Unit 1 - Inflammation Flashcards

Pass the Exam

1
Q

This body response occurs to stimulate healing and prevent further damage to the body. The five cardinal signs of _______ are heat, swelling, pain and loss of impaired function.

A

Inflammation

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2
Q

issues with inflammation typically end in ____

A

itis

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3
Q

This diagnostic test measures how far the erthrocyte settle in a tube over a given time. Females range is typically around 0-25 while males range from 10-15. The higher the rate the higher the likelihood that there is inflammation.

A

Erythrocyte Sedimentation Rate (SED)

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4
Q

Diagnostic test that reviews the protein found in the blood in response to an inflammatory process, can also be used to detect cardiac disease

A

C-Reactive Protein (CRP)

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5
Q

Aimed at reducing mobility and edema (if inflammation is caused by an injury) medication such as NSAIDS are also used as treatments because it’s an anti-inflammatory. The treatment is always geared directly toward the affected area. The nurse be advocate and educate the patient to prevent further injury and talk about the medications.

A

Caring Interventions

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6
Q

What are some other concepts related to inflammation?

A

infection
immunity
oxygenation
teaching/learning

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7
Q

Concept in relation to inflammation that can trigger even more inflammation

A

Infection

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8
Q

Concept in relation to inflammation that looks at the immune response of the body

A

Immunity

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9
Q

Concept in relation to inflammation that requires one where the inflammation is located because inflammation in the airway can cause coughing, and difficulty breathing

A

Oxygenation

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10
Q

Concept in relation to inflammation that is apart of educating the patient/client.

A

Teaching/Learning

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11
Q

What does NSAID stand for

A

Non steroidal Anti-Inflammatory Drugs

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12
Q

first generation of NSAID that decreases the protection of the stomach lining. (cox - 1 inhibitors)

A

example is ibuprofen

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13
Q

What should you look out for when one is taking an NSAID?

A

GI distress
dizziness
heartburn
occult blood loss

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14
Q

What is NSAID used for?

A

to treat mild to moderate pain; and inhibit platelets (aspirin); and to prevent blood clotting.

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15
Q

What action does NSAID take on the body?

A

Inhibits the formation and release of prostoglandins (which is responsible for edema, vasodilation, and pain associated with inflammation)

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16
Q

It is advised that you stop taking NSAIDs how many days before surgery?

A

5-7 days

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17
Q

Ibuprofuen, Indocin, Vioxx should all be taken with ____, ____ and/or ____

A

food, water or milk

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18
Q

What are the side effects associated with celebrex?

A
dyspepsia
diarrhea
abdominal pain
URI's 
Peripheral edema
GI discomfort/irriation
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19
Q

Drug that is a NSAID and a cox-2 inhibitor and has been associated with a high risk for cardiovascular disorders (stroke, MI)

A

Celebrex

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20
Q

specific type of NSAID that is used for those with inflammatory bone and joint disorders

A

Celebrex

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21
Q

Drug that controls inflammation by suppressing or preventing many components of the inflammatory process also prevents organ rejections

A

Corticosteroids

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22
Q

What are some side effects of corticosteroids?

A
can mask the sign of infection
edema
weight gain
hypertension
if not diabetic can increase blood sugar
can cause early bruising of the skin
23
Q

prior to the surgery

A

preoperative

24
Q

when the patient is transferred from check in to the PACU

A

intraoperative

25
Q

began when admitted to the PACU and ends with follow up appointment

A

postoperative

26
Q

Concepts related to Perioperative care

A
legal issues
safety
perfusion
infection
advocacy 
stress and coping
27
Q

Planned for correction of a nonacute problem

A

elective surgery

28
Q

requires prompt intervention; may be life threatening if treatment is delayed more than 24-48 hours

A

urgent

29
Q

requires immediate intervention because of life-threatening consequences

A

emergent

30
Q

performed to determine the origin and cause of a disorder or the cell type of cancer

A

diagnostic

31
Q

performed to resolve a health problem by repairing or removing the cause

A

curative

32
Q

replacing malfunctioning structures

A

transplant

33
Q

performed to improve a patient’s functional ability

A

restorative

34
Q

performed to relieve symptoms of a disease process but does not cure

A

palliative

35
Q

performed primarily to alter or enhance physical appearance

A

cosmetic

36
Q

surgical approach where only the most overtly affected areas involved in the surgery

A

simple

37
Q

surgery performed in the body cavity or body area through one or more endoscopes; can correct problems, remove organs, take tissue for biospy, re-route blood vessels and drainage systems; is a fast growing and ever changing type of surgery

A

minimally invasive surgery (MIS)

38
Q

extensive surgery beyond the are obviously involved; is directed at finding a root cause

A

radical

39
Q

What does CBC directly screen for in a presurgical test?

A

Hemoglogin

40
Q

What does electrolyte levels screen for in a presurgical screening test?

A

Potassium, Sodium, and Calcium

41
Q

What does coagulation studies directly screen for in a presurgical screening test?

A

PT, INR, and PTT

42
Q

What does renal studies directly screen for in a presurgical screening test?

A

BUN

Creatine

43
Q

Affects the body’s ability to thermoregulate overdose; given rapidly can be reversed rapidly

A

Malignant Hyperthermia

44
Q

How do you calculate MAP?

A

2DBP + SBP/3

45
Q

If MAP drops below ___ you should be concerned because that means perfusion to vital organs is jeopardized.

A

50

46
Q

A MAP level of ___ or more indicates hypertension

A

105

47
Q

The goal range for MAP is ___ to ___.

A

70-90

48
Q

the ____ score is a score total from various assessments that determine whether or not the patient is able to leave the OR and either go home or go to the recovery unit

A

Aldrete Score

49
Q

Separation or splitting open of layers of a surgical wound

A

dehiscence

50
Q

Extrusion of viscera or intestine through a surgical wound

A

Evisceration

51
Q

Appendicitis peak incidences are around what ages?

A

10 - 12 years

52
Q

Begins as dull, steady pain in periumbilical area…progresses over 4 - 6 hours and localizes to right lower quadrant

A

Appendicitis

53
Q

symptoms of appendicitis?

A

low grade fever
nausea
anorexia
sudden pain relief may indicate rupture of appendix (leads to peritonis)