Unit 1 - Inflammation

Question 1

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.

Answer 1

Inflammation

Question 2

issues with inflammation typically end in ____

Answer 2

itis

Question 3

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.

Answer 3

Erythrocyte Sedimentation Rate (SED)

Question 4

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

Answer 4

C-Reactive Protein (CRP)

Question 5

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.

Answer 5

Caring Interventions

Question 6

What are some other concepts related to inflammation?

Answer 6

infection
immunity
oxygenation
teaching/learning

Question 7

Concept in relation to inflammation that can trigger even more inflammation

Answer 7

Infection

Question 8

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

Answer 8

Immunity

Question 9

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

Answer 9

Oxygenation

Question 10

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

Answer 10

Teaching/Learning

Question 11

What does NSAID stand for

Answer 11

Non steroidal Anti-Inflammatory Drugs

Question 12

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

Answer 12

example is ibuprofen

Question 13

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

Answer 13

GI distress
dizziness
heartburn
occult blood loss

Question 14

What is NSAID used for?

Answer 14

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

Question 15

What action does NSAID take on the body?

Answer 15

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

Question 16

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

Answer 16

5-7 days

Question 17

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

Answer 17

food, water or milk

Question 18

What are the side effects associated with celebrex?

Answer 18

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

Question 19

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

Answer 19

Celebrex

Question 20

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

Answer 20

Celebrex

Question 21

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

Answer 21

Corticosteroids

Question 22

What are some side effects of corticosteroids?

Answer 22

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

Question 23

prior to the surgery

Answer 23

preoperative

Question 24

when the patient is transferred from check in to the PACU

Answer 24

intraoperative

Question 25

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

Answer 25

postoperative

Question 26

Concepts related to Perioperative care

Answer 26

``` legal issues safety perfusion infection advocacy stress and coping ```

Question 27

Planned for correction of a nonacute problem

Answer 27

elective surgery

Question 28

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

Answer 28

urgent

Question 29

requires immediate intervention because of life-threatening consequences

Answer 29

emergent

Question 30

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

Answer 30

diagnostic

Question 31

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

Answer 31

curative

Question 32

replacing malfunctioning structures

Answer 32

transplant

Question 33

performed to improve a patient's functional ability

Answer 33

restorative

Question 34

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

Answer 34

palliative

Question 35

performed primarily to alter or enhance physical appearance

Answer 35

cosmetic

Question 36

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

Answer 36

simple

Question 37

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

Answer 37

minimally invasive surgery (MIS)

Question 38

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

Answer 38

radical

Question 39

What does CBC directly screen for in a presurgical test?

Answer 39

Hemoglogin

Question 40

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

Answer 40

Potassium, Sodium, and Calcium

Question 41

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

Answer 41

PT, INR, and PTT

Question 42

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

Answer 42

BUN | Creatine

Question 43

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

Answer 43

Malignant Hyperthermia

Question 44

How do you calculate MAP?

Answer 44

2DBP + SBP/3

Question 45

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

Answer 45

50

Question 46

A MAP level of ___ or more indicates hypertension

Answer 46

105

Question 47

The goal range for MAP is ___ to ___.

Answer 47

70-90

Question 48

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

Answer 48

Aldrete Score

Question 49

Separation or splitting open of layers of a surgical wound

Answer 49

dehiscence

Question 50

Extrusion of viscera or intestine through a surgical wound

Answer 50

Evisceration

Question 51

Appendicitis peak incidences are around what ages?

Answer 51

10 - 12 years

Question 52

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

Answer 52

Appendicitis

Question 53

symptoms of appendicitis?

Answer 53

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