Inflammation and Healing Lecture Review Flashcards

1
Q

Inflammation is part of the

_______________ Immune Response.

A

Non-specific

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2
Q

The four cardinal signs of inflammation

A

Redness
Heat
Swelling
Pain
(+/- Loss of function)

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3
Q

Congestion of the tissue due to migration of fluid from vessels is called

A

exudation

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4
Q

True or False. The process of inflammation, healing, and repair occur at the same time, or lead into one another

A

True

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5
Q

True or False. Components of inflammation that are capable of destroying microbes can also injure bystander normal tissue

A

True

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6
Q

Extravascular fluid high in protein/cells (RBCs, platelets) is called a(n)

A

exudate

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7
Q

inflammation that involves an entire organ or tissue can be described as

A

diffuse

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8
Q

Inflammation that involves all of the tissue within a particular zone can be described as

A

locally extensive

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9
Q

a single area of inflammation can be described as

A

focal

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10
Q

Many, scattered areas of inflammation
can be described as

A

multifocal

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11
Q

What is the difference between acute and chronic inflammation?

A

Acute
Inflammatory response occurs 4-6 hours following the stimulus and remains fairly constant in appearance. BENEFICIAL FOR HOST
Chronic
Existence of a persistent inflammatory stimulus. DELETERIOUS FOR HOST

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12
Q

Type of exudate that is clear, watery, with low cell count

A

serous

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13
Q

Type of exudate that is CLEAR/PINK/RED, thin and watery, contains serum and blood

A

Serosanguinous

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14
Q

Type of exudate that is cloudy yellow/white or green fluid; contains many leukocytes (pus)

A

Purulent

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15
Q

Type of exudate that contains many RBCs

A

Hemorrhagic

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16
Q

Type of exudate that mucus

A

Catarrhal

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17
Q

Localized collection of pus

A

Abscess

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18
Q

Inflammation of cellular or connective tissue

A

Cellulitis

19
Q

Loss of a superficial layer of an organ or tissue w/ acute inflammation at the base of the lesion

A

Ulcer

20
Q

List the Possible Systemic Reactions to Inflammation

A

Fever
Elevated WBC count (Leukocytosis)
Bacteremia
Septicemia
Toxemia

21
Q

The presence of bacteria in the blood stream

A

Bacteremia

22
Q

The presence of bacteria and its toxins in the blood stream

A

Septicemia

23
Q

The presence of bacterial toxins within the blood stream (no bacteria)

A

Toxemia

24
Q

Both acute and chronic inflammation cause swelling. How does the swelling differ in each situation?

A

The chronic inflammatory response is characterized by an increase in the number of reactive cells (vs. an increase in fluid as seen in the acute response)

25
Q

a band of scar tissue that binds 2 parts of tissue that are not normally joined together.

A

adhesion

26
Q

a focal inflammatory lesion in which the tissue reaction primarily consists of chronic inflammatory cells.

A

Granuloma

27
Q

Vascular connective tissue that indicates a wound is healing properly

A

granulation tissue

28
Q

Choose one. Scar tissue implies a process of (regeneration/repair) because it takes up space where cells that belong in the tissue would normally be found

A

repair

29
Q

Can you list at least 5 Host Factors That Affect Wound Healing?

A

Age
Malnutrition
Health
Corticosteroids
Foreign material in wound
Soil Particles
Type of incision
Contaminated tissue
Bacterial toxins and inflammation
Blood supply
Movements

30
Q

a wound closed by approximation of wound margins or wounds created and closed in the operating room.

A

first intention

31
Q

spontaneous healing; describes a wound left open and allowed to close by epithelialization and contraction.

A

second intention

32
Q

used for heavily contaminated wounds that are too heavily contaminated for primary closure but appear clean and well vascularized after 4-5 days of open observation; Wound edges are approximated within 3-4 days and tensile strength develops as with primary closure.

A

third intention

33
Q

Red, raised and often pruritic scar that remains within the boundaries of original scar

A

hypertrophic scar

34
Q

large scar that extend beyond boundaries of original scar; more frequently occur in darkly-pigmented people

A

keloid scar

35
Q

Partial Thickness dermal wounds

A

Abrasions

36
Q

wounds that penetrate the dermis and deeper tissues

A

Lacerations

37
Q

A large section of skin is torn from the underlying tissue in a glove-like fashion

A

Degloving injury

38
Q

Typically appear as small punctures in the skin. There may be a large amount of dead space below the puncture

A

Bite wounds

39
Q

True or False. There is no reason to explore, lavage, debride, and/or allow bite wounds to drain.

A

False!! These wounds should be explored, lavaged, debrided, and allowed to drain

40
Q

A wound is considered infected when the bacterial count is greater than _______ organisms per gram of tissue

A

100,000

41
Q

When initially evaluating a patient with a soft tissue wound, the technician should FIRST:

A

check for any bleeding and apply pressure with a sterile gauze if needed

42
Q

When initially evaluating a patient with a soft tissue wound that is not actively bleeding, the technician should:

A

“Treat the patient, not the problem”… that means, making sure your patient is stable by checking the vitals before beginning wound care.

43
Q

What are the 4 Cs of Wound Care?

A

C…..Cover
C……. Clip
C…….. Clean
C……… Copiously Lavage

44
Q

Describe in detail the 4 Cs of Wound Care

A

Cover the wound with a bandage or sterile lube
Clip the fur around the wound
Clean the area surrounding wound with an antiseptic scrub
Copiously Lavage– irrigate the wound using at least 500 ml to 1 Liter of sterile saline with 7-8psi