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1147 Cards in this Set

  • Front
  • Back
NAME
this is a reaction of vascularized tissue to local injury
inflammation
NAME
this is the most common an immune response to infectious microorganisms
inflammation
what is the most common immune response to infectious mircoorganisms?
inflammation
inflammation is the most common immune response to (1)
infectious microbes
what is apoptosis?
is programmed cell death
NAME
this is programmed cell death
apotosis
what is ischemia?
is deficit of O2 in the cells
NAME
this is a deficit of O2 in the cells
ischemia
what is hypoxia?
reduced oygyen in the tissue
NAME
this is reduced O2 in the tissue
hypoxia
what does "hypo"mean?
lower or less
What does hyper mean?
high or more
what is the differ btwn hyper and hypo?
(1)hyper=high or more (2)hypo-less or lwoer
what is lysis?
refers when the cell bursts
NAME
this refers to when the cell bursts
lysis
what is inflammation?
refers to swelling, redness, and pain
NAME
this refers to swelling, redness, and pain
inflammation
what is necrosis?
is when a group of cells die
NAME
this refers to when a group of cells die
necrosis
what is gangrene?
refers to area of necrotic tissue that has been invaded by bacteria
NAME
this refers to an area of necrotic tissue that has been invaded by bacteria
gangerene
what are the body's (3)lines of defense?
(1)skine or mucous membrane (2)non-specfic processes such as phagocytosis and inflammation (3)immune system
what is phagocytosis?
is the process by which neuotrophils and marcophages engulf/digest bacteria/cell debris, or foriegn matter
nAME
this is the process by which neutrophils and marcophages engulf/digest bacteria/cell debris or foreign matter
phagosytosis
what are marcophages?
they engulf and destory bacteira, cell debris, and foreign matter
NAME
these cells engulf and destory bacteria and cell debris and foreign matter
marcophages
what are interferons?
are non-specfic agents that protect uninfected cells againast viruses
NAME
these are non-specfic agents that protect uninfected cells against virsuses
interferons
what are the cardinal signs of inflammation? (5)
(1)redness (2)warmth (3)edema (4)pain (5)loss of function
NAME
the five cardinal signs of this include redness, warmth, edema, pain and loss of function
inflammation
what is edema?
refers to swellling
NAME
this refers to swelling
edema
what is exudate?
refesr to the collection of interstitial fluid formed in the inflamed area
NAME
this refers to the colllection of interstitiial fuild formed in the inflammed area
exudate
what is malaise?
feeling unwell
NAME
this refers to feeling unwell
malaise
what is leukocytosis?
incraesed WBC
NAME
this refers to increased WBC
leukocyotisis
what does WBC stand for?q
white blood cells
what does ESR stand for?
erythrocyte sedimentation rate
what is pyrexia?
low grade fever
NAME
this refers to low grade fever
pyrexia
NAME
this refers to a phagocytic cell
marcophages
NAME
this is a small mass of cells w a ncrotic centera and covered by connective tissue
granuloma
what is granuloma?
is a small mass of cells w a nectroic centra and covered by connective tissue
what are (3)differ type of healing?
(1)resolution (2)regeneration (3)replaceemnt (scar tissue)
what is collagen?
is a protient that is a basic compoenet of scar tissue
NAME
this is a protien that is a basic component of scar tissue
collagen
what is a contracture?
a condition in which the joint;s movement is restricted--maybe restulting in fixation and deformity of the joint
NAME
this is a condition in which the joint's movement is restricted--maybe restulting in fixation and deformity of the joint
contracture
what is stenosis?
narrowing of structures from skrinkage of scar tissue
NAME
this is the narrowing of structures from skinkage of scar tissue
stenosis
what are adhesions?
are bands of scar tissue joining two surfaces that are normally separtated
NAME
these are bands of scar tissue joining two surfaces that are normally separted
adhesions
what are the differ types of burns? (30
(1)partial thickness burns (2)deep partial thickness burns (3)full thickness burns
partial thickness burns are also called (1)
first degree burn
(1)burns are also called first degree burn
partial thickness burns
(1)are also called 2nd degree burn
deep partial thickness burns
deep partial thickness burns are also called (1)
2nd degree burns
full thickness burns are also called (1)
3 and 4 degree burns
(1)are also called 3 and 4th degree burns
full thickness burns
what is a partial thickness burn?
burns that involvethe epidermis and part of the dermis
NAME
this type of burn invovlves the epidermis and part of the dermis
partial thickness burn
what is the deep partial thickness burn?
burn that involves the dstruction of the epidermis and part of the dermis
NAME
this type of burn involves the destruction of the epidermis and part of the dermis
partial thickness burn
what is full thickness burn?
involves the destruction of all skin layers and underlying tissues
NAME
this type of burn involves the destruction of all skin layers and often underlying tissues
full thickness burns
what are some effects of burns on an indvl? (5)
(1)they go into shock (2) have respiratory problems (3)pain (4)infection (5)metabolic needs
T or F'
the growth of children is affected during the acute stage of a burn
true
what are antigens?
are forgien substances
NAME
these are foreign substances
antigens
Macrophages develops from (1)
monocytes
(1)deleveop from monocytes
marcophages
T cells arise from (11)
stem cells
NAME
these arrive from stem cells
T cells
Where do T cells come from?
stem cells
what are (2)kinds of lymphocytes?
