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concepts chpt 14&16

QuestionAnswer
microorganisms tiny living organisms
pathogens microorganisms that cause disease
normal flora protect against pathogens and aide in digestion
bacteria single celled organism, treated by antibiotics
viruses require a host cell, hijacker, few antivirals
protozoa water borne and causes GI illness
fungi yeast and mold, treated with antifungals
helminths parasitic worms in GI tract
staphylococcus aureus boils, toxic shock syndrome, MRSA, most common
streptococcus A strep throat, scarlet fever, necrotizing fasciitis
herpes simplex 1 cold sores
herpes simplex 2 genital herpes
herpes simplex 3 chicken pox, shingles
colstridium perfringes gas gangrene
rickettsia rickettsii fever spread by ticks
candida albicans-fungi yeast infection in vagina, thrush of the mouth
gram positive blue and purple
gram negative pink and red
MDRO's multiple drug-resistant organisms, bacteria mutate, less resistance, over usage of antibiotics
HAI healthcare associated infection,
primary infection first infection by a pathogen
secondary infection occurs after primary infection, weakens host
localized infection in one area
systemic infection in bloodstream
septic microorganisms multiplying in the blood
primary defenses intact skin, mucous membrane, GI system (normal flora)
secondary defenses inflammation: WBC's release histamine, fever slows the growth, complement cascade: proteins destroy pathogens
tertiary defenses lymphocytes (B&T cells)
factors that decrease immune defenses age, lack of rest, stress, lack of exercise, poor nutrition
medical asepsis clean technique, prevent spread of infection
#1 way to prevent infection hand washing
surgical asepsis maintaining sterile environment
after removing gloves, visibly dirty, between patients, before touching a patient, after removing gloves perform hand hygiene
how long to wash hands 20 seconds
transmission based precautions airborne, droplet, contact
contact precautions direct-person to person, indirect- touching contaminated object, MRSA, C-diff
droplet precautions surgical mask within 3-6ft, influenza, meningitis
airborne precautions negative pressure room, N95 mask, TB
VAP ventilator associated pneumonia
what precautions for TB N95 mask and negative pressure room
what kind a defense is a fever secondary
what type of pathogen lives in water protozoa
hand hygiene most effective way to break the chain of infection
prone position face down
supine position face up w/arms to the side
hazards of immobility blood clots, pneumonia, pressure sores, urinary retention, contractures
contracture tightening due to disuse of muscles or joints
foot drop plantar flexion deformity; nerve compression
dorsiflexion toes toward head
plantar flexion toes toward floor
orthostatic hypotension, BP drop when changing positions (immediately)
syncope fainting
shearing skin tear
position of function good body alignment
logroll turning patient body as a single unit
transfer moving patient from one spot to another
trochanter roll prevents external hip rotation
osteoporosis loss of bone minerals
muscle atrophy muscle decreases in size, tone, and strength
musculoskeletal immobility effects muscle atrophy, decreased joint flexibility, osteoporosis
complications of musculoskeletal immobility contractures, fractures and foot drop
active ROM the patient does the exercises
passive ROM nurse does exercises for the patient
ROM exercises to move joints
complications of cardiovascular DVT, pulmonary embolus, orthostatic hypotension
pulmonary embolus clot that travels to the lungs
myocardial infraction heart attack, MI
cerebral accident CVA, clot that travels to the brain
Deep vein thrombosis DVT, clot in deep veins of the legs
respiratory complications hypoxemia, hypostatic pneumonia, atelectasis
hypoxemia lowered oxygen in blood
hypostatic pneumonia lung infection
atelectasis collapsed lung
to prevent respiratory complications deep breathing and coughing, turn q2h
gastrointestinal complications constipation, gas
gastrointestinal prevention fiber, stool softener, increase fluids
urinary complications UTI, kidney stones
urinary effects incomplete bladder emptying
integumentary complications pressure sores
integumentary effects decreased flow to boney prominences
integumentary prevention rotate every 2 hours, nutrition& hydration, specialty mattress
ANA American nurses' association: safe patient handling and mobility
gold standard reposition every 2 hours
psychological complications sleep disturbance
psychological effects isolation, loss of independence
psychological prevention encourage independence, activites
positioning devices pillows, trochanter roll, foot splint, hand roll, specialty beds
dangling prevents syncope
repositioning saves skin and lungs
in case of fall lower gently to floor
transfer belt, and non-skid footwear are used for ambulation safety
dangling sit patient on side of bed before standing, check pulse and BP
Created by: muvamayi
 

 



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