Term
|
Definition
Decreased functional reserve
Decreased functional capacity
Decreased cardiac compliance
Malnutrition and protein wasting |
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|
Term
Cardiac
Decreased ___ of ventricles |
|
Definition
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|
Term
|
Definition
|
|
Term
Cardiac
___ of the conducting system |
|
Definition
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|
Term
Cardiac
Calcification and ___ of arteries |
|
Definition
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|
Term
Cardiac
Decreased response to stimulation
-SV can ___ but HR often ___. |
|
Definition
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|
Term
|
Definition
Adjust medications
Continue regular meds if feasible
Adjust surgical plan
Optimize fluid management
Close monitoring |
|
|
Term
| Directly correlates with complications |
|
Definition
|
|
Term
Malnutrition
Lean mass decreases from ___ on. |
|
Definition
40-50
Most of the loss is muscle and bone |
|
|
Term
|
Definition
Wasting
Cachexia
Sarcopenia |
|
|
Term
| Involuntary loss due to poor intake |
|
Definition
|
|
Term
| Involuntary loss due to increased catabolism |
|
Definition
|
|
Term
| Involuntary loss of muscle |
|
Definition
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|
Term
Medical factors
Poor appetite
Poor dentition, other oral problems and dysphagia
Loss of taste and smell
Respiratory disordesr, for example, emphysema
Gastrointestinal disorders, for example, malabsorption
Endrocrine disorders, for example, diabetes, thyrotoxicosis
Neurological disorders, for example, cerebrovascular accident, Parkinson's dz
Infections, for example, UTI, chest infection
Physical disability, for example, arthritis, poor mobility
Drug interatcions, for example, digoxin, metformin, antibiotics, etc
Other disease states, for example, cancer
|
|
Definition
| Risk factors for malnutrition |
|
|
Term
Lifestyle and social factors
Lack of knowledge about food, cooking, and nutrition
Isolation/loneliness
Poverty
Inability to shop or prepare food |
|
Definition
| Risk factors for malnutrition |
|
|
Term
Psychological
Confusion
Dementia
Depression
Bereavement
Anxiety |
|
Definition
| Risk factors for malnutrition |
|
|
Term
Food service- sole nutritional supply is hospital food, limited choice, presentation may be poor
Slow eating and limited time for meals
Missing dentures
Needs feeding/supervision
Inability to reach food, use cutlery, or open packages
Unpleasant sights, sounds, and smells
Increased nutrient requirement, for example, because of infection, catabolic state, wound healing etc.
Limited provision for religious or cultural dietary needs
Nil by mouth or miss meals while having tests |
|
Definition
Additional risk factors in hospital
Risk factors for malnutrition |
|
|
Term
| What to do for problems before surgery on elderly patients? |
|
Definition
Counteract fixable causes of malnutrition
Encourage PO intake high in protein
Adjust surgical plan |
|
|
Term
Case:
83 y/o M with h/o DM and CAD presents with an AAA measuring 10.6cm. Wt 93lbs. Lives alone. Alb 1.9
Takes NPH 20/16, Lopressor 25 daily.
Does not eat much. Just not to hungry.
What should we do?
Delay surgery to optimize
Proceed: what's your plan |
|
Definition
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