3a Revision > Geriatrics > Flashcards

Geriatrics Flashcards

(18 cards)

Study These Flashcards
1
Q

Delirium definition?

A

Sudden, acute, reversible confusion

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2
Q

Confusion screen?

A

4AT

  • bloods (FBC, U&E, LFT, TFT, B12, glucose)
  • ECG
  • CXR
  • urinalysis
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3
Q

Delirium causes?

A

PINCH ME
pain
infection
nutrition
constipation
hydration
medications
electrolyte imbalance

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4
Q

Dementia questionnaires?

A

4AT, 6CIT, MoCA, GPCOG, ACE-III

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5
Q

Dementia management?

A

mild = donepezil
moderate = memantine

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6
Q

What is polypharmacy?

A

5+ medications

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7
Q

What might antipsychotics cause?

A

Symptoms resembling parkinsons

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8
Q

What might acetylcholinesterase inhibitors cause?

A

diarrhoea and inconctinence

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9
Q

What might anticholinergics cause?

A

constipation, dry mouth, confusion, blurry vision

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10
Q

What might CCBs cause?

A

peripheral oedema

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11
Q

What might diuretics, ACE-I and other BP meds cause?

A

electrolyte imbalances eg. hyponatraemia, hypokalaemia

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12
Q

What might sedatives, TCAs, SSRIs, and other BP meds cause?

A

Falls

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13
Q

Stages of pressure sores?

A

1: redness
2: partial thickness skin loss
3: full thickness tissue loss
4: tissue loss with exposed bone, muscle and tendon
unstageable: depth with slough or escar

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14
Q

What is used to score frailty?

A

Clinical/rockwood frailty score

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15
Q

What is appropriate polypharmacy?

A

optimised use of clinically necessary medications to manage complex or multiple health conditions

  • benefits outweigh risk
  • drug has clear purpose
  • improves QOL
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16
Q

Who is involved in community palliative care?

Study These Flashcards
A
  • community nurse
  • community palliative team
  • community PT/OT
  • GP
  • social worker
17
Q

2 tests to assess patients at risk of a fall?

Study These Flashcards
A
  • turn 180
  • timed up and go
18
Q

management for prevention of future falls?

Study These Flashcards
A
  • strength and balance training
  • medication review
  • vision assessment
  • home assessment
3a Revision
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