Medical surgical chapter 8 & 10 Flashcards
Placebos
Not justified in the treatment of pain
Who is at the center of the healthcare team?
the patient
Regulatory bodies that review pain management practices
The Joint Commission
Centers for Medicare and Medicaid Services
Agency for Healthcare Research and Quality
key areas of cultural expression
Language
Family engagement
Spirituality
Treatment preferences
risks of uncontrolled pain
Body produces a stress response that causes harmful substances to be released from injured tissue.
Reactions. (Breakdown of tissue
Increased metabolic rate
Impaired immune function)
Prevents patient from participating in self-care activities.
Acute pain
Lasts less than 3 months
Prompts an inflammatory response
Signs and symptoms are short-term, objective, physical (for example, increased heart rate)
chronic pain
Lasts more than 3 months
Signs and symptoms persistent
Nociceptive pain
tissue pain
neuropathic pain
nerve damage
Opioid antagonists
narcan
chain of infection
infectious agent reservoir portal of exit mode of transmission portal of entry susceptible host
Microbiota
Microbes occurring naturally in a body part
Pathogen
Disease-causing microbe
Body’s Defense Mechanisms
Skin and mucous membranes Cilia Gastric acid Immunoglobulins Leukocytes and macrophages Lysozymes Interferon Inflammatory response
Sepsis
Can lead to septic shock:
decreased blood pressure
Laboratory Assessment
labs for infection
Gram staining Culture and sensitivity (C&S) Antibody test Complete blood count (CBC) with differential Erythrocyte sedimentation rate (ESR)
who is at greatest risk for infection?
older adults
early signs of localized infection
red
pain
heat
swelling at the sight
early signs of systemic infection
Tachycardia, hypotension
zika virus
mosquitos
pregnant women
will not isolate
spread through unprotected sex
Ebola virus
west Africa ELISA- is the test unexplained bleeding and bruising body fluids, fruit bat isolate them
mono
EBV- is the herpes simplex
no sex/contact sports
rest periods
enlarged spleen