Medical surgical chapter 8 & 10 Flashcards

1
Q

Placebos

A

Not justified in the treatment of pain

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2
Q

Who is at the center of the healthcare team?

A

the patient

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3
Q

Regulatory bodies that review pain management practices

A

The Joint Commission
Centers for Medicare and Medicaid Services
Agency for Healthcare Research and Quality

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4
Q

key areas of cultural expression

A

Language
Family engagement
Spirituality
Treatment preferences

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5
Q

risks of uncontrolled pain

A

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.

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6
Q

Acute pain

A

Lasts less than 3 months
Prompts an inflammatory response
Signs and symptoms are short-term, objective, physical (for example, increased heart rate)

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7
Q

chronic pain

A

Lasts more than 3 months

Signs and symptoms persistent

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8
Q

Nociceptive pain

A

tissue pain

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9
Q

neuropathic pain

A

nerve damage

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10
Q

Opioid antagonists

A

narcan

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11
Q

chain of infection

A
infectious agent
reservoir 
portal of exit
mode of transmission
portal of entry
susceptible host
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12
Q

Microbiota

A

Microbes occurring naturally in a body part

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13
Q

Pathogen

A

Disease-causing microbe

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14
Q

Body’s Defense Mechanisms

A
Skin and mucous membranes
Cilia
Gastric acid
Immunoglobulins
Leukocytes and macrophages
Lysozymes
Interferon
Inflammatory response
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15
Q

Sepsis

A

Can lead to septic shock:

decreased blood pressure

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16
Q

Laboratory Assessment

labs for infection

A
Gram staining 
Culture and sensitivity (C&S) 
Antibody test 
Complete blood count (CBC) with differential
Erythrocyte sedimentation rate (ESR)
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17
Q

who is at greatest risk for infection?

A

older adults

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18
Q

early signs of localized infection

A

red
pain
heat
swelling at the sight

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19
Q

early signs of systemic infection

A

Tachycardia, hypotension

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20
Q

zika virus

A

mosquitos
pregnant women
will not isolate
spread through unprotected sex

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21
Q

Ebola virus

A
west Africa
ELISA- is the test
unexplained bleeding and bruising
body fluids, fruit bat
isolate them
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22
Q

mono

A

EBV- is the herpes simplex
no sex/contact sports
rest periods
enlarged spleen

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23
Q

direct transmission

A

touching, kissing, or sexual intercourse

24
Q

indirect transmission

A

soiled bedding, food, surgical instruments, toys, water, and wound dressings.

25
Q

most common infection of from surgical wounds

A

staph

26
Q

most common organism of UTI

A

e.coli

27
Q

for possible infection

A

CBC with differential
culture and sensitivity- 24 to 48 hours
do not give an antibiotic before

28
Q

spores

A

can live 30 days on surfaces
bleach
soap and water not sanitizer
kill with heat

29
Q

C diff pt.s are what kind of precaution

A

contact

spores

30
Q

c-diff

A

elevated wbc
elevated fever
liquid stool

31
Q

red man’s syndrome

A

caused by vancomycin

burning red rash

32
Q

droplet precautions

A

add gown. 3 feet away (in life 6 feet).

33
Q

airborne precautions

A

N95

34
Q

sick patients can wear what? when being transported around the hospital

A

surgical mask

ex. TB

35
Q

pt.’s receives morphine and within 4 hours is still in pain. What do you do?

A

fast acting opiate

36
Q

assess respirations before administering a

A

opioids

37
Q

pupils are constricted when they overdose on

A

opioids

38
Q

antidepressant for nerve pain

A

amitriptyline

39
Q

PCA can a pt. overdose?

A

no

40
Q

assess for pain

A

vital signs

facial expressions

41
Q

normal systolic

A

100 to 120

42
Q

normal dystolic

A

60 to 80

43
Q

normal range of temperature

A

97.6 to 99.4

44
Q

normal respirations

A

12 to 20

45
Q

normal pulse ox

A

90 to 100

46
Q

nsaids cause

A

gastric bleeding

black tarry stools

47
Q

in a community setting how do you promote prevention of infectious diseases?

A

hand hygiene, vaccines, not sharing personal items, cough in your elbow, cook food, proper food handlings.

48
Q

biofeedback technique

A

monitor/headphones – helps you recognize stress, massage, heat, ice, reading, meditation, guided imagery, music, animal therapy, TV

49
Q

what are analgesics adjuvants?

A

corticosteroids-prednisone
benzodiazepines-valium
antidepressants-cymbalta
anticonvulsants -gabapentin

50
Q

airborne disease processes

A

TB, chickenpox, measles

51
Q

droplet disease processes

A

flu, and diphtheria

52
Q

only drug that can kill you from withdrawal

A

alcohol

53
Q

Wearing pain patch

A

never cover, no windowpane cover, or use lotion on area. Alternate sites, initial date and time. End of shift make sure it is present before you leave.

54
Q

Contact disease processes

A

impetigo, c-diff, MRSA

55
Q

pt. does not respond to PRN. What do you do?

A

call pcp

get regular medication

56
Q

Tegretol

A

is a anti-convulsant