Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Med surg ch 8 & 10
| Question | Answer |
|---|---|
| Budesonide (steriod) | Anti-inflammatory synthetic corticoseroid, (Entocort EC), avoid grapefruit juice, take in morning, swallow whole - pg 648 sn5 |
| Sterilization vs Disinfectant | sterilization is the complete removal of microorganisms and spores from a surface (autoclave, UV light) disinfectant is reducing the number of microorganisms on a surface (lysol) -s.p. |
| What viral/bacterial infection are droplet precautions | influenza, mumps, different pneumonias, epiglottitis, meningitis -s.p. |
| What viral/bacterial infection are contact precaution | C-DIFF, conjunctivitis, VRE, MRSA -s.p. |
| What viral/bacterial infection are Airborne precaution | TB, measles, chickenpox -s.p. |
| What viral/bacterial infection are Protective precautions | Used for patients who are immunocompromised. Burn, transplant, HIV/AIDS, cancer - sn5 |
| What is colonization? | Occurs when pathogenic microbes are present in the body without causing symptoms or a detectable immune response J.P(pg. 83). |
| What is a subclinical infection? | an immune response is present but no symptoms ; leads to infectious disease (elevated WBC/ leukocytosis) -s.p. |
| What is infectious disease? | Covid-19, Ebola virus, infectious mononucleosis, Zika virus disease pg 104 - sn5 |
| contact precautions PPE | Gown, foot covers, hairnets. ex (CDIFF conjunctivitis) J.P |
| Droplet precautions PPE | Surgical mask, Face shield/goggles, gloves, gown, ex. (flu, mumps, pneumonia, epiglottitis, meningitis). J.P |
| Protective precautions (Reverse isolation) PPE | Positive air pressure, nurse in full PPE, pt masked, no raw fruits or veggies, bottled water, limited visitors, no live flowers. ex.(Burns, HIV/AIDS, transplant, chemo) J.P |
| Airborne precautions PPE | fitted respirator, face shield/goggles, gloves, gown. ex (TB, Measles, Chickenpox.) J.P |
| PPE Doffing Order (taking off) | gloves, gown, goggles, mask (remove before exiting pt room) =s.p. |
| PPE Donning Order (Putting on) | gown, mask, goggles, gloves (before entering pt room) -s.p. |
| Leukocytosis WBC count | WBC greater than 10,000 J.P |
| Leukopenia WBC count | WBC less than 4 thousand J.P |
| Neutropenia WBC | WBC under 2 thousand. J.P |
| Risk factors of susceptible host | Elderly, very young, chronic illness, immunocompromised, stress, burns, invasive procedures sbp1 |
| What are neutrophils? | phagocytic on bacteria/fungi -s.p. |
| What are basophils? | involved in inflammatory and allergic reactions -s.p. |
| Leukocytes (WBC) types | neutrophils, lymphocytes, monocytes, eosinophil. basophil -s.p. |
| How to avoid getting sick | Protective measures; handwashing and masks. sbp1 |
| Who can't receive live (LAV) vaccine | immunocompromised & pregnant -s.p. |
| What is a CBC with differential? | complete blood count with the 5 different WBC and their levels -s.p. |
| Immunization Contraindications | MMR: gelatin or neomycin allergy, immunocompromised. Varicella: gelatin or neomycin, immunoc., pregnant. Influenza: egg allergy, associated w/ development of GBS, live form not admin to immunoc. Pneumococcal: not admin to children under 2 sbp1 |
| What is a normal flora? | microorganisms that occur naturally in or on the body -s.p. |
| Reservoir (Chain of Infection) | Place where infectious agents live, multiply, and reproduce. May be animate (people) or inanimate (water). J.P |
| Susceptible host (chain of infection) | Carries droplets and then becomes infectious agent. Vaccine stops susceptible host. sbp1 |
| portal of entry (chain of infection) | Opening in someone else. sbp1 |
| Portal of exit (chain of infection) | The portal of exit is the path by which the infectious agent leaves its reservoir. pg 104 - sn5 |
| What are spores? | Microscopic units formed by bacteria, fungus, algae. Need bleach to kill, lives for 30 days on surfaces and invisible. Let bleach sit for 4 mins or autoclave sbp1 |