(1)T lymophyctes (2)B lymphocytes
T cells stand for (1)
T lymphocytes
NAME
these cells reproduce to create an army to battale the invader and they also activate other cells of their kind
T cells
Draw a picture of the course of inflammation and healing
see page 27
Draw a picture of the course of inflammation and healing
see page 27
what is fibrosis?
scar tissue
NAME
this refers to scar tissue
fibrosis
how does the body respond to a acute inflammation?
release chemical mediators that do the following (1)vasodilation and increased blood flow (2)increased capillary permeability (3)chemotaxis or WBC traveling to the area(4)irriation of nerve endings
in a acute inflammation what causes the hot, red?
vasodilation and increased blood flow
in a acute inflammation, what causes the edema?
increased capillary permeability
NAME
when this happens, this is an increased number of WBCs
inflammation
what is antibody?
specfic protien produced in humoral response to bind w antigen
NAME
this is a specific protien produced in humoral response to bind w an antigen
antibody
what is an autoantibody?
refers to antibodies that attack its own body's tissues
NAME
these are antibodies that attack their own tissue
autoantibody
NAME
this is the site of maturation and profiliferation of T cells
thymus
what is thymus?
is where T cells come from
what is the bone marrow?
source of stem cells, leukocytes, and maturation of B lymphocytes
NAME
this is a source of stem cells, leukocytes, and maturation of B lymphocytes
bone marrow
what are the differ kinds of white blood cells? (4)
(1)neutrophils (2)basophils (3)eosinophils (4)monocytes (5)
what are the differ kinds of white blood cells? (4)
(1)neutrophils (2)basophils (3)eosinophils (4)monocytes (5)
NAME
these include neutrophils, basophils, eosinophils, and monocytes
white blood cells
NAME
these are humoral immunity activitated cell that become an antibody producing plasma cell or a B memory cell
B lymphocytes
what are plasma cells?
develop from B lymphocytes and secrete specfic antibodies
NAME
these cells develop from B lymphocytes and secrete specific antibodies
plasma cells
Killer T cells are also called (1)
cytotoxic
(1)are also called cytotoxic
killer T cells
what are killer T cells?
destroy antigens, cancer cells, and virus infected cells
NAME
these cells destroy antigens, cencer cells, and virus infected cells
killer T cells
what are memory T cells?
remember antigen and quickly stimulate immune response on reexposure
NAME
these remeber antigen and quickly stimulate immune response on reexposure
memory T cells
what are helper T cells?
activate B and T cells and control or limit specfic immune response
NAME
these activate B and T cells and control or limit specific immune response
helper T cells
what are NK lymphocytes?
natural killer cells destory foreign cells, virus infected cells, and cancer cells
NAME
these are natural killer cells, destroy foreign cells, virus infected cells, and cancer cel
NK lymphocytes
what are complement?
assist in the release of other mediators
NAME
this is a group of inactive protiens in circulation that when activated stimulat the release of other chemical modulaters, promoting inflamation, chemotaxis and phagocytosis
complement
what is histamine?
this is released from mast cells and basophils particullar during allergic reactions....causing vasodilation and increased vascular permeability or edema, and contraction of bronchiolar smooth muscle and pruritius
NAME
this is released from mast cells and basophils particullar during allergic reactions....causing vasodilation and increased vascular permeability or edema, and contraction of bronchiolar smooth muscle and pruritius
histamine
what is prostaglandins/
is a group of lipds w varying effects that include causing inflammation, vasodilation, and increased permeability, and pain
NAME
these are a a group of lipds w varying effects that include causing inflammation, vasodilation, and increased permeability, and pain
prostaglandins
what are kinins?
cause vasoldilation, increased permeabiltiy and pain
NAME
these cause vasodilation, increased, permeability and pain
kinins
what are chemotactic factors?
attract phaocytes to area of inflammation
NAME
these attract phagocytes to the area of inflammation
chemotactic factors
what are mast cells?
release chemical mediators such as histamine in connective tissue
NAME
these release chemical mediators such as histamine in connective tissue
mast cells
what is a titer?
measure of secpfic antibodies
NAMe
this is a measure of specfic antibodies
titer
what are the differ ways to acquire immunity?
natural (2)artificial (3)innate
what is natural immunity?
means immunity is species specfic
NAMe
this means that immunity is species specfic
natural immunity
what is innate immunity?
immunity that is gene specfic
NAME
this refers to immunity that is gene specfic
innate immunity
what are the (2)steps in a immune response?
