Unit 2 Flashcards

1
Q

Compliance

A

One-way interaction in which the clinician directs the pt to follow instruction

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2
Q

Adherence

A

Pt freely chooses to follow suggested guidelines

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3
Q

Emaciation

A

The state of being abnormally thin or weak

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4
Q

Parenteral nutrition

A

Nutrition delivered through IV

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5
Q

Enteral

A

Nutrition delivered via feeding tube

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6
Q

Examples of enteral nutrition

A

OG - orogastric
NG - nasogastric
Nasojejunal
Gastrostomy
Jejunostomy

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7
Q

Water is __ of body composition.

A

60%

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8
Q

A healthy individual requires __ L of water per day.

A

2.2-3.0 L

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9
Q

Pts with open wounds require __ L of water per day.

A

2.7-3.7 L

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10
Q

Why do pts on air beds require more water than pts with open wounds?

A

Air beds have more heat association which requires increased water intake

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11
Q

The body requires a __ nitrogen balance.

A

Positive

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12
Q

Vitamin A

A

Fat soluble
Helps maintain healthy skin & epithelial integrity
Required for collagen synthesis, promotes granulation tissue formation, and facilitates epithelialization

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13
Q

Vitamin C

A

Water soluble
Needed to build and maintain tissues; deficiencies will delay wound healing
Antioxidant - may limit damaging effects of free radicals

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14
Q

Vitamin K

A

Fat soluble
Essential for blood clotting

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15
Q

Vitamin E

A

Fat soluble
Helps prevent free radical-related cellular damage
Decreases inflammatory phase of wound healing, enhances immune function and decreases platelet adhesion
Supplementation may assist with pressure ulcer healing

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16
Q

Vitamin B Complex

A

Required for normal immune function and energy metabolism
Aid in WBC function, antibody formation, and resistance to infection
Improve wound tensile strength

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17
Q

What is the normal WBC count?

A

5.0-10.0 uL

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18
Q

What is the normal HCT value?

A

Men: 42-52%
Women: 37-47%

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19
Q

What is the normal hemoglobin value?

A

Men: 14-17.4 g/dL
Women: 12-16 g/dL

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20
Q

What is the normal platelet value?

A

140-400 k/uL

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21
Q

What is the normal glucose value?

A

70-100 mg/dL

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22
Q

What is the normal A1c value?

A

< 5.7%

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23
Q

What does creatinine measure?

A

Kidney function and protein metabolism

24
Q

What does serum albumin measure?

A

Protein deficiency and malnutrition - long half-life

25
what does prealbumin measure?
Protein deficiency and malnutrition - short half-life
26
What is 3rd spacing?
Fluids moving from the vascular space to the interstitial space; this is NOT blood moving Generally caused by fluid overload, kidney dysfunction, hyponatremia, heart failure (increased capillary hydrostatic pressure)
27
What does BUN measure?
Protein metabolism and kidney function
28
What does a higher BUN indicate?
Slower healing
29
What does CPK measure?
MI or deep tissue injury
30
Undermining
Erosion of tissue close to the wound edges; results in a large wound with a small opening
31
Tunneling
Narrow passageway within a wound bed Common in all wound types EXCEPT venous insufficiency ulcers
32
Sinus Tract
Elongated cavity or abscess that drains to the body surface Boggy wound with pus collection
33
Fistula
Tunnel that connects with a body cavity or organ
34
Maceration
Occurs when wounds are too wet, becomes white colored
35
Pitting Edema
1+ barely perceptible depression, < 2 mm 2+ rebounds < 15 seconds, 2-4 mm 3+ rebounds 15-30 seconds, 5-7 mm 4+ rebounds > 30 seconds, > 7 mm
36
Positive indicator
Improvement in wound - i.e., improved A1c and/or ABI, compliance with compression, previous healing
37
What wound care treatment can PTA's NOT do?
Sharp debridement
38
Contact precaution PPE
Gloves and gown
39
What conditions require contact precautions?
VRE MRSA Scabies Lice Large non-contaminated draining wounds
40
Droplet precaution PPE
Gloves, gown, and mask
41
What conditions require droplet precautions?
Necrotizing fasciitis, certain PNA's, influenza
42
Airborne precaution PPE
Gloves, gown, N-95, negative pressure room
43
What conditions require airborne precautions?
TB, measles
44
What is reverse isolation?
Wearing PPE to protect those with weakened immune system
45
Which conditions require reverse isolation?
AIDS, certain types of cancer
46
What is gram-positive staining?
Excretion of exotoxins causing extensive damage
47
Methicillin-Resistant Staphylococcus Aureus (MRSA)
Resistant to many abx Spreads easily Treated with Bactroban Common in blood, stool, wounds CONTACT ISOLATION
48
Vancomycin-Resistant Enterococci (VRE)
Common in surgical wounds and urine Treated with Ampicillin-Amoxicillin CONTACT ISOLATION
49
Biofilms
Complex communities of bacteria or fungi held together by a self-produced polymer matrix Persist on medical devices, surfaces, and tissues causing chronic infection Very difficult to kill - require long term IV abx
50
Microflora
Bacteria & fungi Covers skin
51
Contamination
NORMAL Microbes are non-replicating
52
Colonization
NORMAL Replicating microbes
53
Critical Colonization
Bioburden reaches a critical point and begins to adversely affect host Healthy individuals can tolerate higher amounts
54
What is the gold standard of wound cultures?
Tissue biopsy
55
Which is longer acting: creams or ointments?
Ointments (8-24 hrs)
56
Antiseptic
Antimicrobial that is cytotoxic