LU Lewis and Lecture notes
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Epidermis | show 🗑
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show | collagen and elastic fibers, 0.3-3.0mm glands and hair follicles
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subcutaneous | show 🗑
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Assessing wounds | show 🗑
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vascular response | show 🗑
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cellular response | show 🗑
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show | arrive first at injury (phagocytes). Eat, digest and produce waste products (pus), comes from the bone marrow
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Shift to the left | show 🗑
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monocytes | show 🗑
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Chemical Response to injury | show 🗑
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show | chemical response, all irritate skin and cause pain and swelling, part of healing
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show | activate pathways that cause production of leukotrines (which cause anaphylactic reaction)
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arterial problem | show 🗑
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venous problem | show 🗑
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show | cidal, GI issues and rash, no toxicity, watch for anaphylaxisis, Gram +
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show | cidal, GI issues, no toxicity, cross reacts with PCN, Gram + and -. Most common antibiotics
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show | NO CHILDREN, static, GI Issues and yeast, renal toxic, Adverse coumadin, milk, sunlight and stains teeth, Gram + and -
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show | static, GI and hepatic toxicity, OTO toxic and renal, take with water, no grapefruit juice, Gram +
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show | cidal, rash, GI, fatigue, irreversible Ototoxic, nephro toxic, Measure peaks and troughs, can affect coumadin. Gram - and some +
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fluroquinolins (cipro No PG, oxins No Kids) | show 🗑
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show | static, rash (up to 6 weeks), aplastic anemia, fatal blood abnormality, Gram + and -
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show | thermostat in hypothalmus, prostoglandins act on it to increase them, causes shiver, sweating etc to lower temp. Epi released increases metabolism, treet 100.1 and above
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show | antiprostaglandin meds. antipyretic, antiinflammatory, analgesic. mild to moderate GI effects
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show | lasts for a couple of days, renal toxic. Reye's syndrome in children
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Tylenol | show 🗑
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show | celebrex, block receptors. NOT antipyretic, no GI effects but possible cardiac effects
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show | hospital acquired
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Factors impede healing | show 🗑
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show | Inflammatory phase, proliferative phase, remodeling phase
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Inflammatory phase | show 🗑
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Proliferative phase | show 🗑
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show | 3 weeks to 2 years. New collagen forms (for strength) and scare tissue grows
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show | yeast, black tongue, caused by antibiotic use
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show | diflucan, lamasil. Live toxic, use with caution in Liver patients
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show | valtrex, treat virus. Liver toxic
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show | to shorten the length of flu, and to prevent it after exposure
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show | Red (trauma or surgical wound: protect and clean)
Yellow (prescence of slough and exudate: cleaning and removal of non viable tissue)
Black (necrotic tissue: debridement)
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show | gauze, nonadherent dressings, transparent films, hydrocolloids, foams, absorptive dressings, hydrogel, alginates, antimicrobials
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show | shift weight every 20 min
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show | initial inflammatory response
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show | leukotrienes and prostoglandins
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show | decrease dosage
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