(1)primary response-person is exposed to antigen, the antigen is recoginzed and processed and antibodies are produced to fight the antigen (2)secondary response-the body is exposed to the same antigen again, memory cells stimulate production of a large number of matching antigens or T cells
NAME
this means to change slighlty over time
matutate
what is four ways that immunity is acquired? (4)
(1)active natural immunity (2)active artificial immunity (3)passive natural immunity (4)passive artificial immunity
NAME
this can be acquired in 4 ways=active natural, active artifical, passive natural, or passive artificial
immunity
what is natural immunity?
develops when someone is exposed directly exposed to an antigen
NAME
this develops when someone is exposed direclty exposed to an antigen
natural immunity
what is artificial immunity?
this develops when a specific antigen is purposefully introduced into the body stimulating the production of antibodies
what is eczema?
is a chronic skin condition/skin rash that occurs bc of a food, irritating fabric or dry atmosphere
NAME
this is a chronic conidtion/skin rash that occurs bc of allergic reaction a food, irritating fabric or dry atmosphere
eczema
what is type II hypersensitivity?
is when antigen is present on the cell membrane and the body produces antibodies that destory it causing destruction of the cell
NAME
this is when antigen is present on the cell membrane and the body produces antibodies that destroy it causing destruction of the cell
type II hypersensitivity
Give an example of type II hypersensitivity?
response to a incompatible blood transfusion
NAME
an example of this a response to an incompatible blood transfusion
type II hypersensitivity
what is type III-immune complex hypersensitivity?
is when the antigen combines w the antibody forming a complex that causes inflammation and tissue destruction
NAME
this type of immunity is when the antigen combines w the antibody forming a complex that causes inflammation and tissue destruction
type III immune complex hypersensitviity
Give an example of type III immune complex hypersensitivity?
RA
NAME
ex of this type of hypersensitivity is RA
type III--immmune complex hypersensitivity
what are autoimmune disorders?
is when indvls develop antibodies that attack their own indvl tissues
NAME
this is when indvls develop antibodies that attack their own indvl tissue
autoimmune disorders
what does SLE stand for?
Systemic Lupus Erythematosus
what is SLE?
a chronic inflammatory disease that affects a number of systems
NAME
this is a chronic inflammatory disease that affects a number of systems
SLE
what is the hallmark of SLE?
the butterfly rash
NAME
the hallmark of this is the "butterfly rash:
SLE
what ist he butterfly rash?
facial rash across the checks, and nose resembling the markings of a wolf
NAME
this refers to a facial rash across the cheks, and nose resembling the markings of a wolf
butterfly rash
what is hypogammaglobulineamia?
low antibody levels of a B cell deficit
what is the retrovirus?
a virus that contains RNA
NAME
this is a virus that contains RNA
retrovirus
what kinds of virus is HIV?
retrovirus
HIV is a (1)virus
retrovirus
what does HIV stand for?
human immunodeficiency virus
what part of the immune sytems does HIV primarly effect?
the CD4 T-helper lymphocytes
NAME
this disease primarly effects the CD4 T-helper lymphocytes
HIV
what are (3)types of bacertia?
bacilli (2)spirals (3)cocci
NAME
this include bacilli, spirals, and cocci
bacteria
what is bacteira?
are unicelluar organisms that do not require living tissue to survive
NAME
these are unicellular organisms that do not require living tissue to survive
bacteria
what is virus?
very small obligate intracelluar parasite that requires a living host cell for replication
NAME
this is a very small obilgate intracelluar parasite that requires a living host cell for replication
virus
what is resident flora?
natural bacteria on the body
NAME
this refers to natural bacteria on the body
resident flora
what are some additional ways to prevent transmission of diseases? (4)
(1)cleaning (2)sterlization (3)disinfects (4)antiseptics
NAME
these are chemicals that are applied to skin that do not usually cause damage such as isopropyl alcholol 70%
antiseptics
what are leukocytosis?
increase in WBCs
NAME
this is a increase in WBCs
leukocytosis
what are some mode of actions that antibacterial drugs work? (4)
(1)interference w bacterial cell wall synthesis (2)increased permeability of the bacterial cell membrane (3)interfere w protien synthesis (4)interfere w the synthesis of essential metabolities
what are the formed elements of the blood ? (3)
(1)erythrocytes (2)leukocytes (3)thrombocytes
NAME
these include erythrocytes, leukocytes, and thrombocytes
formed elemenets of the blood
what are erythrocytes?
are RBCs
NAME
these are jst RBCs
erythrocytes
what does RBCs stand for?
red blood cells
what are leukocytes?
