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PN2003 MIDTERM FINAL EXAM

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PN2003 MIDTERM FINAL EXAM ...

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  • July 25, 2024
  • 56
  • 2023/2024
  • Exam (elaborations)
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  • PN2003
  • PN2003
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PN2003 MIDTERM FINAL EXAM 2024-2025


As we age what happens to our height? Why?

decreased height approx. 2 inches by 80 years old

- due to reduced hydration

- loss of cartilage

- thinning of the vertebra

- long bone curve

What happens to our weight as we age? Why?

-Weight is reduced because

- muscle mass is reduced

- fat tissue is decreased

(total body fat of body composition is increased)

- bone mass decreases

- intracellular fluid decreases = less body fluid

- because of less fat the elderly are colder

what is pneumonia

inflammation of the lungs

How is pneumonia present?

- fever

- rapid pulse >100

- shortness of breath

- chest pain upon inhaling

,- femmy cough 😷 with yellow/green sputum

As we age what happens to to the respiratory system structure?

- elastic recoil decreases

- chest wall compliance decreases (the ability of the lung tissue to "absorb" the
same applied force, which generally results from a change in intrathoracic pressure)

- alveoli function decreases

- anteroposterior diameter (barrel chest)increases (rib cage cannot expand and
compress)

As we age what happens to the respiratory system control?

- response to hypoxemia (low o2) decreases

- response to hypercapnia (build-up of CO2) decreases

As we age what happens to the respiratory system defense mechanisms?

- decreased cell-mediated immunity

- decreased specific antibodies

- decreased cilia function

- decreased cough force

- decreased alveolar macrophage function (They ingest small inhaled particles)

As we age what happens to the cardiovascular system?

- decreased heart rate

- increased arrhythmias (irregular/fast/slow heartbeat)

- ischemic tissue (reduction in blood supply)

- hypertrophy (heart muscle becomes thickened, making chambers smaller)

- blood vessels and arteries in the head, neck, and extremities are more prominent
(due to fat loss and thinner skin)

,- heart size does not change with age

- valves become thick and rigid

- CO decreases

What is arteriosclerosis?

hardening of the arteries

What is atherosclerosis?

The build-up of fats, cholesterol, and other substances in and on the artery walls.

As we age what happens to the musculoskeletal system?

- enlarged joints (kyphosis)

- muscle fibers atrophy (wasting/thinning of muscle)

- muscle decreases

- muscle mass, strength, movements decrease (sarcopenia)

- possible muscle tremmors

- reflexes are lessened

- bone mineral/mass is decreased (demineralization)

What causes demineralization of bones?

prolonged inactivity

what amount of older adults suffer from arthritis? What is arthritis?

50%

- inflammation of a joint

As we age what happens to the endocrine system?

- decreased regulatory and feedback mechanisms

- decreased binding affinities and receptors

, - decreased thyroid gland output of thyroxine

- decreased rate of insulin release from the pancreas

- decreased receptor sensitivity to glucose

- decreased ability to metabolize insulin = high blood suger

- decreased ACTH (stress is more difficult)

-

As we age what happens to the integumentary system?

- skin tags

- purpura (purple bruised looking skin)

- actinic keratosis (from sun exposure)

- seborrheic keratosis (non-cancerous)

- senile pruritus (dry scaly skin)

- skin repairs slower

What is very common in the elderly who are immobile related to the integumentary
system?

pressure injuries

As we age what decreases in the GI system?

- decreased HCL production

- decreased taste buds

- decreased intestinal motility

- decreased swallowing coordination

- decreased vit b12 (k) absorption from food

As we age what changes in the GI system in regards to the large intestine?

- slowed transit

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