ANE-664-GERIATRICS Questions with
Complete Solutions
what increases the risk of perioperative complications Correct Answ_increased BP
what are higher BP d/t Correct Answ_1. increased PVR
2. decreased arterial elasticity
3. decreased cardiac work load
what test should be done if diastolic dysfunction is suspected Correct Answ_echocardiograph
what should you consider with prolonged circulatory time in the geriatric patients Correct
Answ_have patience when giving IV medications-takes longer to work
what does decreased vein compliance lead to Correct Answ_decreased venous return and
right atrial filling
,what does decreased sensitivity of myocardium to beta adrenergic modulation cause Correct
Answ_decreased HR
what does decreased sensitivity to baroreceptors in the aortic arch and carotid sinuses cause
Correct Answ_decreased ability for changes in BP
like infants, the elderly have less ability to respond to ____,_____,&_____ with an increased
heart rate Correct Answ_hypovolemia, hypotension, hypoxia
what does decreased elasticity of lung tissue d/t aging cause Correct Answ_overdistention of
alveoli and collapse of small airways
residual volume and functional reserve capacity ____ with aging Correct Answ_increase
airway collapse ______ residual volume and closing capacity Correct Answ_increases
what leads to V/Q mismatch, decrease in arterial O2, and increase in anatomical physiological
deadspace Correct Answ_CC > FRC in age 45 years in supine position
CC > FRC in age 65 years in sitting position
,what does decrease in chest wall compliance cause Correct Answ_increased work of
breathing
what are risk factors for ventilatory impairment in the recovery room Correct Answ_1. old
age
2. COPD
3. OSA
4. malnutrition
5. abdominal or thoracic surgery
how to prevent perioperative hypoxia in the elderly patient Correct Answ_1. longer
preoxygenation period
2. increased inspired O2 concentrations
3. PEEP
4. pulmonary toileting
basal and maximal O2 consumption _____ with age Correct Answ_decline
, what age do you reach peak weight Correct Answ_60 then declines
heat production ______ and heat loss _______ in the elderly Correct Answ_heat production
DECREASES
heat loss INCREASES
Diabetes affects 15% of patients older than 70, what are two particular problems related to this
Correct Answ_diabetic neuropathy and autonomic dysfunction
what makes it hard to avoid hyperglycemia with glucose loads Correct Answ_increased
insulin resistance
aging is associated with a _______ response to beta adrenergic agents Correct
Answ_decreased
the neuroendocrine response seems to be ______ in the healthy elderly populations Correct
Answ_preserved or slightly decreased
kidney blood flow and kidney mass ______ with age. Correct Answ_decrease
Complete Solutions
what increases the risk of perioperative complications Correct Answ_increased BP
what are higher BP d/t Correct Answ_1. increased PVR
2. decreased arterial elasticity
3. decreased cardiac work load
what test should be done if diastolic dysfunction is suspected Correct Answ_echocardiograph
what should you consider with prolonged circulatory time in the geriatric patients Correct
Answ_have patience when giving IV medications-takes longer to work
what does decreased vein compliance lead to Correct Answ_decreased venous return and
right atrial filling
,what does decreased sensitivity of myocardium to beta adrenergic modulation cause Correct
Answ_decreased HR
what does decreased sensitivity to baroreceptors in the aortic arch and carotid sinuses cause
Correct Answ_decreased ability for changes in BP
like infants, the elderly have less ability to respond to ____,_____,&_____ with an increased
heart rate Correct Answ_hypovolemia, hypotension, hypoxia
what does decreased elasticity of lung tissue d/t aging cause Correct Answ_overdistention of
alveoli and collapse of small airways
residual volume and functional reserve capacity ____ with aging Correct Answ_increase
airway collapse ______ residual volume and closing capacity Correct Answ_increases
what leads to V/Q mismatch, decrease in arterial O2, and increase in anatomical physiological
deadspace Correct Answ_CC > FRC in age 45 years in supine position
CC > FRC in age 65 years in sitting position
,what does decrease in chest wall compliance cause Correct Answ_increased work of
breathing
what are risk factors for ventilatory impairment in the recovery room Correct Answ_1. old
age
2. COPD
3. OSA
4. malnutrition
5. abdominal or thoracic surgery
how to prevent perioperative hypoxia in the elderly patient Correct Answ_1. longer
preoxygenation period
2. increased inspired O2 concentrations
3. PEEP
4. pulmonary toileting
basal and maximal O2 consumption _____ with age Correct Answ_decline
, what age do you reach peak weight Correct Answ_60 then declines
heat production ______ and heat loss _______ in the elderly Correct Answ_heat production
DECREASES
heat loss INCREASES
Diabetes affects 15% of patients older than 70, what are two particular problems related to this
Correct Answ_diabetic neuropathy and autonomic dysfunction
what makes it hard to avoid hyperglycemia with glucose loads Correct Answ_increased
insulin resistance
aging is associated with a _______ response to beta adrenergic agents Correct
Answ_decreased
the neuroendocrine response seems to be ______ in the healthy elderly populations Correct
Answ_preserved or slightly decreased
kidney blood flow and kidney mass ______ with age. Correct Answ_decrease
