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51 Cards in this Set

  • Front
  • Back
Sx of sepsis
Acid/base disorder
fever
Most common organism isolated from blood
Coag - staph

Staph Epidermis
Ideal time to get a blood culture
half hour before expected onset of fever

before admistering antibiotics
How much blood do you need in each tube
atleast 20cc in each tube
Which drugs can pass the Blood brain barrier?
lipid soluble drugs
Does the blood brain barrier completely encircle the brain?
no.. the posterior pitiuary is not covered
Infection within the subarachnoid space
meningitis
Encephalitits
inflammation of brain parenchyma

usually viral
Meningoencephalitits
inflammation of brain and meninges
Sx of meningitis
Fever
Nuchal regidity
Headache
Rash
Mental changes
deep deep red rash
rash from Meningococcal meninigitis
Causes of Bacterial meningitis
Strep pneumoniae
Neisseria meningitidis
H. influenzae
Group B Strep
Listeria
E. coli
Klebsiella
Aseptic meningitis
viral meningitis
Common causes of viral meningitis
coxsackie, echoviruses
Common cause of fungal infections
Cyptococcus neoformans

encapsulated yeast
Common cause of protozoan infections
Toxoplasmosis
Disease that is a flaggiate that affects hte blood

Comes in two forms
African- African sleeping sickness
American
Trypanosomiasis
African Trypanomomaitass
Trypansoma

spread by the tse-tse fly
American
Trepansoma cruzi

Chagas disease
kissing bug
Tube 1 from CSF orders
Gram Stain
Culture and Sensitivity
deep deep red rash
rash from Meningococcal meninigitis
Causes of Bacterial meningitis
Strep pneumoniae
Neisseria meningitidis
H. influenzae
Group B Strep
Listeria
E. coli
Klebsiella
Aseptic meningitis
viral meningitis
Common causes of viral meningitis
coxsackie, echoviruses
Common cause of fungal infections
Cyptococcus neoformans

encapsulated yeast
Common cause of protozoan infections
Toxoplasmosis
Disease that is a flaggiate that affects hte blood

Comes in two forms
African- African sleeping sickness
American
Trypanosomiasis
African Trypanomomaitass
Trypansoma

spread by the tse-tse fly
American
Trepansoma cruzi

Chagas disease
kissing bug
Tube 1 from CSF orders
Gram Stain
Culture and Sensitivity
CSF Tube Number 2
CSF Glucose and Protein

Chemistry
CSF Tube Number 3
CSF Cell Count with Differential

*Blood count can be affected by procedure
Hematology
CSF Tube Number 4
CSF Latex Agglutination (Antigens)

SPECIAL TESTING
NORMAL CSF
Clear
Glucose: 50-80
Protein: 20-45
Chloride: 116-122
Opening Pressure: 100-200
Leukocytes: No neutrophils and under 6 lymphocytes
Bactertial Meningitis CSF Findings
Glucose Decreased
Protein Increased
Markedly increased neutrophils
Viral meningitis CSf Findings
Normal Glucose
High Protein
Lymphocytes
Fungal meningitis CSF Findings
Monocytes!!
Pathogens found in Pleural Fluid
Strep pneumoniae
Staph aureus
Haemophilus influenzae
Anaerobes
Mycobacterium tuberculosis
Sx of Pericaridal fluid
Stabbing sub sternal pain, worse supine

friction rub

May have up 120cc of fluid
Organism for Pericarditis
predominantly viral

Enteroviruses, adenoviruese, influenzae
Pericarditis EKG findings
diffuse ST elevation
Why is endocarditis casued?
Vegitations of bacteria on the heart valves
IVDA valve and organism
Tricuspid and Staph Aureus
Sx of endocarditis
splinter hemorrahges
Roth Spots- hemmoraghes in the retina
Osler's nodes- painful on pads of fingers
Fluid in the peritoneal cavity
ascities
Acities seen with
hepatits, cirrosis, malignancy, CHF
Why would we take amniotic fluid out?
Genetic disorders
Looking for neural tube defects
Most affected joints for synovial fluid issues
Knees and hips
Infections in natural joints organisms
Staph Aures
Neisseria gonorrhea
Prothetic Joints organisms
Staph Epi, Staph aureus
Causes of non-gonoccal septic arthritis
staph, strep, E. coli