CHAPTER 39 EMT

Yes for injuries and illnesses
Elderly has a coexisting, long term condition that may require multi medications

Typically around 30yr of age.
Altho people think exercise and diet can slow the aging process it is inevitable

A long term or progressing gradually illness...

Severe with rapid onset

Body becomes weak causing it hard for the heart to pump blood
Calcium is not distributed properly thru out the body.

the narrowing of the valve opening

hypertension,changes in the heart rhythm and rate valve damage and regurgitation of back flow of blood

the heart wall becomes thicker and the cause a < decrease in the heart stroke volume cause the heart cannot hold as much blood

its unable to keep elevated heart rate up (pacemaker cell)

irregular contractions of the myocardium secondary to the electrical disturbances in the heart

the arteries starts to lose their elasticity ability to constrict or dilate easily

causes the arteries to become stiff and leads to the further increase in the pressure the heart pumps against

decrease size and strengh in the respiratory muscles calicum deposit began to form on the rib, sternum causing rib cage to become less pliable a decrease in 02 for C02 in the alveoli membrane system starts to go down hill

more suceptible to an pneumonia and other types of lung infections
-less able to detect hypoxia and hyercapnia

the nervous system becomes impaired with aging - there is an actual decrease in the mass and weight of the brain resulting in increase of CSF in the extra space in the skull

waste product began to collect in the tissue like plaques,tangles
nerve cells began to die slower reflexes and eventually lead to vertigo. sensory begins to go including hot ,cold,smell sight,pain

Cataracts are clouding of the lens of the eye.

which is the 2nd leading cause of blindness in the U.S. is a disease process in which increase introaocular pressure damages the optic nerve and inhibits the ability of the eye to transmit visual information properly

occurs in older adults and affects the ability to see objects in the center of the visual field

where the retina become detached from the supportive tissue behind it

skin becomes thiner and dryer wounds are more slowly to heal the sense of touch is dulled skins break down and sores and tearing injury starts to form.

has no chest discomfort but has weakness ,fatigue, confusion,dizziness,nausea/vomiting abdominal pain and syncope

1/3 of patients never pain aching shoulder and indigestion are common

congestive heart failure cause the heart to become weaker over time cause the blood to back up the vessels. includes edema in the legs JVD alter mental status,fatigue ,rales,or crackles in the lungs possible wheezing dyspnea,orthopnea chest pain and anixiety.

fluid in the lungs the left ventricle starts to eject less blood than the right

blockage in the arteries of the lungs may be back shoulder pain weakness or possible syncope with large clots wheezing in one lungs

is an infraction of the lungs caused by a bacterium virus or other pathogen

which often result from accidental aspiration of food or vomit into the lungs

chronic obstructive pulmonary disease a disease complex that includes a number of indiviual pulmonary disease process chonic bronchitis & emphysema

a blood vessel in the vain becomes blocked by a clot block blood flow or ruptures and allow blood to accumulate in the brain tissue

sharply increase while the nerve cell in the brain starts to die or malfunction from the pressure

inequality of the pupils/slurred speech/headache/memory disorders/rapid abnormal slow heart rate /high systolic bp/ possible seizure/ nausea vomit /sensory loss

quick faint unresponsive

transient ischemic attack mini stroke has stroke ike sysptoms and usually goes away within 24hrs.

a sudden temporary alteration in the mental status caused by massive electrical discharge in a group of nerves cells in the brain is another cause of disorientation in the elderly

is a diabetic complication blood glucose elevates fat is being metabolized for energy limiting ketone bodie that are formed

an adverse or toxic reaction to a drug or drugs

is the condition resulting from teh brian activity it chronic and irreversible 15% patient over 65yrs devlop it

can also cause alter mental status present with a more recent or sudden attack

more than 2million americans responsible for more than 100,000 deaths each year in US patient to stop eating ,become immobile numerous infections

ABNORMAL LOW CORE BODY TEMP

ABNORMAL HIGH CORE BODY TEMP

stereotyping or discrimination against old ppl