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43 Cards in this Set

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caseation necrosis
necrotic tissue being turned into a granular mass
hematogenous TB
spread of TB throughout the body when a large number of organisms enter the blood as a result of pleural effusion
primary infection
first infection, middle or lower lobes
secondary TB
reactivation of TB
unique symptoms of TB
night sweats, fatigue, ineffective cough, altered immune system, low grade fever
TB test results <5 mm, 5-10 mm, 10+ mm
<5 neg
5-10 pos. in HIV
10+ pos-exposure
common nursing diagnosis
impaired gas exchange
ineffective airway clearance
knowledge deficit
fatigue
imbalenced nutr: less
social isolation
INH Problems:
liver, peripheral neuropathy
Rifampin Problems:
Liver, orange secretions, jaundice, fever
PZA Problems:
Hepatitus
Streptomycin Problems:
Ototoxicity
Nephrotoxicity
Ethambutol Problems:
occular nerve damage
What is the Bacille-Calmette-Guerin vaccine used for
increase resistance to TB in poor countries
Follow up sputum sample needs to be done:
every 2-3 weeks until 3 negative readings consecutively
What is the best diet for TB
rich in iron, protein, Vit C
Common features of RA
systemic, autoimmune, progressive
attacks synovium
women 35-45
genetic component
fast or slow development
most common in hands/feet
describe how RA occurs
RF factor develops, response to antigen triggers abnormal development of IGG
makes antibodies against IGG
causes deposits in synovium
neutrophils try to stop inflammation but release damaging chemicals
synovitis
inflammation
pannus formation
vascular granulation tissue, destroys bone
fibrous ankylosis
adhesions/scar formation
bony ankylosis
total calcification of the joint, immobile
symptom: Boutinniere
hand/thumb button hole
symptom: swan neck
fingers look like neck of swan
symptom: ulnar deformity
flexed fingers turned outward
symptom: rhematoid nodules
on wrists, elbows, not painful
RA symptom: Siorgren's syndrome
no moisture in glands
RA symptom: Felty's syndrome
enlarged spleen, dec WBC
Misc. RA symptoms:
warm joints, tender and swollen, still in the morning, low grade fever
Erythroctye sedimentation rate (ESR)
inflammation in the body somewhere
Nursing DX
risk for infection
dist. body image
self care deficit
impaired skin integrity
risk for falls
impaired mobility
chronic pain
RA drug classes used:
ASA, NSAID, DMARD, Corticosteroids, BRM
DMARD ex.
Plaquenil
Corticosteroid ex.
Prednisone
BRM ex (2)
Enbril, Remicaid
Nursing Intervention
Rest, ROM exercises, Moist Heat, Assistive Aids, Prevent contractures
Facts about OA
progressive, degenerative, unilateral, not systemic, cartilage overgrowth, women 60+
Pathophysiology of OA
wear/tear, obesity, occupation, lack of exercise, trauma
Joint changes w/ OA
cartilage erodes, joint space narrows, bone on bone creates bone spurs
Heberden's nodes (OA)
distal interfilangial swelling
Bouchard's nodes (OA)
proximal interfilangial swelling
ESR in OA
normal or elevated in late stages only
OA Drugs
Tylenol, NSAID, Glucosamine, Capsaicin cream, Cortison injections, Surgery
Nursing interventions OA
pain control, exercise, rest, heat, cold, assistive aids, Trans Electical Nerve Stimulation