Infections Flashcards
Order for Donning PPE
- Wash hands
- Gown
- Mask
- Glasses
- Face shield
- Put on gloves overtop of gown
Correct order for Doffing PPE
1.Gloves
2. Wash hands
3. Gown (roll it)
4. Wash hands
5. Shield and glasses
6. Wash hands
7. Mask
8. Wash hands
What is the most important procedure for preventing infection?
Hand washing
- Intermediate disinfectant
- Cleans and disinfects
- Will dissolve blood
Cavi Wipes
Solution oh hydrogen peroxide, kills most pathogens in 60 seconds
Oxivir TB Disinfectant
Common Sources for Infections?
- Vancomycin-Resistant Enterococci (VRE)
- Methicillin-Resistant Staphylococcus Aureus (MRSA)
Treatment Considerations
- Cooling environment
- Cooling patient
- Administration of fluid
- Oxygen therapy
Priorities of Reassessment
- Mental Status
- Temperature
- Blood Pressure
- Skin conditions
- Breathing effort and rate
- Remain in one place
- Inflammatory processes are able to contain the source of the infection to the primary site
- Pain, redness, swelling and heat and other localized symptoms
Isolated Infections
- infection infiltrates the vascular system and enters the bloodstream traveling to other areas of the body
- Inflammatory processes overwhelm the body. Nitric acid causes blood vessels to dilate all over the body causing “leaky valves”
Systemic Infections
Who is more susceptible to a localized infection becoming a systemic infection?
Young, old and diabetics
Common Infections Encountered in Prehospital Care
- Pneumonia
- Infected Wounds
- Urinary Tract Infection (UTI)
History for Pnemonia
- Feeling unwell within past 2 weeks-1 month
- Coughing of yellow sputum past 2 weeks-1month
Risk Factors of Pneumonia
- Greater than 65 years old
- Smokers
- Hospitalized in ICY with ETT
- Immunocompromised
- COVID-19 infections
Key Diagnostic Assessment for Pneumonia
- LUNGS: consolidation and/or bronchospasm (unilateral or bilateral)
- Wet, productive cough (green)
- SOB at rest
- Fatigue and weakness
- Dizziness and lightheadedness
- Felling “unwell”
Difference of kidney infection and kidney stone
Kidney infection will present with fever
History for Infected Wounds
- An open wound
- Not being rotated in bed if unable to do so on own
- Unable to/has not been cleansing properly
Risk factors for Open Wounds
- Sedentary living
- Poor hygiene
- Post surgery
Key Diagnostic Assessment for Infected Wounds
- Pain and discomfort at the source of infection
- Redness and swelling
- Pus (yellow or green)
- Streaking of veins
- Foul smell (rotting meat)
History for UTI
History of symptoms sometime in the past week
Risk Factors of a UTI
- Very young
- Elderly in care facilities
- Catherization for any period
- Engaged in a lot of sex
- Poor hygienic practices
- Recent STD
- Pregnancy
- In-dwelling
- Sterile process
- Can be permanent
- Has a balloon filled with sterile water to prevent being pulled out
- Changed every few weeks
- High risk of UTI
- Output should be measures (>250mL/day)
Foley Catheter
- Condom around the penis
- Used in cases of incontinence
- Drains to a drainage bag attached to the patients leg
- Output should be measured (>250 mL/day)
Condom Catheter
- Performed by the patient when required
- Less prone to complications
In and Out Catheter
