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71 Cards in this Set
- Front
- Back
what are the differences in medical and surgical asepsis
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Medical-prevents introduction of new pathogens. Surgical- keeps area free of all pathogens
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how to remove tape from wound
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parallel to skin, toward incision
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What do you do if increased drainage (saturated dressing) with no MD order to change dressing
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reinforce dressing with additional dressing material until obtain order
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Which medications should not be crushed?
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any sustained release tablets
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Rules for maintaining a sterile field
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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
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What are the three types of wound healing?
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Primary intention, secondary intention, tertiary intention
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supine position pressure points
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occipital, scalpula, elbows, sacrum, heels
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prone position pressure points
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cheek and ear, shoulders, breasts, genitalia (men), knees, toes
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lateral position pressure points
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side of head, ear, shoulder, illium, greater trochanter, knee, malleolus
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fowler's position pressure points
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spinal processes, pelvis, heels
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Primary intention
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approximated (closed) no tissue loss, ex. Closed surgical incision
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secondary intention
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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
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Tertiary intention
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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
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signs of wound infection
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redness, swelling, pain, heat exudate, loss of function
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Local infects - S&S
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limited to a specific part of the body (redness, swelling, pain, heat, exudate, loss of function
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Systemic infection - S&S
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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)
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isopropyl and ethyl alcohol
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bacteria, TB, Fungi, viruses, use on hands, vial stoppers
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chlorine bleach
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bacteria, Tb, fungi, spores, viruses, use for blood spills
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peroxide
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bacteria, TB, fungi, spores, viruses, use on hard surfaces
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iodophors
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bacteria, TB, spores, fungi, viruses, use on equipment, intact skin and tissues if diluted
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phenol
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bacteria, TB, fungi, viruses, use on surfaces
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Chlorhexidine (hibiclens)
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bacteria, viruses, use on hands
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triclosan (bacti-state)
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bacteria, use on hands and intact skin
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interventions for eviseration
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place pt in a non straining position, with knees bent to decrease pull on the incision, call physician
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types of drainage
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serous, serous sanquineou, sanquineous, purulent
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serous exudate
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clear, watery with few cells
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iodophors
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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
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serous, serous sanquineou, sanquineous, purulent
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serous exudate
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clear, watery with few cells
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purulent exudate
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thick, contains pus, varies in color
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sanguineous exudate
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consists of large amounts of rbc's, indicating damage to capillaries, common in open wounds
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suppuration
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the process of pus formation, bacteria that produce pus is pyogenic bacteria
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stages of pressure ulcer
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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
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|
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
|