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22 Cards in this Set

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what are NOSOCOMIAL INFECTIONS
they are hospital acquired, due to increased inpt days, due to debilitated states and opportunistic infections brought on by poor handwashing
4 basic types of microorganism
1)BACTERIA (atypical nuc, RNA & DNA)

2)FUNGI (asexual repro, mold, yeast, like moist and dark)

3)PROTOZOA (complex and motile, cilia)

4)VIRUSES (has RNA & DNA)
basic bacterial structure
1) COCCI
2) DIPLOCOCCI
3) STREPTOCOCCI
4) STAPHYLOCOCCI
RESPIRATORY ISOLATION PRECAUTIONS
1) MASK (YES)
2) GOWN (NO)
3) GLOVES (NO)
4) HANDWASH BEFORE AND AFTER (YES)
DRAINAGE/SECRETION PRECAUTION
1) MASK (Y/N)
2) GOWN (Y/N) SOILING?
3) GLOVES (Y IF TOUCHING)
4) HANDWASH (Y)
CONTACT ISO PRECAUTIONS
1) MASK (N)
2) GOWN (Y IF SOILING)
3) GLOVES (Y)
4) HANDWASH (Y)
ENTERIC/INTESTINAL PRECAUTIONS
1) MASK(N)
2) GOWN (Y IF SOILING)
3) GLOVES (Y IF TOUCHING)
4) HANDWASH (Y)
STRICT ISO PRECAUTIONS
1) MASK (Y)
2) GOWNS (Y)
3) GLOVES (Y)
4) HANDWASH (Y)
5) DISPOSE MATERIAL IN ROOM BEFORE EXIT
WHAT IS ENTERIC/INTESTINAL INFECTION
intestinal infection = from disease condition that cause bowel movt probs or spread of normal flora systemically. common symptoms: stomach aches, diarrhea, vomiting. culprit: e coli, shingella, salmonella
TB EXPOSURE F/U
1) PERSON TESTED
2) + skin ARE TREATED, (INH, microbial Tx)
3) - skin RETESTED IN 6 WK
4) LOOK FOR SYMPTOMS: FEVER, SWEATS, WEIGHT -, TIRED, COUGHING BLOOD
proper HANDWASHING
1) wet hands w/ warm water
2) apply plenty of soap/disinfectants
3) lather 10-15s
4) rinse well
5) dry well
6) turn faucet w/towel
HEP A
1)fecal oral (food, water)
2)incubation 15-50 days
3)jaundice, wt loss, fatigue, liver damage
4)diet restoration of liver
HEP B
1)blood borne
2) transfusion
3) needles, drug user
4) typical symptoms, more severe
5) long term dietary restoration
HEP C
strictly IV drug users, combo of A&B, severe problems, PROG is poor, 28,000 new cases/yr
what is MRSA
methicillin resistant staphlococcus aureus epidermidis

nosocomial

main class resistant organism, inappropriate use of antimicrobials
what is VRE
vancomycin resistant enterococcus

nosocomial

main class resistant organism, inappropriate use of antimicrobials
risk factors for VRE & MRSA
1) long stays
2) Tx w/ many antimicrobials
3) if you are a burn, transplant, AIDS, oncology, very ill, or immuno suppressed
LIVER Fx
exposed to most ingested nutrients and drugs. nutrients are metabolized and detox substances and provide body w/ protein, clotting factors and plasma makeup
what happens w/LIVER DAMAGE
decreased in ability to use nutrients, make needed plasma proteins, and detox substances. damage usually comes from a virus.
risk factors for LIVER DAMAGE

HIGH RISK
1)IV DRUG
2)TRANSFUSION BEFORE '92
3)CLOTTING FACTORS BEFORE '87
4) COCAINE USE (NASAL)
5) THOSE FROM AREAS W/UV PRECAUTIONS
RISK FACTORS FOR LIVER DAMAGE

MODERATE RISK
1) TATOO
2) ACUPUNCTURE
3) BODY PIERCING
4) LONG TERM HEMODIALYSIS
5) OCCUPATIONAL EXPOSURE
general AIDS info

PATTERN I EXIST IN DEVELOPED/URBAN COUNTRIES

PATTERN II EXIST IN UNDERDEVELOPED COUNTRIES
1) infection rate is up, double in 6yrs
2) spread via, blood/body fluid, sex, mother 2 baby
3)rate is same for women & monorites, males show decrease
4)leading cause of death for AfroAm males 25-40yrs
5) teen males new hi-risk group