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49 Cards in this Set

  • Front
  • Back

Signs/symptoms of infectious disease

fever, skin rash, red streaks, inflamed lymph nodes, joint effusion, nausea/vomiting, headaches, memory loss, dyspnea, sputum production, urinary frequency, urinary urgency, flank pain, myalgia

Red streaks on skin

super dangerous

dyspnea

shortness of breath

sputum production

excess saliva

flank pain

side pain

myalgia

muscle pain

memory loss is often caused by

UTI

Joint effusion

edema INSIDE the joint

Edema

swelling

fever threshold for elderly

99-100


*look for confusion/ change in mental status

Elderly have decreased immune function, which

delays response and makes them more susceptible to disease

Elderly have decreased cough strength, which

decreases the clearing of the lungs and can cause them to develop lung infections from not being able to clear their lungs

Elderly have decreased skin integrity, which

is the first line of defense

Elder have decreased thermoregulatory status, which

means their body temperature is lower

Elderly have to take more medications and have

more comorbidities

Microorganism(parasite) enters the body and multiplies:

-it causes injury to a host cell


-triggers inflammation process which damages even more tissue locally or systemic

Pathogen

any infectious agent

incubation period

time from entering host cell until clinical manifestation (symptoms/signs)

Latent

organism that enters body but is dormant (non-active) for a period. (often years)

Nosocomial infection

infection acquired during a hospitalization


- up to 5% of patients will get one

Disease transmission

pathogen present


resevoir(host)


portal of exit


transmission


mode of entry


susceptible host


(ALL THINGS MUST OCCUR BEFORE A DISEASE IS TRANSMITTED)

Contact

organism transferred by skin to skin, mucous membrane to membrane

direct

touching, sex, biting, kissing

indirect

touching an inanimate object(needle, door handle)

Airborne

inhaled from another respiratory system


-very small


Droptlet

Large particle from respiratory system that gets coughed up/out or with sneezing



3 feet or less

vehicle transmission

through a common source such as contaminated food/ IV fluid

Vector borne

carried via insect

transmission based precautions

for known infection or suspected infection

Airborne precautions

for patients known or suspected to be infected with a pathogen that can be transmitted by airborne route

Airborne diseases

measles


chickenpox


tuberculosis


localized herpes zoster

AIIR

Airborne Infection Isolation Room

Airborne precaution for when patient is entering hospital

have patient enter through separate door and avoid the reception and registration area

If AIIR is not available

-provide pt face mask


-instruct pt not to take mask off except to change it when wet


-initiate protocol to transfer patient to hospital with capacity to properly manage the patient

What should PTA wear when caring for airborne precaution pt

disposable respirator, if available


-put respirator on before entering the room and take off after exiting

if substantial spraying of respiratory fluids is anticipated

gloves, gown, and goggles (OR face shield)

How long after patient with airborne precautions leaves the hospital room should someone wait to enter?

1 hour


(though adequate wait time may vary depending on ventilation in room)

Droplet precautions

apply to patients known or suspected to be infected with a pathogen that can be transmitted by droplet route

Droplet precaution diseases

respiratory viruses ( flu,adenovirus, etc.)


bordetella pertusis

Droplet precautions diseases for the first 24 hours:

neisseria meningitides, group A streptococcus

Where should patients with be placed?

in an exam room with a closed door as soon as possible


-prioritize patients who have excessive cough and sputum production

If an exam room is not available for a patient with droplet precautions

patient should be provided a face mask and put in a separate area as far from other patients as possible while waiting for care

PTA should wear what when handling pt with Droplet precautions:

face mask (procedure or surgical)


-if coming in close contact with pt, it should be donned upon entering the room

Presence of stool incontinence, draining wounds, uncontrolled secretions, pressure ulcers, or presence of stomy tubes and/or bags draining body fluids

Contact precautions

Contact precautions apply to

presence of generalized rash or exanthems


prioritize placement of droplet precaution patients in exam room if they have

stool incontinence, draining wounds and/or skin lesions that cannot be covered, or uncontrolled secretions

perform hand hygiene with droplet precautions patients:

before touching patient and prior to wearing gloves

PTA should wear gloves with droplet precautions patients:

when touching the patient and the patients belongings or immediate environment

wear a gown with droplet precautions pt if:

substantial contact with the patient or their environment is anticipated