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62 Cards in this Set

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Aura








ch 27.

a warning before a seizure occurs, often described as a bright light, or odd taste and smell.

Food and drug administration












ch. 27

federal agency responsible for the enforcement of federal regulations regarding the manufacture, processing, and distribution of foods, drugs, and cosmetics to protect consumers against the sale of impure or dangerous substances.

Immunizations












ch. 27

injection of a small amount of attenuated (weakened) or dead organisms or modified toxins from the organism into the body to acquire active immunity from the organism.

Pathogen










ch. 27

an organism capable of producing an illness.

Poisen












ch. 27

any substance that impairs health or destroys life when ingested, inhaled, or absorbed by the body.

pollutant














ch. 27

a harmful chemical or waste material discharged into the water, soil, or air.

Restraint














ch. 27

any manual method, physical, or mechanical device, material, or equipment that immobilized or reduces the ability of a patient or move his or her arms, legs, body, or head freely.

Seizure














ch. 27

a hyperexcitation and disorderly discharge of neurons in the brain leading to a suddenn violent, involuntary series of muscle contractions that is paroxysmal and episodic, causing loss of consciousness, falling, tonicity (rigidity of muscles), and clonicity (jerking of muscles).

Seizure Precautions












ch. 27

encompass all nursing interventions to protect the patient from traumatic injury, position for adequate ventilation and drainage of oral secretions, and provide privacy and support following the seizure.

Status epilepticus














ch. 27

Prolonged or repeated seizures

STEEP












CH. 27

S-safe


T-timely


E-effective


E-equitable


P-patient centered

Developmental Stages












Ch. 27

EDUCATE PATIENT SAFETY ACCORDINGLY




Infants and toddlers


Preschoolers


School-aged children


Adolescents


Adult


Older Adult



Restraint Types












Ch. 27

Chemical


Physical


Alarms


Posey bed


Wrist restraints & vests


Side-rails (when it encloses the patient and there is no safe way getting out of the bed)

Use of restraints must meet one of these


objectives












Ch. 27

-Reduce risk of injury from falls


-Prevent interruption of therapy (IV's, tube feedings, or foleys)


-Prevent pts who are confused or combative from removing life-support equipment


-Reduce risk of injury to others by the pt.

Alternatives to restraints












Ch. 27

-Provide companionship/supervision


-use calm, simple language


-attend to needs frequently (every hour)


-evaluate all medications & ensure effective pain management


-assign confused pts to rooms next to nurses station


-provide distractions

Restraint requirements












Ch. 27

-know agency-specific policy


-physcians order based on face to face assessment.


-orders must be current & specify: type & location. Duration & circumstance for use


-Orders may be renewed max 24 hours


-ongoing assessment is mandatory


-DOCUMENTATION

Restraint Complications












Ch. 27

-pressure ulcers -limb injury


-constipation -strangulation


-loss of dignity -DEATH


-agitation


-falls


-pneumonia


-incontinence


-humiliation

RACE












Ch. 27

R- rescue & remove pts from danger


A- activate alarm


C- confine the fire


E- extinguish with appropriate equipment

PASS










Ch. 27



P- pull pin


A- aim at base of fire


S- squeeze handles


S- sweep from side to side

Aerobic












Ch. 28

Bacteria that requires oxygen for survival and for multiplication sufficient to cause disease.

Anaerobic












Ch. 28

Bacteria thrive where little or no free oxygen is available (infections deep within the pleural cavity, in a joint, or in a deep sinus tract are typicallly anaeorobes).

Asepsis












Ch. 28

The absence of pathogenic microorganisms. Aseptic technique refers to practices/procedures that help reduce the risk for infection.

Asymptomatic












Ch. 28



A infectious disease that lacks signs or symptoms

Bactericidal










Ch. 28

A temperature or chemical that destroys bacteria.

Bacteriostasis










Ch. 28

Cold temperatures preventing growth and reproduction of bacteria.

Hand hygeine












Ch. 28

The act of washing hands with soap and water, followed by rinsing under a stream of water for 15 seconds.

Colonization










Ch. 28

The presence and growth of microorganisms within a host but without tissue invasion or damage.

Communicable disease










Ch. 28

An infectious disease that can be transmitted directly from one person to another.

