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22 Cards in this Set

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WHAT DO YOU DO TO PREVENT INFECTION?
-GOOD HANDWASHING
-STERILE TECHNIQUE
-WATCH WHO COMES INTO ROOM
-GOOD ORAL CARE (CHANGE H20 PITCHER)
-NO RECTAL TEMP,NO ELECTRIC RAZOR
-NO FRESH FRUITS,NO RAW EGGS,NO FISH
**VS Q 4 HRS
**REPORT TEMP IF >100.5-38 C
DR WILL ORDER BLD,URINE,STOOL CULTURES
TXT-BROAD SPEC ANTIBIOTIC W/IN 1 HR
WHAT DO YOU CHECK FOR NEUTROPENIA
-SEPTIC SHOCK
-PNEUMONIA
-LUNGS
WHAT MEDS TO GIVE WHEN PT HAS LOW WBC COUNT?
1.G-CSF
2.GM CSF
3.TRANSFUSION OF WBC'S
4.NEUPOGEN
HEALTH RESTORATION
OPTIMAL MENTAL AND PHYSICAL WELL BEING
"STATE OF BEING IN PERSON'S OWN EYES"
S/S OF ANEMIA
-FATIGUE
-SOB
-FEVER (INCREASES O2 DEMAND BY 50 PERCENT)
WHAT DO YOU DO FOR PT WITH LOW RBC?
EPOGEN-PROCRIT
HAVE PT REST AND CONSERVE ENERGY
WHEN U THINK ABOUT INFECTION, WHAT DO YOU LOOK AT?
NEUTROPHILS
PLATELETS (THROMBOCYTES)
__=NORM COUNT
__=THROMBOCYTOPENIA
__=RISK OF SPONTANEOUS HEMORRAGE
S/S OF DECREASED PLATELETS=
NURSING MEASURE? DRUG GIVEN?
1.150,000-450,000
2.< 50,000
3.< 20,000
S/S=BRUISING,PETECHAIE (RED DOTS)
NSG:BLEEDING PRECAUTIONS,NO RECTAL TEMP,NO IM,NO ASPIRIN,SOFT TOOTH CARE
DRUG GIVEN:NEUMEGA
HEALTH
A HIGHLY INDIVIDUALIZED PERCEPTION
-AN ONGOING PROCESS OF LIFE
HEALTHY
FREE OF SYMPTOMS AND DISEASE AND PAIN
-BEING ABLE TO DO WHAT YOU WANT TO DO
WELLNESS
STATE OF WELL BEING
-REST,NUTRITION,EXERCISE,PREVENTATIVE CARE
WHO DEVELOPED THE ILLNESS-WELLNESS CONTINUUM?
JOHN TRAVIS
SIGN=
OBJECTIVE
-WHAT YOU SEE
SYMPTOM=
SUBJECTIVE
-WHAT PERSON SAYS
ILLNESS
HIGHLY PERSONALIZED STATE
NOT ALWAYS=DISEASE
DISEASE
ALTERATION IN BODY FUNCTIONING THAT CAN DECREASE CAPABILITIES OR SHORTEN THE LIFE SPAN
CHRONIC ILLNESS
AN ILLNESS THAT LASTS FOR MORE THAN 3 MONTHS OR MORE
-REMISSIONS
-EXACERBATIONS
-INVOLVES MULTIPLE SYSTEMS
IMMUNOSUPPRESSION
IMMUNOCOMPROMISED
=IMMUNE SYS IN DANGER
WHAT ARE THE BODYS BEST DEFENSES?
SKIN AND MUCUS
NEUTROPENIA COUNT
< 1,000 OR < 2,000
S/E OF CHEMO
BONE MARROW SUPPRESSION (BMS)
AND MYELOSUPPRESSION
HOW DO YOU CALCULATE ABSOLUTE VALUE?
MULTIPLY
RELATIVE VALUE X TOTAL WBC COUNT

EXP:WBC =6,000
RELATIVE VALUE-NEUTROPHILS=50 PERCENT
-->6,000 X .50 = 3,000 (ABSOLUTE VALUE