Terms in this set (164)
True
True or false? Although the
mechanism of injury may be similar
to those for the younger population,
data shows increased mortality with
similar severity of injury in older
adults.
aging is characterized by impaired adaptive and homeostatic mechanisms
that caused an increased susceptibility to the stress of injury. Insults
In the elderly population, what is tolerated by the younger population can lead to devastating results in
decreased physiological reserve? elderly patients.
cirrhosis, coagulopathy, COPD, ischemic heart disease, DM
Pre-existing conditions that affect
morbidity and mortality include:
Fall. Nonfatal falls are common in women and fractures are common in
What is the most common mechanism women who fall. Falls are the most common cause of TBI.
of injury in the elderly?
advanced age, physical impairment, history of previous fall, medication
In the elderly population, what are use, dementia, unsteady gait, and visual, cognitive impairment
risk factors for falls?
, Older people drive on more familiar roads and at lower speeds and tend to
Most of elderly traffic fatalities occur drive during the day. Older people have slower reaction time, a larger blind
in the daytime and on weekends and spot, limited cervical mobility, decreased hearing, and cognitive
typically involve other vehicles. impairment.
Why?
True
True or False? Mortality associated
with small to moderate sized burns in
older adults remains high
this is true
Spilled hot liquids on the leg, which
in younger patients may re-
epithelialize due to an adequate
number of hair follicles, will result in
a full thickness burn in older patients.
bag mask ventilation, as it improves mask fitting.
Airway-patients may have dentures
that may loosen or obstruct the
airway. If dentures are not obstructing
the airway, leave them in place for
what?
20-40%
When preforming rapid sequence
intubation, the dose of benzos,
barbiturates, and other sedatives
should be reduced to what percentage
to minimize the risk of cardiovascular
depression?
, this results in lack of classic response to hypovolemia, risk for cardiac
ischemia, elevated BP at baseline, and increased risk of dysrythmias.
Functional changes in cardiac system
include declining function, decreased
sensitivity to catecholamines,
atherosclerosis of coronary vessels,
increased afterload, fixed heart rate
(beta blockers)
thus they are at increased risk for respiratory failure, increased risk for
Functional changes in pulmonary pneumonia, and poor tolerance to rib fractures
system include decreased elastic
recoil, reduced residual capacity,
decreased gas exchange and
decreased cough reflex
resulting in drug dosing for renal insufficiency, decreased ability to
concentrate urine, increased risk for AKI and urine flow may be normal
Functional changes in renal system with hypovolemia
include loss of renal mass, decreased
GFR, and decreased sensitivity to
ADH and aldosterone
resulting in increased risk for fractures, decreased mobility, difficulty for
oral intubation, risk of skin injury, increased risk for hypothermia,
challenges in rehabiliation
Functional changes to MSK include
loss of lean body mass, osteoporosis,
changes in joints and cartilage, c
spine degenerative changes and loss
of skin elastin and subcutaneous fat
, resulting in occult hypothyroidism, relative hypercortisone states and
Functional changes in Endocrine increased risk of infection
system include decreased production
and response to thyroxin and
decreased dehydroepiandrosterone
(DHEA)
true
True or false: Arthritis can complicate
the airway and cervical spine. Patients
can have multilevel degenerative
changes affecting disk spaces and
posterior elements associated with
severe central canal stenosis, cord
compression, and myelomalacia
respiratory failure may present insidiously in older adults.
In elderly population, due to their
changes in pulmonary system, placing
a gauze between gums and cheek to
achieve seal when using bag valve
mask ventilation is okay. In addition,
because aging causes a suppressed
heart rate response to hypoxia......
True
True or false? Although the
mechanism of injury may be similar
to those for the younger population,
data shows increased mortality with
similar severity of injury in older
adults.
aging is characterized by impaired adaptive and homeostatic mechanisms
that caused an increased susceptibility to the stress of injury. Insults
In the elderly population, what is tolerated by the younger population can lead to devastating results in
decreased physiological reserve? elderly patients.
cirrhosis, coagulopathy, COPD, ischemic heart disease, DM
Pre-existing conditions that affect
morbidity and mortality include:
Fall. Nonfatal falls are common in women and fractures are common in
What is the most common mechanism women who fall. Falls are the most common cause of TBI.
of injury in the elderly?
advanced age, physical impairment, history of previous fall, medication
In the elderly population, what are use, dementia, unsteady gait, and visual, cognitive impairment
risk factors for falls?
, Older people drive on more familiar roads and at lower speeds and tend to
Most of elderly traffic fatalities occur drive during the day. Older people have slower reaction time, a larger blind
in the daytime and on weekends and spot, limited cervical mobility, decreased hearing, and cognitive
typically involve other vehicles. impairment.
Why?
True
True or False? Mortality associated
with small to moderate sized burns in
older adults remains high
this is true
Spilled hot liquids on the leg, which
in younger patients may re-
epithelialize due to an adequate
number of hair follicles, will result in
a full thickness burn in older patients.
bag mask ventilation, as it improves mask fitting.
Airway-patients may have dentures
that may loosen or obstruct the
airway. If dentures are not obstructing
the airway, leave them in place for
what?
20-40%
When preforming rapid sequence
intubation, the dose of benzos,
barbiturates, and other sedatives
should be reduced to what percentage
to minimize the risk of cardiovascular
depression?
, this results in lack of classic response to hypovolemia, risk for cardiac
ischemia, elevated BP at baseline, and increased risk of dysrythmias.
Functional changes in cardiac system
include declining function, decreased
sensitivity to catecholamines,
atherosclerosis of coronary vessels,
increased afterload, fixed heart rate
(beta blockers)
thus they are at increased risk for respiratory failure, increased risk for
Functional changes in pulmonary pneumonia, and poor tolerance to rib fractures
system include decreased elastic
recoil, reduced residual capacity,
decreased gas exchange and
decreased cough reflex
resulting in drug dosing for renal insufficiency, decreased ability to
concentrate urine, increased risk for AKI and urine flow may be normal
Functional changes in renal system with hypovolemia
include loss of renal mass, decreased
GFR, and decreased sensitivity to
ADH and aldosterone
resulting in increased risk for fractures, decreased mobility, difficulty for
oral intubation, risk of skin injury, increased risk for hypothermia,
challenges in rehabiliation
Functional changes to MSK include
loss of lean body mass, osteoporosis,
changes in joints and cartilage, c
spine degenerative changes and loss
of skin elastin and subcutaneous fat
, resulting in occult hypothyroidism, relative hypercortisone states and
Functional changes in Endocrine increased risk of infection
system include decreased production
and response to thyroxin and
decreased dehydroepiandrosterone
(DHEA)
true
True or false: Arthritis can complicate
the airway and cervical spine. Patients
can have multilevel degenerative
changes affecting disk spaces and
posterior elements associated with
severe central canal stenosis, cord
compression, and myelomalacia
respiratory failure may present insidiously in older adults.
In elderly population, due to their
changes in pulmonary system, placing
a gauze between gums and cheek to
achieve seal when using bag valve
mask ventilation is okay. In addition,
because aging causes a suppressed
heart rate response to hypoxia......
