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51 Cards in this Set
- Front
- Back
Sx of sepsis
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Acid/base disorder
fever |
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Most common organism isolated from blood
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Coag - staph
Staph Epidermis |
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Ideal time to get a blood culture
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half hour before expected onset of fever
before admistering antibiotics |
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How much blood do you need in each tube
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atleast 20cc in each tube
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Which drugs can pass the Blood brain barrier?
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lipid soluble drugs
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Does the blood brain barrier completely encircle the brain?
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no.. the posterior pitiuary is not covered
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Infection within the subarachnoid space
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meningitis
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Encephalitits
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inflammation of brain parenchyma
usually viral |
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Meningoencephalitits
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inflammation of brain and meninges
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Sx of meningitis
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Fever
Nuchal regidity Headache Rash Mental changes |
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deep deep red rash
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rash from Meningococcal meninigitis
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Causes of Bacterial meningitis
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Strep pneumoniae
Neisseria meningitidis H. influenzae Group B Strep Listeria E. coli Klebsiella |
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Aseptic meningitis
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viral meningitis
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Common causes of viral meningitis
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coxsackie, echoviruses
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Common cause of fungal infections
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Cyptococcus neoformans
encapsulated yeast |
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Common cause of protozoan infections
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Toxoplasmosis
|
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Disease that is a flaggiate that affects hte blood
Comes in two forms African- African sleeping sickness American |
Trypanosomiasis
|
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African Trypanomomaitass
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Trypansoma
spread by the tse-tse fly |
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American
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Trepansoma cruzi
Chagas disease kissing bug |
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Tube 1 from CSF orders
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Gram Stain
Culture and Sensitivity |
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deep deep red rash
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rash from Meningococcal meninigitis
|
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Causes of Bacterial meningitis
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Strep pneumoniae
Neisseria meningitidis H. influenzae Group B Strep Listeria E. coli Klebsiella |
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Aseptic meningitis
|
viral meningitis
|
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Common causes of viral meningitis
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coxsackie, echoviruses
|
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Common cause of fungal infections
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Cyptococcus neoformans
encapsulated yeast |
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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
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Trypansoma
spread by the tse-tse fly |
|
American
|
Trepansoma cruzi
Chagas disease kissing bug |
|
Tube 1 from CSF orders
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Gram Stain
Culture and Sensitivity |
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CSF Tube Number 2
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CSF Glucose and Protein
Chemistry |
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CSF Tube Number 3
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CSF Cell Count with Differential
*Blood count can be affected by procedure Hematology |
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CSF Tube Number 4
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CSF Latex Agglutination (Antigens)
SPECIAL TESTING |
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NORMAL CSF
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Clear
Glucose: 50-80 Protein: 20-45 Chloride: 116-122 Opening Pressure: 100-200 Leukocytes: No neutrophils and under 6 lymphocytes |
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Bactertial Meningitis CSF Findings
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Glucose Decreased
Protein Increased Markedly increased neutrophils |
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Viral meningitis CSf Findings
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Normal Glucose
High Protein Lymphocytes |
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Fungal meningitis CSF Findings
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Monocytes!!
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Pathogens found in Pleural Fluid
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Strep pneumoniae
Staph aureus Haemophilus influenzae Anaerobes Mycobacterium tuberculosis |
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Sx of Pericaridal fluid
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Stabbing sub sternal pain, worse supine
friction rub May have up 120cc of fluid |
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Organism for Pericarditis
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predominantly viral
Enteroviruses, adenoviruese, influenzae |
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Pericarditis EKG findings
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diffuse ST elevation
|
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Why is endocarditis casued?
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Vegitations of bacteria on the heart valves
|
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IVDA valve and organism
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Tricuspid and Staph Aureus
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Sx of endocarditis
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splinter hemorrahges
Roth Spots- hemmoraghes in the retina Osler's nodes- painful on pads of fingers |
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Fluid in the peritoneal cavity
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ascities
|
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Acities seen with
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hepatits, cirrosis, malignancy, CHF
|
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Why would we take amniotic fluid out?
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Genetic disorders
Looking for neural tube defects |
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Most affected joints for synovial fluid issues
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Knees and hips
|
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Infections in natural joints organisms
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Staph Aures
Neisseria gonorrhea |
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Prothetic Joints organisms
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Staph Epi, Staph aureus
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Causes of non-gonoccal septic arthritis
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staph, strep, E. coli
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