WED FINALS Flashcards

1
Q

Inflammation vs. infection

A

1) Inflammation- immunological defense against injury, allergy, infection, marked by increases in regional blood flow, immigrations of WBC and release of chemical toxins
2) Infection- a disease caused by microorganisms especially those that release toxins or invade body tissues

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2
Q

Exogenous

A

growing outside of the body ( infection caused my microorganisms from another

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3
Q

endogenous

A
  • growing with in the body
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4
Q

types of infections

A

localized: one central area
general:
antibotic resistant:
nosocomial: hospital or facility required

can be from
: viruses, bacteria, fungi (tinea), protozoa( mesiquto- can cause malaria)

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5
Q

droplet precaution

A

don mask apon entry to patients room ( visitors), hand hygiene, private room if possible, maintain special sepreation of 3 feet from other pts vistors if private room is not available, limit transport and movement if possible, wear mask if ambulatory,

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6
Q

airborne precaution

A

Airbone precaution – ISOLATION ROOM, monitor air pressure daily, keep door closed, wear surgical mask if ambulatory, limit transport and movement of patient (only if absolutely necessary), hand hygiene, fitted mask, N-95 or higher level for respiratory, HEPA respirator is a good one too…

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7
Q

contact precaution

A

Contact- don gloves on entry, wear gloves whenever touching patient and before leaving patient room, hand hygiene, down gown upon entry into room, remove gown afterwards, limit transport, dress wounds(covered before leaving anywhere), use disposable equipment or designated equipment per pt.

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8
Q

Contact precaution

A

Contact- don gloves on entry, wear gloves whenever touching patient and before leaving patient room, hand hygiene, down gown upon entry into room, remove gown afterwards, limit transport, dress wounds(covered before leaving anywhere), use disposable equipment or designated equipment per pt.

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9
Q

nursing assessment all areas and what they involve

A

1) Biographical Data- DOB, RELIGIOUS, OCCUPATION, INSURANCE, SOURCE OF HEALTH CARE, MEDICARE, VS MEDICARE, FAMILY CONTACT
2) Reason for seeking health care- CHIEF COMPLAINT
3) Present Illness or Health concerns
4) Health History- hopstialized before, previous surgeries, allergies, use of alchol, tabocaoo, drugs, herabal products, caffeine, asses ability to perfom ADL’S, sleep, exercise, nutrition
5) Family History- purpose health, cause of death, history of illness (diabetes, cancer, etc), family structure, family support, family dynamics
6) Enviromental History- data about patients home and work enviroments
7) Psychosoical & Cultural History- pts primary language, culture group belong to, education level, attention span, developmental stage, coping skills, support system, (MAJOR VAULES, BELIEFS, & BEHAVIORS related to health concerns)
8) Review of Systems- functioning of each system, and any changes or abnormals as noted, (ex: ARE YOU HAVING DIFFICULTY BREATHING?)

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10
Q

Health Care Associated Infections HAI

A

Health care assiociated infection (HAI)- 40 million people hospital , as many as 10percent acquire health care infection, manifest 48hours after hospital or contact

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11
Q

virulent

A

Virulent- pertaining to highly pathogenic or rapidly conditions (HIGHLY CONTAGIOUS)

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12
Q

phases of wound healing in order

A

hemostasis phase
inflammation phase
reconstruction phase
maturation phase

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13
Q

if a patient with an abdominal inscision begins to cough the intervention would be

A

apply pillow to inscision site with pressure

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14
Q

phases of infection & what they contain

A

1) Infectious agent- pathogen
2) Reservoir- where pathogen can grown
3) Exit Route- exit from reservoir
4) Mode of Transportation- (feces, air droplets, needles, hands)
5) Entrance through the skin- mucus lining or mouth
6) Host- animal or person

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15
Q

1 phase of infection links

A

infectious agent- pathogen

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16
Q

2 phase of infection links

A

reservoir- where pathogen can grow

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17
Q

3 phase of infection links

A

exit route- exit from resivoir

18
Q

4 phase of infection links

A

Mode of Transportation- feces, air droplets, needles, hands

19
Q

5 phase of infection links

A

entrance through skin- mucus lining or mouth

20
Q

6 phase of infection links

A

host- animal or person

21
Q

inflammation

A

Inflammation- immunological defense against injury, allergy, infection, marked by increases in regional blood flow, immigrations of WBC and release of chemical toxins

22
Q

infection

A

Infection- a disease caused by microorganisms especially those that release toxins or invade body tissues

PUS & FEVER

23
Q

once administer, all drugs go through five stages

A
liberation 
then ADME
absorption
distribution
metabolism
excretion 
*each drug has its own and unique ADME characteristics
24
Q

pharmacokinetics phase

A

the movement of the drugs active ingredients from the body fluids into the entire system and to the site where the intended action of the drug takes place
(DELIEVERY- influnces can be weight, age,metabolism rate etc.)

25
Q

pharmacodynamics phase

A

interaction of the drug’s active ingredient with the intended body tissues; the body’s cell respond to the action of the drug and change as the drug is metabolized

idiosyncratic: I think of this as an unusual reaction to a drug (usually the opposite of what it should do)

reduced response: tolerance

Contraindications: conditions under which the drug should not be given

Interactions: modification of the effect of a drug when administered with another drug.

26
Q

fire a

A

average

wood paper

27
Q

fire b

A

boom

grease, oil, gasoline

28
Q

fire c

A

current, electric fire

29
Q

fire abc

A

all

30
Q

stages of pressure ulcer 1

A

unblanchable

do not massage

31
Q

stage 2 ulcer

A

damage to dermis layer epidermis

32
Q

stage 3 ulcer

A

subcutaneous layer damage, adipose

33
Q

stage 4 ulcer

A

tendon, ligament, muscle visible

34
Q

infection control

A

transmission: guilty until proven other wise
suspect that you have it
standard precautions: washing hands gloving, etc.

35
Q

peri care

A

start with inner area then go outward when cleaning

You start from the inside heading outward [clean to dirty]

36
Q

pre-catheter insertion prep

A

clean with iodine outside working way inside (You work from the outside heading to inside [dirty to clean])

37
Q

negatives of theraputic communication

A

personal experiences, pat answers, reassurance, chidiling(scolding)

38
Q

Stress cycle

A
sympathetic= fight or flight= epinorphrene
parasympathetic = rest and digest (norepinorphrene)
39
Q

salisylates

A

Aspirin *GI Bleed *Tinnitus

40
Q

tylenol

A

Non-Opioids

41
Q

oral med administration

A

?

42
Q

considerations with aging

A

?