Wounds Flashcards

1
Q

Standard Precautions for

Blood Borne Pathogens

A

treating ALL body fluids and
nonintact skin and mucous
membranes as though they are
infected

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2
Q

Hand Hygiene and Personal

Protective Equipment

A

Used with:
– any body fluid except sweat
– Non intact skin (yours or the patient’s)
– Mucus membranes

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3
Q

2002 CDC Hand Washing

Guidelines

A
wash hands 
with either a nonantimicrobial 
or an antimicrobial soap and 
water for20 seconds 
OR
alcohol-based hand rub 
for routinely decontaminating 
hands in all other clinical 
situations
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4
Q

When to wash your hands

A
• After touching blood, body fluids or 
substances, nonintact skin or mucous 
membranes
• After possible contact with patient 
with Clostridium Difficile
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5
Q

PPE Can Include

A
• Gloves
• Gowns
• Lab coats
• Face 
shields
• Masks
• Eye protection
• Resuscitation bags
• Pocket masks
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6
Q

Blood Borne Pathogens

and Body Fluids

A
BBP including HIV are NOT 
transmitted through saliva, tears, 
sputum, nasal secretions, vomit, 
urine or feces unless they contain 
visible blood
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7
Q

Beyond Standard Precautions

A
In addition to Standard Precautions, 
you must use Transmission 
Precautions to protect against 
diseases which are transmitted 
through the air, through droplets, or 
by contact
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8
Q

Three Categories of

Transmission Precautions

A
  • Airborne
  • Droplet
  • Contact
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9
Q

Airborne

A
• Infections spread through the air in 
small particles (<5 microns), can 
attach to dust
• May stay in the air a long time
• May travel long distances on air 
currents
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10
Q

Airborne Diseases include

A
• Tuberculosis
• Varicella 
(chicken pox)
• Shingles
• Legionella
• Measles 
• SARS
• Bird Flu
• Smallpox
• Plague
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11
Q

Airborne Precautions

A
  • Mask is used for Droplet Borne Disease
  • A Respirator is used for Airborne Disease\
  • Keep the patient’s door closed
  • If the patient must leave the room,
    the patient must wear a mask (not a
    respirator)
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12
Q

Droplet Borne Diseases

A

Larger particles (>5 microns)
which can be propelled up to 3
feet when an infected person
coughs, sneezes, talks, sings, etc

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13
Q

Kinds of Droplet Borne Diseases

A
• Covid-19
• Meningitis
• Pneumonias
• Rhinovirus (colds)
• Influenzas (flu)
• Rubella (German 
measles)
• Diptheria
• Pertussis (whooping 
cough)
• Strep (throat & scarlet 
fever)
• Mumps
• Streptoccal invasive 
disease
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14
Q

Droplet Precautions

A
• Don gloves
• Don a mask upon entering the patient’s 
room if you’ll be within 3-6 feet
• Remove PPE before leaving the room
• CDC makes no recommendation for 
routinely wearing eye protection
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15
Q

Contact Transmission

A

Germs spread by direct contact,

usually hands

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16
Q

Diseases Spread by

Direct Contact

A
- VRE:  Vancomysin Resistant 
Enterococcus
- MRSA:  Methicillin Resistant Staph 
Aureus
- C Diff: Clostridium Difficile
- RSV:  respiratory synctitial virus
- Highly Resistant Pseudomonas
- Viral Conjunctivitis
- Skin conditions: scabies, impetigo, 
etc
17
Q

Contact Precautions

A
• Put on gloves when entering room
•  Put on gown if you will contact 
the patient or surfaces
• Remove PPE before exiting room
• Do not share patient equipment
• If you must transport patient, 
change his gown and have him 
perform hand hygiene
18
Q

Soft Tissue Pathologies

A
• Strain
• Sprain
• Subluxation
• Dislocation
• Muscle/Tendon 
Rupture
• Tenosynovitis
• Tendinitis
• Synovitis
• Hemarthrosis
• Ganglion
• Bursitis
• Contusion
• Overuse Syndrome 
(cumulative trauma 
disorder)
19
Q

Stages of healing

A
  • Inflammatory: Days 1-6 (up to 2 wks)
  • Proliferative: Days 3-20
  • Maturation/Remodeling: Day
    9-over a year
20
Q

CARDINAL SIGNS

A
  1. REDNESS
  2. PAIN (OR
    TENDERNESS)
  3. HEAT (or
    WARMTH)
  4. SWELLING
  5. LOSS OF
    FUNCTION
21
Q

Types of Inflammation

A

• Acute: lasts no more than 2 weeks
• Subacute: has lasted more than 4
weeks
• Chronic: lasts months or years

22
Q

Neovascularization

A

Growth of new blood vessels gives
GRANULATION TISSUE its granular
appearance

23
Q

GRANULATION TISSUE contains

A
  • new blood vessels
  • fibroblasts
  • myofibroblasts