| Universal Precautions | gloves sbp1 |
| Mode of transmission (chain of infection) | Once the causative agent exits the reservoir, a direct or indirect means of transfer to a susceptible host is needed. - sn5 |
| Cold packs advantages | Cold can reduce swelling, bleeding, and pain when used to treat a new injury. It can also reduce the pain of an injection when applied prior to the injection, along with pressure, or vibration above the injection site. - pg 139 sn5 |
| Hot packs advantages | Heat works to increase circulation, induce muscle relaxation, and decrease inflammation when applied to a painful area. - pg 139 sn5 |
| What are the different pain scales? | FACES (kids), PAINAD (dementia), Analog pain scale (1-10) ages 7 +, WHATSUP J.P |
| Contraindication for fentanyl patches | taping application or applying heat to fentanyl patch sbp1 |
| Somatic pain | Is localized in the muscles or bones pt's can often point to the exact location of pain and will describe it as throbbing or aching. Cancer pt's may experience somatic pain when cancer spreads to bone or a tumor invades soft tissue. J.P pg. 122 |
| Visceral pain | Or organ pain, is not well localized and is often described as cramping or pressure. Bowel obstructions and tumors in the lung cause visceral pain symptoms. J.P pg. 122 |
| reffered pain | Pain felt in a part of the body different from the actual source of the problem. Example Heart attack pt's feeling jaw pain J.P |
| Nocicetive pain | Refers to the body's normal reaction to noxious stimuli, such as tissue damage, with the release of pain- producing substances. Nociceptive pain may be Somatic or Visceral J.P pg. 122 |
| Nerve Pain Medications | Cymbalta (SNRI), amitriptyline (antidepressant tricyclic), Tegretol (anticonvulsants) sbp1 |
| Side effects of steroids | Monitor for increased blood glucose levels, insomnia, mood swings, and exacerbation of psychotic behaviors. - pg139 sn5 |
| Acetaminophen antidote | N- acetylcysteine J.P |
| NSAIDS | ibuprofen (motrin), ketorolac (toradol), naproxen (aleve) - sn5 |
| kidney failure Manifestations | Flank pain, increased BUN, new onset peripheral edema sbp1 |
| liver failure Manifestations | RUQ pain, fatigue, GI upset, diarrhea, jaundice, bleeding, abdominal distention, hepatic encephalopathy, elevated ALT and AST, bilirubin - pg 674 sn5 |
| Post op opioid use | Monitor vital signs, level of sedation, and respiratory status. pg 124 - sn5 |
| Signs of ulcer | may be asymptomatic until perforation or hemorrhage, upper abdominal pain, anorexia, n/v, blood in stool, low hematocrit and hemoglobin - pg 617 sn5 |
| Fiber diet | fruit with skin, bran flakes, whole wheat, bananas - pg648 sn5 |
| Immunocompromised taking steroids restrictions | avoid crowds or sick individuals, avoid live vaccines (MMR, varicella, intranasal flu), do not eat raw meat, practice handwashing - sn5 |
| UTI manifestations | hematuria, cloudy urine, foul odor, back pain, altered mental status in elderly sbp1 |
| How to irrigate a cath | If intermittent irrigation is ordered- sterile technique must be used to protect both ends - slide 39 sn5 |
| Placement of a urinary bag | Below bladder-pj |
| Urinary Cath is colonized with? | E coli-pj |
| When should a trough be drawn for vancomycin | 15min before admin of antibiotic -s.p. |
| What is the peak of infusing Antibiotics (ex-Vancomycin) | Highest level of medication; 15min after antibiotic is administered sbp1 |
| Greatest risk for UTI | incontinence pg 104 - sn5 |
| What is Epstein BARR Virus | a herpes virus -s.p. |
| What medications should be avoided when a virus is present | NSAIDS-pj |
| If the sedimentation rate (ESR) elevated what does this indicates | blood is inflamed-pj |
| What is a serum antibody test | It's your bodies response to an antigen. If positive it means you've had previous exposure not that you are actively carrying the disease J.P |
| LAV | live attenuated (weakened) vaccine or recombinant vector vaccine sbp1 |
Created by:
Penelopejorge12