals more prone to infections and slower recovery times.

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What are some changes in blood circulation in elderly individuals?

Blood circulation changes in the elderly include reduced cardiac output, higher blood pressure, and decreased elasticity of blood vessels, making them more susceptible to cardiovascular diseases.

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How does illness development differ in older adults compared to younger adults?

Older patients often experience milder symptoms of illnesses, even with serious conditions, and are more likely to have multiple co-existing health issues, making diagnosis and treatment more complex.

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What special considerations are needed when giving medications to elderly patients?

Pharmacotherapy in the elderly needs careful consideration because drug metabolism and excretion are slower, increasing the risk of side effects and drug interactions.

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What is a complex condition associated with a lack of movement?

Immobilization syndrome is a complex condition that occurs due to prolonged inactivity and encompasses various physiological and psychological consequences, including muscle weakness, bone loss, respiratory problems, and depression.

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What is the highest pre-operative risk in elderly patients?

Cardiovascular complications represent the highest risk for elderly patients undergoing surgery due to age-related changes in their heart and blood vessels.

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Study Notes

Hypertension in the Elderly

  • Isolated systolic hypertension is most common in the elderly population.

Acute Confusional State

  • Acute confusional state, short and reversible, is also known as delirium.

Decubitus Ulcers

  • Decubitus ulcers (pressure sores) are a common complication of immobility.

Ageism

  • Ageism is prejudice or discrimination based on age.

Sleep Disorders in the Elderly

  • Insomnia is a common sleep disorder among the elderly.

Insomnia

  • Insomnia is characterized by difficulty falling asleep, staying asleep, or both.

Antihypertensive Drugs for the Elderly

  • Thiazide diuretics and ACE inhibitors are often preferred antihypertensive drugs for older adults.

Hypertensive Crisis in the Elderly

  • Hypertensive crisis in older adults is a serious condition requiring immediate medical attention, potentially leading to organ damage.

Third-Degree AV Block Treatment

  • Third-degree AV block in elderly patients often requires a pacemaker.

Assessing Mental State in Geriatric Patients

  • Tools like the Mini-Mental State Examination (MMSE) and the Clock Drawing Test are used to assess the mental state of geriatric patients.

Geriatrics

  • Geriatrics focuses on the health and well-being of older adults.

Definition of Geriatric Patient

  • A geriatric patient is generally considered to be 65 years or older.

Immune System Changes in Geriatric Patients

  • The immune system of elderly individuals is characterized by immunosenescence, leading to decreased immune function and increased susceptibility to infection.

Blood Circulation Changes in Geriatric Patients

  • Changes in the circulatory system of geriatric patients include decreased cardiac output, increased blood pressure, and reduced elasticity of blood vessels.

Illness Development in Geriatric Patients

  • Illness development in older patients may be atypical, with less dramatic symptoms, and multiple medical problems are commonly present.

Pharmacotherapy in Geriatric Patients

  • Pharmacotherapy in the elderly requires careful consideration of drug metabolism, excretion, and potential drug interactions due to age-related physiological changes and polypharmacy.

Immobilization Syndrome

  • Immobilization syndrome is associated with a cascade of physiological and psychological consequences.

Risk Factors of Immobility (Exclusion)

  • The provided text does not specify what factors are not risk factors for immobility.

Highest Pre-Operative Risk in the Elderly

  • Cardiovascular complications represent the highest pre-operative risk in elderly patients undergoing surgery.

Medications Not to Stop Before Surgery

  • The provided text does not specify which medications should not be stopped before surgery.

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