NR 601 Week 2 Ham's Primary Care Geriatrics Exam with
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
verified detailed solutions
||\\//|| ||\\//|| ||\\//||
Terms in this set (107) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
What is atrial fibrillation? ||\\//|| ||\\//|| ||\\//||
An irregular heart rhythm where the atria beats irregularly.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What are the symptoms of atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Fatigue, palpitations, shortness of breath. Geriatric patients can present with frequent falls,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
delirium, or syncope. ||\\//|| ||\\//||
What is the classic case of atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The patient reports a sudden onset of heart palpitations described as feeling like "a fish is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
flopping my chest" or "drums are pounding in my chest," which is accompanied by feeling
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
weak, dizzy, and tachycardia. Patients may report dyspnea, chest pain, or feeling like passing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
out.
What will a physical exam reveal for a patient with atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Irregular rhythm, tachycardia, heart failure, or stroke. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,What are 4 diagnostic testing categories with examples for new onset of atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Labs: CBC, LFT, Electrolytes, Renal function, trops, TSH
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Radiography: CXR ||\\//||
Cardiac Studies: ECG, Echo, event monitor, EP studies ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Noncardiac Studies: Overnight oximetry, sleep study ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is the main goal of treatment for atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
prevent mobility and motility; the focus should be on reducing the risk of a stroke and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
minimizing symptoms related to heart rate and rhythm. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
An anticoagulation strategy is necessary for patients with atrial fibrillation to decrease the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
risk of stroke. True or False
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
True.
What tool is used to assess a patient's risk for stroke with atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
CHADS2Vac Score. ||\\//||
What are the 8 risks that are in the CHADS2Vac scoring?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C: congestive heart failure
||\\//|| ||\\//|| ||\\//||
H: hypertension
||\\//||
A: age >75
||\\//|| ||\\//||
D: diabetes
||\\//||
S: stroke or TIA hx
||\\//|| ||\\//|| ||\\//|| ||\\//||
, V: vascular disease
||\\//|| ||\\//||
A: age 65-74 years old
||\\//|| ||\\//|| ||\\//|| ||\\//||
Sc: sex (female)
||\\//|| ||\\//||
*everything is worth one point, except S, which is 2 points* ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What are the main medications for the long-term management of atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Beta-Blockers, CCB (diltiazem or verapamil). Less often, the patient may use amiodarone or ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
digoxin for rate control. ||\\//|| ||\\//|| ||\\//||
What are the main antiarrhythmics used for atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Amiodarone, flecainide, propafenone, sotalol, and dofetilide ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What are further treatment plans that can be done for atrial fibrillation after medication fail?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Cardioversion and pacemaker and ablation. ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is a normal BP? ||\\//|| ||\\//|| ||\\//|| ||\\//||
<120/<80
What is a elevated BP? ||\\//|| ||\\//|| ||\\//|| ||\\//||
120-129/<80
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
verified detailed solutions
||\\//|| ||\\//|| ||\\//||
Terms in this set (107) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Original
What is atrial fibrillation? ||\\//|| ||\\//|| ||\\//||
An irregular heart rhythm where the atria beats irregularly.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What are the symptoms of atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Fatigue, palpitations, shortness of breath. Geriatric patients can present with frequent falls,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
delirium, or syncope. ||\\//|| ||\\//||
What is the classic case of atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
The patient reports a sudden onset of heart palpitations described as feeling like "a fish is
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
flopping my chest" or "drums are pounding in my chest," which is accompanied by feeling
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
weak, dizzy, and tachycardia. Patients may report dyspnea, chest pain, or feeling like passing
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
out.
What will a physical exam reveal for a patient with atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Irregular rhythm, tachycardia, heart failure, or stroke. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
,What are 4 diagnostic testing categories with examples for new onset of atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Labs: CBC, LFT, Electrolytes, Renal function, trops, TSH
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Radiography: CXR ||\\//||
Cardiac Studies: ECG, Echo, event monitor, EP studies ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Noncardiac Studies: Overnight oximetry, sleep study ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is the main goal of treatment for atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
prevent mobility and motility; the focus should be on reducing the risk of a stroke and
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
minimizing symptoms related to heart rate and rhythm. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
An anticoagulation strategy is necessary for patients with atrial fibrillation to decrease the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
risk of stroke. True or False
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
True.
What tool is used to assess a patient's risk for stroke with atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
CHADS2Vac Score. ||\\//||
What are the 8 risks that are in the CHADS2Vac scoring?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
C: congestive heart failure
||\\//|| ||\\//|| ||\\//||
H: hypertension
||\\//||
A: age >75
||\\//|| ||\\//||
D: diabetes
||\\//||
S: stroke or TIA hx
||\\//|| ||\\//|| ||\\//|| ||\\//||
, V: vascular disease
||\\//|| ||\\//||
A: age 65-74 years old
||\\//|| ||\\//|| ||\\//|| ||\\//||
Sc: sex (female)
||\\//|| ||\\//||
*everything is worth one point, except S, which is 2 points* ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What are the main medications for the long-term management of atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Beta-Blockers, CCB (diltiazem or verapamil). Less often, the patient may use amiodarone or ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
digoxin for rate control. ||\\//|| ||\\//|| ||\\//||
What are the main antiarrhythmics used for atrial fibrillation?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Amiodarone, flecainide, propafenone, sotalol, and dofetilide ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
What are further treatment plans that can be done for atrial fibrillation after medication fail?
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Cardioversion and pacemaker and ablation. ||\\//|| ||\\//|| ||\\//|| ||\\//||
What is a normal BP? ||\\//|| ||\\//|| ||\\//|| ||\\//||
<120/<80
What is a elevated BP? ||\\//|| ||\\//|| ||\\//|| ||\\//||
120-129/<80
