click below
click below
Normal Size Small Size show me how
concepts chpt 14&16
| Question | Answer |
|---|---|
| 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 |