Final Flashcards
Dyspepsia
Difficult to digest
Hepaturia
Blood in the urine
Polydipsia
Excessive thirst
Hemoptysis
Blood in the sputum
Jejunum
Second portion of the small intestine
Cecum
The last segment of the small intestine
Chancroid
Caused by haemophilus ducreyi
Suprapubic catheter
Is inserted surgically through the abdominal walls above the symphysis pubis into the urinary bladder
Insertion site care involves sterile technique
Catheter needs to be replaced within 30 min if it falls out
Ischemia
Results from an obstruction, loss, or reduction of blood supply leading to lack of oxygen
Gangrene
tissue necrosis (death) resulting form local anemia
Gas gangrene
Is always cause by clostridium spp.
Pericardium
Around the heart
Capillary
One of the microscopic blood vessels joining arterioles and venules
vein
Any one of the many vessels that convey blood from the capillaries as part of the pulmonary venous system
Crutch training
3 finger widths below the axilla, 30 degree elbow angle flexion
When drawing up insulin which do you draw up first?
clear to cloudy
How do you mix insulin?
You should never shake insulin but instead role it between your palms to mix
why is one type of insulin cloudy?
cloudy insulin has a protein in it and therefore must be drawn up after clear in order to prevent contamination
which injection sites for insulin are most quickly absorbed?
arms and abdomen
which injection sites for insulin take longer to absorb?
thigh and buttocks
what are the recommend site to inject insulin?
arms
abdomen
thigh
buttocks
How often should insulin injection site be rotated/
rotate injection sites weekly to prevent lipoatrophy and lipohypertrophy
why do insulin injection sites need to be rotated?
minimize tissue damage
aid absorption
avoid discomfort
what are the different medication orders?
prn, stat, single, standing
what are oral contradictions?
npo, vomiting, unable to swallow, unconscious
what are the eight rights to medications?
med time dose route client client ed right to refuse documentation evaluation assessment
Aseptic techniques
eliminate and exclude pathogens- include: hand hygiene, sterile gloves, mask and gowns.
Necrotizing fasciitis are caused by what?
S. pyogens
Colitis
Inflammation of the colon (large intestine) S/S Diarrhea with or without blood Abdominal pain Fever can be present
Dysentery
frequent watery stools accompanied by: abdominal pain, fever, and dehydration The stool specimens may contain blood or mucus Caused by: Shigella spp (bacteria)
Enteritis
Inflammation of the intestines, usually referring t the small intestine
Cholera
acute bacterial disease caused by V. Cholerae by ingestion of raw or undercooked foods. Signs and symptoms are profuse watery stools, vomiting and rapid dehydration
Bacterial gastritis
is an infection with Helicobacter pylori can cause chronic bacterial gastritis and duodenal ulcers
C. Diff
is an anaerobic, spore-forming, gram postive bacillus. It is an indigenous microbiota of the colon and occurs when a patient receives oral anitbiotics
Disinfection
elimination of most or all pathogens (except bacterial spores) from nonliving objects. Disinfectants are not used on living tissue. Ex. Alcohol,
Nosocomial infection
infections acquired in a hospital
Epidemic disease (outbreak)
a greater than usual number of cases of a disease in a particular region, usually occurring within a relatively short period of time. Ex. A dozen people develop food poisoning after a luncheon together- this constitutes an epidemic.
Endemic disease
always present within the population of a particular geographic area. Number of cases may fluctuate over time but the disease never dies out completely. Ex. Include bacterial diseases such as TB, staphylococcal, streptococcal, STD’s such as gonorrhea and syphilis, viral disease – common cold, influenza, chicken pox, and mumps. Plague caused by bacterium an endemic among rats, prairie dogs and other rodents
Hepatitis
Inflammation of the liver. Result of viral infection. Also caused by toxic agents
What is the only type of hepatitis that is DNA?
