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71 Cards in this Set

  • Front
  • Back
what are the differences in medical and surgical asepsis
Medical-prevents introduction of new pathogens. Surgical- keeps area free of all pathogens
how to remove tape from wound
parallel to skin, toward incision
What do you do if increased drainage (saturated dressing) with no MD order to change dressing
reinforce dressing with additional dressing material until obtain order
Which medications should not be crushed?
any sustained release tablets
Rules for maintaining a sterile field
don't reach over the field, reach around. Don’t place hads or supplies below the waist. Don't allow sterile ofbjects to touch 1" from edge of field
What are the three types of wound healing?
Primary intention, secondary intention, tertiary intention
supine position pressure points
occipital, scalpula, elbows, sacrum, heels
prone position pressure points
cheek and ear, shoulders, breasts, genitalia (men), knees, toes
lateral position pressure points
side of head, ear, shoulder, illium, greater trochanter, knee, malleolus
fowler's position pressure points
spinal processes, pelvis, heels
Primary intention
approximated (closed) no tissue loss, ex. Closed surgical incision
secondary intention
an extensive wound in which the edges cannot or should not be appoximated, ex. Pressure ulcers, repair time is longer, scarring is greater, susceptibility of infection greater
Tertiary intention
wounds left open for 3-5 days to allow edemal or infectio to resolve, or exudate to drain, then closed with sutures, staples or adhesive skin closures
signs of wound infection
redness, swelling, pain, heat exudate, loss of function
Local infects - S&S
limited to a specific part of the body (redness, swelling, pain, heat, exudate, loss of function
Systemic infection - S&S
infection that has spread to other parts of the body by way of the bloodstream (fever, chills, high pulse & respirations, low energy, anorexia, high WBC)
isopropyl and ethyl alcohol
bacteria, TB, Fungi, viruses, use on hands, vial stoppers
chlorine bleach
bacteria, Tb, fungi, spores, viruses, use for blood spills
peroxide
bacteria, TB, fungi, spores, viruses, use on hard surfaces
iodophors
bacteria, TB, spores, fungi, viruses, use on equipment, intact skin and tissues if diluted
phenol
bacteria, TB, fungi, viruses, use on surfaces
Chlorhexidine (hibiclens)
bacteria, viruses, use on hands
triclosan (bacti-state)
bacteria, use on hands and intact skin
interventions for eviseration
place pt in a non straining position, with knees bent to decrease pull on the incision, call physician
types of drainage
serous, serous sanquineou, sanquineous, purulent
serous exudate
clear, watery with few cells
iodophors
bacteria, TB, spores, fungi, viruses, use on equipment, intact skin and tissues if diluted
phenol
bacteria, TB, fungi, viruses, use on surfaces
Chlorhexidine (hibiclens)
bacteria, viruses, use on hands
triclosan (bacti-state)
bacteria, use on hands and intact skin
interventions for eviseration
place pt in a non straining position, with knees bent to decrease pull on the incision, call physician
types of drainage
serous, serous sanquineou, sanquineous, purulent
serous exudate
clear, watery with few cells
purulent exudate
thick, contains pus, varies in color
sanguineous exudate
consists of large amounts of rbc's, indicating damage to capillaries, common in open wounds
suppuration
the process of pus formation, bacteria that produce pus is pyogenic bacteria
stages of pressure ulcer
stage 1 - nonblanchable erythema signalling possible ulceration, stage 2 - partial-thickness skin loss (abrasion, blister or shallow crater)involving the epidermis and pssibly the dermis Stage 3 - full thickness skin loss involving damamge or necrosis of subcutaneous tissue (can be down to, but not through the facia)stage 4 - full thick ness skin loss with tissue necrosis or damamge to muscle , bone, supporting structures
what are the differences in medical and surgical asepsis
Medical-prevents introduction of new pathogens. Surgical- keeps area free of all pathogens
how to remove tape from wound
parallel to skin, toward incision
What do you do if increased drainage (saturated dressing) with no MD order to change dressing
reinforce dressing with additional dressing material until obtain order
Which medications should not be crushed?
any sustained release tablets
Rules for maintaining a sterile field
don't reach over the field, reach around. Don’t place hads or supplies below the waist. Don't allow sterile ofbjects to touch 1" from edge of field
What are the three types of wound healing?
Primary intention, secondary intention, tertiary intention
supine position pressure points
occipital, scalpula, elbows, sacrum, heels
prone position pressure points
cheek and ear, shoulders, breasts, genitalia (men), knees, toes
lateral position pressure points
side of head, ear, shoulder, illium, greater trochanter, knee, malleolus
fowler's position pressure points
spinal processes, pelvis, heels
Primary intention
approximated (closed) no tissue loss, ex. Closed surgical incision
secondary intention
an extensive wound in which the edges cannot or should not be appoximated, ex. Pressure ulcers, repair time is longer, scarring is greater, susceptibility of infection greater
Tertiary intention
wounds left open for 3-5 days to allow edemal or infectio to resolve, or exudate to drain, then closed with sutures, staples or adhesive skin closures
signs of wound infection
redness, swelling, pain, heat exudate, loss of function
Local infects - S&S
limited to a specific part of the body (redness, swelling, pain, heat, exudate, loss of function
what are the differences in medical and surgical asepsis
Medical-prevents introduction of new pathogens. Surgical- keeps area free of all pathogens
how to remove tape from wound
parallel to skin, toward incision
What do you do if increased drainage (saturated dressing) with no MD order to change dressing
reinforce dressing with additional dressing material until obtain order
Which medications should not be crushed?
any sustained release tablets
Rules for maintaining a sterile field
don't reach over the field, reach around. Don’t place hads or supplies below the waist. Don't allow sterile ofbjects to touch 1" from edge of field
What are the three types of wound healing?
Primary intention, secondary intention, tertiary intention
supine position pressure points
occipital, scalpula, elbows, sacrum, heels
prone position pressure points
cheek and ear, shoulders, breasts, genitalia (men), knees, toes
lateral position pressure points
side of head, ear, shoulder, illium, greater trochanter, knee, malleolus
fowler's position pressure points
spinal processes, pelvis, heels
Primary intention
approximated (closed) no tissue loss, ex. Closed surgical incision
secondary intention
an extensive wound in which the edges cannot or should not be appoximated, ex. Pressure ulcers, repair time is longer, scarring is greater, susceptibility of infection greater
Tertiary intention
wounds left open for 3-5 days to allow edemal or infectio to resolve, or exudate to drain, then closed with sutures, staples or adhesive skin closures
signs of wound infection
redness, swelling, pain, heat exudate, loss of function
Local infects - S&S
limited to a specific part of the body (redness, swelling, pain, heat, exudate, loss of function
Systemic infection - S&S
infection that has spread to other parts of the body by way of the bloodstream (fever, chills, high pulse & respirations, low energy, anorexia, high WBC)
isopropyl and ethyl alcohol
bacteria, TB, Fungi, viruses, use on hands, vial stoppers
chlorine bleach
bacteria, Tb, fungi, spores, viruses, use for blood spills
peroxide
bacteria, TB, fungi, spores, viruses, use on hard surfaces