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