Type B (HBV infection, serum hepatitis)
Tinea Barbae
A fungal infection of the beard and moustache
Tinea Capitis
A fungal infection of the scalp, eyebrows, and eyelashes
Tinea Corpris
fungal infection of the face, trunk and major limbs
Tinea Cruris
A fungal infection of the groin and perineal and perianal areas
Tinea Pedis
also called athlete’s foot: a fungal infection of the soles of the feet and between the toes
Tinea Unguium
A fungal infection of the nails; also called onychomycosis
Trichomonas
is a sexually transmitted disease affecting both men and women. S/S in women are vaginitis with profuse, thin foamy,malodorous, greenish-yellow discharge
Giardiasis
is a protozoal infection of the duodenum from drinking water
Histoplasmosis
Most common systemic fungal infection in AIDs patients is
Lyme disease
most common arthropod borne disease- tick feeds from infected deer or mouse then becomes infected with Borrelia burgdorferi it then feeds from a human transmitting the disease to the human. Characterized by a bull’s eye rash, neurological and cardiac dysfunction, and severe arthritis
Pharyngitis
Inflammation of the mucous membranes and underlying tissue of the pharynx, Commonly referred to as a “sore throat”. Strep throat is caused by S. pyogenes. The most cases are caused by VIRUSES
Leukocytosis
increased number of leukocytes in the blood- Bacterial infection
Penicillin (cells)
human cells have no cell walls so therefore cant be destroyed by penicillin. treat syphillis except for tertiary
B, T, memory cells
Memory cells respond to antigen next time antigen comes into body
B cell
produce antibodies
T cell
predominate in the blood
droplet isolation
requires regular mask
for the flu
Airborne isolation
requires N95 mask
for TB
negative pressure
protective isolation
positive pressure
nurse must wear a mask
for those with leukopenia
Bacteriostatic
inhibits growth of microbes
used only in pt with good defense mechanism
Bactericidal
kills bacteria
Bacteriostatic agent
inhibits the metabolism and reproductions of bacteria
Sepsis
presence of pathogens
Bactericidal
kill bacteria
NGT
gastric suctioning
swallow
examine nares/skin breakdown for comfort before
if have problem getting it in, withdraw it and try other nares
when doing wound care what should you never do?
microwave fluids
what size syringe should you use?
18-19 gauge, 30-60 ml
Chlamydia
most common STI in US
fungal allergens
cause type 1 hypersensitivity
gonococcal conjunctivitis
acute redness swelling of the conjunctiva
purulent discharge
corneal ulcers, perforation, and blindness may occur if the disease is untreated
drug toxicity
harmful effects of a drug on an organism
antifungal
most toxic to the patient
Factor that increase virulence factor
toxins are obvious virulence factors
capsule
Bladder Irrigation
non sterile procedure
CAUTI
Catheter associated urinary tract infection
risk for infection increases by 5% each day when foley left in place
SARS
is a viral respiratory illness with high fever, chills, headache, a general feeling of discomfort, body aches and sometimes diarrhea. SARS is caused by SARS- associated coronavirus
what position do you want to have the client in for Oropharynx suctioning?
fowler’s or semi fowlers
Salmonella
Typhoid fever
gram negative bacili
least likely to cause HAI
what are the function of antibodies
mark invading organisms for destructions
what has the fastest absorption rate?
IV
what has the slowest absorption rate?
subcutaneous absorption route is the slowest
IgA
exists as a monomer or dimer
predominant class in body secretions (saliva, tears, breastmilk)
protects mucous membranes from pathogens
IgD
found on surface of B cells function is unknown
IgE
produced in response to allergens
IgG
most abundant type in serum only class that can cross the placenta
IgM
pentameter
largest type
first antibodies formed in the primary response*
short lived
Fungal diseases in AIDS clients
Candadisis
number 1 infection
Crytococcus
causes meningitis in clients with AIDS
Type 1 Hypersensitivity
allergic reaction
responses to insect stings and drugs
Type 2 Hypersensitivity
cytotoxic
blood transfusion reaction
Type 3 Hypersensitivity
serum sickness
immune complex reaction
RA o r SLE
Type 4 Hypersensitivity
delayed type hypersensitivity or cell-mediated immune reactions
TB, other skin tests