Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key

image

Play button

image

Play button

image

Progress

1/14

Click to flip

14 Cards in this Set

  • Front
  • Back
Why would be use 2nd or 3rd generation ceph for PCN Failure?
They overcome extended spectrum beta-lactamase producers.
What are the parts of CC AND HPI?
- SPECIFIC:
What are the sx,
Rate of development
There prior tx
What was the response
GENERAL SX:
Fever, sweats, malaise, anorexia, mental status, worsening of preexisting med. condition.
What are the eight aspects of PMH?
- IVDA
- AIDS
- DM
- COPD/Lung Disease
- Cancer
- Splenectomy
- Alcoholism
- Disrupted normal barriers
What are some drugs that can decrease immunity?
- immunosuppressants, steriods, chemotherapy
What are the six aspects of SH?
- Where pt. lives
- Recent travel
- Alcoholism, IVDA
- Sexual activity
- Exposure to food
- Place of employment
Describe how VS indicate a pt. may have an infection?
Fever: controlled elevation of body temperature above the normal range
- fluctuates 0.6C (1F)
- lowest in the morning, peaks at 4 - 6 hr.
Describe the variability in the three diff methods of measuring a fever.
Rectal: 0.6 C (1 F) higher
Axillary: 0.6 C (1 F) lower
Describe how VS indicate a pt may have an infection?
RR: tachypnea (RR>20) respiratory infection
HR: (HR < 60) with fever suggestive of intracellular.
Blood Pressure: Frank Hypotension
Lower and Upper Respiratory Infections
CNS
What are some of the diagnostic tests that can be done for infections?
- CBC w/ differential
- Urinalysis
- Chest x-ray
- Cultures
- CRP and ESR
- Indium Leukocyte Scan
What is the left shift?
During an infection more NEUTROPHILS are released from bone marrow.
1. Eosinophils:
2. Monocytosis:
3. Leukocytosis:
4. Lymphocytosis:
5. Neutrophils:
1. increase parasite infections and allergic reactions.
2. increased in infect
3. A response to infection/inflammation
4. An increase virus or tumors.
5. DEFENSE AGAINST BACTERIA AND FUNGUS.
ANC
Absolute Neutrophil Count
- (% bands + %segs) x wbc
- ANC < 500 cells/mm3
Three ways of collecting urinalysis:
- catherization
- midstream clean catch
- suprapubic bladder aspiration
What are the ESR (Erythrocyte Sedimentation Rate) and CRP (C-Reactive Protein)?
ESR: < 20 mm/hr, measures how quickly the erthyrocytes settle.
- increases slowly and returns to baseline after several days.
CRP: 0.08-3.1 mg/L
- elevated within hours and declines to baseline over several days
- marker of acute injury, infection or inflam.