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Infection Control

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Question
Answer
Infection   invasion of suceptible host by harmful pathogens resulting in disease  
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Colonization   Presence and growth of microoganisms without invasion or damage  
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When does a disease occur?   If pathogen multiply and alter tissue function  
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What is the chain of infection?   Infectius agent Reservoir Portal of Exit Mode of Transmission Portal of Entry Susceptible Host  
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Types of Infectious Agents?   Bacteria, Viruses, Fungi, Protozoa  
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Example of resident and transient?   Resident: Ecoli Transient: Flu  
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What is an infectious agent?   # of microorganisms present, ability to produce disease, ability to enter and survive in host, and susceptability of host.  
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Pathogen   Disease producing microorganism  
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Most common Reservoir   Human  
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Characteristics of Reservoir   Food Oxygen Water Temperature PH (5-8 Urine/ 4-6 Stomach Acid) Light  
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Where can pathogens exit through?   Skin, Mucous membranes, respiratory tract, GI tract, urinary tract, reproductive tract,& blood.  
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What are the modes of transmission?   Hands, Contact, Air, Vehicles, Vectors,  
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What is Direct Transmission and example?   Direct Contact. Hands of CNA touching patient  
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What is Indirect Transmission and example?   Transmitted from contaminated equipment being used. Blood pressure cuff put on patient  
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What is a vehicle of transmission?   Blood, Food, Water.  
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Most common Reservoir   Human  
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Characteristics of Reservoir   Food Oxygen Water Temperature PH (5-8 Urine/ 4-6 Stomach Acid) Light  
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Where can pathogens exit through?   Skin, Mucous membranes, respiratory tract, GI tract, urinary tract, reproductive tract,& blood.  
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Are patients in health care places more susceptible for infection?   Yes, they can have multiple ilnesses, are older, and are usually poorly nourished.  
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What are the modes of transmission?   Hands, Contact, Air, Vehicles, Vectors,  
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What is Medical Asepsis?   Clean technique that reduces # of transfer pathogens such as washing hands and disposing of dirty items.  
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What is Direct Transmission and example?   Direct Contact. Hands of CNA touching patient  
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What is surgical asepsis?   Sterilization  
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What is Indirect Transmission and example?   Transmitted from contaminated equipment being used. Blood pressure cuff put on patient  
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What is disinfection?   Type of clean technique that destroys pathogenic organisms EXCEPT spores.  
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What is a vehicle of transmission?   Blood, Food, Water.  
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What is a Vector of Transmission?   Can Fly! : Tick, Fleas, Mosquitos.  
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What makes a susceptible host?   Infatns or older adults, poor nutrition, physiologic stress, heredity, the disease process, and medical treatment.  
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When is sterile technique used?   Puncturing the skin skin integrity is broken Inserting into sterile body cavity  
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Are patients in health care places more susceptible for infection?   Yes, they can have multiple ilnesses, are older, and are usually poorly nourished.  
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What is Medical Asepsis?   Clean technique that reduces # of transfer pathogens such as washing hands and disposing of dirty items.  
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What is surgical asepsis?   Sterilization  
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What is disinfection?   Type of clean technique that destroys pathogenic organisms EXCEPT spores.  
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Examples of disinfectants?   Alcohols, formaldehyde, sodium, hydrochloride, iodine, hydrogen, peroxide.  
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What do Antiseptic agents do?   Inhibit the growth of micro organisms.  
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When is sterile technique used?   Puncturing the skin skin integrity is broken Inserting into sterile body cavity  
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Where are most infections acquired?   Health Care Settings  
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What is an Exogenous Infection and example?   Microorganisms found outside the individual ex- Salmonella, Clostridium tetani, Aspergillus  
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What is an Endogenous Infection and examples?   Occures when part of patient's flor becomes altered and an overgrowth results. ex - Staphylococci, enterococci, yeasts, and streptococci  
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Major reservoir of Escherichia colo?   Colon  
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Major reservoir of Staphylococcus aureus?   Skin, hair, upper Respiratory tract  
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Major reservoir of Streptococcus (Group A Organisms)?   Oropharynx, skin, peri area  
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Major reservoir of Streptococcus (Group B Organisms)?   Adult Genitalia  
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Major reservoir of Mycobacterium tuberculosis?   Droplet nuclei from lungs  
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Major reservoir of Gonorrhoeae?   Genitourinary tract, rectum, mouth.  
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Major reservoir of Rickettsia rickettsii?   Wood tick  
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Major reservoir of Staphylococcus epidermidis?   Skin  
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Major Reservoir of Hepatitis A?   Feces  
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Major reservoir of Hepatitis B?   Blood, certain body fluids,tissues invovled in sexual contact  
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Major reservoir of Hepatitis C?   Blood, certain body fluids, tissues invovlved in sexual contact  
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Major reservoir of Herpes?   Lesions of mouth, skin, genitals  
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Major reservoir of HIV?   Blood, semen, vaginal secretions via sexual contact  
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Reservoir of Aspergillus organisms?   soil, dust, mouth, skin, colon, genital tract  
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Reservoir of Candida albicans   skin, mouth, genital tract  
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Reservoir of Plasmodium falciparum?   Blood  
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Body's natural response to injury or infection?   Inflammation  
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Bacteria that normally doesn't cause disease and resides in human body?   Flora  
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Use of broad-spectrum antibiotics for treatment of infection that eliminates or changes normal flora causing?   Suprainfection  
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Systemic signs and symptoms?   Fever, leukocytosis, malaise, anorexia, nausea, vomiting, lymph node enlargement  
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Antigen   Foreign material  
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Normal White Blood cell count   5,000 - 10,000/mm^3  
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Normal Iron Level   Male: 80-180 mcg/dl Female: 60-160 mcg/dl  
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Normal Urinalysis?   Nitrite and leukocyte negative  
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Normal Neutorphil percentage?   55-70%  
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Normal Lymphocyte level?   20-40%  
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Normal Monocyte Percentage?   2-8%  
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Normal Eosinophils percentage?   1-4%  
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Normal Basophil percentage?   0.5-1%  
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Objective data examples?   Elevated temperature, open draining wound, inflammation of wound site  
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Subjective data examples?   Patient complains of chills, malaise or tenderness at wound site.  
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Airborne diseases?   Meases, chickenpox, varicella  
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Droplet diseases?   rubella, pneumonia, pertussis, mumps.  
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Gastrointestinal defeses against infection are altered by?   antacids and histamine 2 Blockers  
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Order in which the PPE should be applied before entering isolation room   Mask Gown Gloves  
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A patient who has had a transplatn will require what type of isolation?   Protective  
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A nurse implements droplet precaustions for the patient with:   Rubella  
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