Notes in 41 Geriatrics

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Published 12/13/2023 Aging decreases chest wall compliance, which can be seen on a CXR as {{c1::diaphragm flattening}} and {{c2::increased A-P diameter}}. 
Published 12/13/2023 Loss of expiratory muscle strength and elastic recoil decreases the {{c1::FEV1}} in aging patients. 
Published 12/13/2023 In elderly patients, loss of {{c2::elastin}} and increased {{c2::collagen}} reduces {{c1::venous}} and {{c1::arterial}} compliance. 
Published 12/13/2023 In patients with diastolic dysfunction, the filling pressures {{c1::over}}estimate the chamber volume. 
Published 12/13/2023 In patients with {{c2::diastolic}} dysfunction, tachycardia reduces filling time, which may precipitate {{c1::CHF}}. 
Published 12/13/2023 What dysrhythmias are more likely due to aging?{{c2::Atrial fibrillation}}{{c3::1st + 2nd degree block}}{{c1::Sick sinus syndrome}}
Published 12/13/2023 Elderly patients have a {{c1::unchanged::increased/decreased}} systolic function of the heart. 
Published 12/13/2023 Elderly patients have {{c1::higher}} concentrations of catecholamines in their plasma. 
Published 12/13/2023 The {{c1::parasympathetic::sympathetic/parasympathetic}} tone is decreased in elderly patients. 
Published 12/13/2023 Reductions in the {{c3::baroreceptor}} reflex in elderly patients increases the risk for {{c1::orthostatic}} hypotension and hypotension aft…
Published 12/13/2023 The dose of IV induction agents should be decreased {{c1::30}}-{{c1::50}}% in elderly patients. 
Published 12/13/2023 {{c2::Alzheimer's}} disease is associated with low levels of {{c1::acetylcholine}} in the brain. 
Published 12/13/2023 In elderly patients, slowing of nerve conduction is due to {{c1::demyelination}}. 
Published 12/13/2023 Postoperative {{c1::cognitive dysfunction::neuro disorder}} occurs {{c2::weeks to months}} after surgery. 
Published 12/13/2023 Postoperative {{c1::delirium::neuro disorder}} occurs {{c2::early}} after surgery. 
Published 12/13/2023 What postosperative neurobehavioral disorder is associated with long surgeries?{{c1::Postoperative cognitive dysfunction}}
Published 12/13/2023 The treatment for postoperative cognitive dysfunction is {{c1::nothing}}. 
Published 12/13/2023 The most significant risk factor for postoperative cognitive dysfunction and delirium is {{c1::elderly age}}.
Published 12/13/2023 What type of surgery places the patient most at risk for postoperative cognitive dysfunction?{{c1::Cardiac surgery}}
Published 12/13/2023 Postoperative cognitive dysfunction can be prevented by using {{c1::rapidly metabolized}} anesthetic drugs. 
Published 12/13/2023 There is a higher risk of false {{c1::negative}} responses to a epinephrine test dose during spinal anesthesia in elderly patients. 
Published 12/13/2023 Are elderly patients more sensitive to neuraxial anesthesia?{{c1::Yes!}}
Published 12/13/2023 Epidural anesthetic doses should be decreased in elderly patients because of increased spread and increased {{c1::permeability}} of the dura. 
Published 12/13/2023 Elderly patients have a {{c1::smaller}} Vd for {{c2::hydro}}philic drugs. 
Published 12/13/2023 Elderly patients have a {{c1::larger}} Vd for {{c2::lipo}}philic drugs. 
Published 12/13/2023 In elderly patients, most nephons are lost from the renal {{c1::cortex}}. 
Published 12/13/2023 The most sensitive indicator of renal function and drug clearance in elderly patients is {{c1::creatinine clearance}}. 
Published 12/13/2023 Creatinine clearance is {{c1::decreased}} in elderly patients. 
Published 12/13/2023 The GFR decreases by {{c1::1}} mL/min/year after age 40. 
Published 12/13/2023 Elderly patients have a decreased ability to respond to {{c1::acid}} loads because of the impairment of {{c2::ammonium}} secretion by renal tubul…
Published 12/13/2023 Aging {{c1::does not change}} hepatocellular function. 
Published 12/13/2023 In elderly patients, only phase {{c1::I}} reactions are decreased due to changes to the liver.
Published 12/13/2023 How does aging affect diastolic heart function?{{c1::Decreased}}
Published 12/13/2023 How does aging affect sympathetic nervous system tone?{{c1::Increased}}
Published 12/13/2023 How does aging affect parasympathetic nervous system tone?{{c1::Decreased}}
Published 12/13/2023 How are epidural anesthetic doses adjusted in elderly patient?{{c1::Decreased}}
Published 12/13/2023 How are intrathecal anesthetic doses adjusted in elderly patient?{{c1::Decreased}}
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