misc agents - pharm Flashcards
Medical asepsis (medical is pathogens)
Medical asepsis: absence of pathogenic organisms
Surgical asepsis
Surgical asepsis: absence of all microorganisms
An object is sterile if it is free of all forms and types of life
Antiseptics and Disinfectants
Both are chemical agents used to kill many pathogens within a given population of microorganisms
Antiseptics and Disinfectants - They are not very effective
against spores of bacteria and fungi, many viruses, and some bacterial strains
Antiseptics and Disinfectants vs. sterilization
They kill only pathogens, whereas sterilization kills all types of organisms
Antiseptics - only use on
ppl. disinefectant only for objects.
Antiseptics - antiseptics are slow
bacterialstatic = slow down growth of bacteria
disinfectants (disinfectants are killers)
bacteriostatic - kill bacteria
Phenols and phenol derivatives (metal is a phenom)
Dyes, Mercury compounds, Silver compounds (silver nitrate)
Halogens (salt and chlorine have halos)
Chlorine compounds
Iodine and iodophors
Chlorhexadine (gluconate) is broad or narrow?
broad spectrum antimicrobial
Chlorhexadine is active for how long? (48 hour hex)
48 hours on the skin after application
Chlorhexadine v. betadine
kill rate than betadine. will kill gram + and -.
barium is (barium glows)
radioactive
titanium ok for
MRI, but no other metal
Allergens
ragweed, grasses, trees, molds, animal dander, and foods
Which of the following is not a useful application of radionuclide imaging?
Evaluating gestational progress in complicated pregnancies
The most commonly identified substances that are accidentally ingested by children who are younger than 6 years are:
cosmetics
Most Common Poisonings in Adults
alcohol (don’t induce vomiting due to high risk of aspiration) and acetominophen
Symptoms of Organophosphate Intoxication (SLUDGE is organic)
- SLUDGE
S: salivation
L: lacrimation (tears)
U: urination
D: defecation
G: gastrointestinal distress E: emesis
acetominophen antidote
mucomist and acetocystaline - have to use immediately - within first 8 hours of overdose
Radionuclides - indications
Assessing thyroid enlargement and disease
* Screening clients with diagnosed malignancies
for metastases
* Evaluating heart disease
* Tracking physiologic substances and assessing status of an organ
drug induced coma grades
Grade I: client is asleep but easily aroused
* Grade II: pain response is absent, deep tendon
reflexes are depressed, and vital signs are stable
* Grade III: deep tendon and pupillary reflexes are absent and vital signs are stable
* Grade IV: respiration and circulation are depressed