Health care-associated infections (HAIs)










Ch. 28

Infections resulting from the delivery of health services in a health care facility (also referred to nosocomial or health care-acquired infections).

Disinfection














Ch. 28

A process that eliminates many or all microorganisms, with the exception of bacterial spores, from inanimate objects.

Edema












Ch. 28

The accumulation of fluid that appears of localized swelling.

Endogenous infection












Ch. 28



Part of the patients flora becomes altered and an overgrowth results (this often happens wen a patient receives broad-spectrum antibiotics that alter the normal floras.

Epidemiology












Ch. 28

Gathering statistics regarding the cause and effect of health care-associated infections.

Exogenous Infection












Ch. 28

An infection that comes from microorganisms found outside the individual such as Salmonella, Clostridium tetani, and Aspergillus.

Exudates












Ch. 28

Fluid and cells that are discharged from cells or blood vessels (pus or serum).

Iatrogenic infections














Ch. 28

Type of HAI from a diagnostic or therapeutic procedure.




* Always consider the patient's risks for infection and anticipate how the approach to care increases or decreases the risk.

Immunocompromised












Ch. 28

Impaired immune system

Infection














Ch.28

Invasion of a susceptible host by pathogens or microorganisms, resulting in disease.


Systemic












Ch. 28

An infection that affects the entire body instead of just a single organ or part and can become fatal if undetected and untreated.

Symptomatic












Ch. 28

Pathogens multiplying and causing clinical signs and symptoms.

Leukocytosis










Ch. 28

An increase in the number of circulating WBC's




*WBC- normally 5,000 to 10,000/mm, but typically rise to 15,000 to 20,000/mm and higher during infection.

Localized










Ch. 28

A localized infection (wound infection)

Medical Asepsis










Ch. 28

Clean techniques for reducing the number of organisms present and preventing the transfer of organisms.

Suppurative










Ch. 28

An increased in acute pus-forming infection.

Necrotic












Ch. 28

The process neutralizes and eliminates pathogens or dead tissues and establishes a means of repairing body cells and tissues.

Normal Floras












Ch. 28

A normally excrete of trillions of microbes daily through the intestines.

Pathogens












Ch. 28

A microorganism invasion of a susceptible host resulting in disease.

Phagocytosis










Ch. 28

A process that involves the destruction and absorption of bacteria.

Purulent












Ch. 28

Accumulation of fluid and dead tissue containing WBC's and bacteria

Resevoir












Ch. 28

A place where microorganisms survive, multiply, and wait transfer to a susceptible host.


Sanguineous












Ch. 28

Accumulation of fluid containing red blood cells.

Serous














Ch. 28

Accumulation of fluid containing clear-like plasma.

Standard precautions












Ch. 28

To prevent and control infection and its spread.

Sterile field












Ch. 28

An area free of microorganisms and prepared to receive sterile items.

Suprainfection












Ch. 28

An infection that develops when broad-spectrum antibiotics eliminate a wide range of normal flora organisms, not just those causing infection.

Surgical asepsis










Ch. 28

Sterile technique prevents contamination of an open wound, serves to isolate the operative area from the unsterile environment, and maintains a sterile field for surgery.

Susceptibility












Ch. 28

An infectious agent depends on the individual's degree of resistance to pathogens.

Chain of infection














Ch. 28

*Infection occurs in a cycle that depends on the presence of all of the following:


-an infectious agent or pathogen


-a reservoir or source for pathogen growth


-a port of exit from the reservoir


-a mode of transmission


-a port of entry to a host


-a susceptible host

Mode of Transmission of Infection












Ch. 28

-Contact


-Droplet (can travel up to 3 ft.)


-Airborne


-Vehicles (water, blood, food)


-Vectors(mosquitos)

CDC Prevention & Isolation Guidelines
Standard Precautions












Ch. 28


Barrier precautions include the appropriate use of personal protective equipment, such as gowns, gloves, masks,

Contact Precautions












Ch. 28





Used for direct and indirect contact with patients and their environment. The health care worker may transmit microorganisms from one patient sid=te to another if hand hygiene is not performed between patients.

Droplet Precautions










Ch. 28



Focus on diseases that are transmitted by large droplets expelled into the air and travel 3 to 6 feet from the patient.