WBCs
NAME
these are jst WBC
leukocytes
what are thrombocytes?
are platelets
NAME
this is jst platelets
thrombocytes
where do erythrocytes come from?
the red bone marrow
NAME
these are produced by the red bone marrow, are shaped like doughnots, and contain hemoglobin
erythrocytes
what is hemoglobin?
is iron containing pigment that transports O2
NAME
this is an iron containing pigment that transports O2 from the lungs to body tissue
hemoglobin
what is the function of leukocytes?
to protect the body against harmful bacteria
what is the function of leukocytes?
to protect the body against harmful bacteria
NAME
these protect the body against harmful bacteria
erythrocytes
what is the function of thrombocytes?
play an important role in the clotting of the blood
NAME
these play an important role in the clotting of the blood
thrombocytes
what are the differ kinds of leukocytes? (5)
(1)Neutrophils (2)Basophils (3)Eosinophils (4)lymphocytes (5)monocytes
NAME
these are jst WBCs
leukocytes
NAME
these are jst RBCs
erthrocytes
NAME
these are jst platelets
thrombocytes
what are leukocytes?
WBCs
what are erythrocytes?
RBCs
what are thrombocytes?
platelets
what are the differ kinds of leukocytes? (5)
(1)Neutrophils (2)Basophils (3)Eosinophils (4)lymphocytes (5)monocytes
NAME
these include (1)Neutrophils (2)Basophils (3)Eosinophils (4)lymphocytes (5)monocytes
Leukocytes
what is the most common type of leukocytes?
neutrophils
NAME
this is the most common type of leukocyte
neutrophils
NAME
these are the smallest formed elements in the blood
thrombocytes
NAME
these cells (be specfic) are elevated as an indication of bacterial infection
neutrophils
what are neutrophils?
fight infection by phagocyotisis
NAME
these WBCs fight infection by phagocytosis
neutrophils
what are basophils?
are responsible for the symptoms of allergies
NAME
these WBCs are responsible for the symptoms of allergies
Basophils
what are Eosinohpils?
they destroy parasitic organisms and play a major role in allergic reaction
NAME
these WBCs destroy parasicitic organisms and play a major role in allergic reaction
Eosinophils
what are lymphocytes?
have an important role in protecting the body against disase
NAME (2)
these WBCs have an important role in protecting the body against disease
lymphocytes and monocytes
what are monocytes?
have an important role in proctecting the body against disaes
what are platelets?
when the blood vessels are activitated these cells are activated and become sticky..this action causes the platelets to clump together to form a clot that stops the bleeding
NAME
these when the blood vessels are activitated these cells are activated and become sticky..this action causes the platelets to clump together to form a clot that stops the bleeding
platelets or thrombocytes
NAME (be specfic)
an elevated count of these cells usually indicates a chronic infection
monocytes
an elevated count of monocytes usally indicates a (1)
chronic infection
an elevated count of neutrophils usually indicates a (1)
bacterial infection
NAME
this is a reaction of vascularized tissue to local injury
inflammation
what are (2)kinds of inflammatioN?
acute (2)chronic
what is acute inflammatioN?
last for few mins to several days
NAME
this type of inflammation lasts for a few days to several days
acute inflammation
What is chronic inflammation?
lasts from days to years
NAMe
this type of inflammation can last from days to years
chronic inflammation
if you overwork someone w a chronic or inflammation you can trigger a(1)
acute inflammation
what are some vascular changes that go on when someone has a acute inflammation? (6)
(1)momentary vasoconstriction (2)vasodilation of the arteriolies and venules that supply the area (3)this causes the area to become congested--red,warm (4)increase in capillary permeability which causes fluid to move into the tissues (5)as fluid moves out of the capillaries, stagnation of flow and clotting of blood in small capillaries occur --thus aiding in localizing the spread of the infectious microbes (6)pattern of response depends on the severity
what are some cellular changes that occur when someone has an acute inflammation? (3)
(1)chemical mediators are released into the blood causing vasodilation (2)cytokines send messages to the lymphocytes and marcophages or the hypothalamus to induce fever (3)movment of Neutrophils into the area of injury
what are some chemical mediators that are released when someone has an inflammation?(4)
(1)histamine (2)serotonin (3)prostaglandins (4)leukotrienes
NAME
these are released when their is acute inflammation--histamine, serotonin, prostagladins, and leukotrienes
chemical mediators
NAME
these are larger and live longer than granculocytes
monocytes/marcophages
Moncoytes mature into (1)
marcophages
(1)mature into marcophages
monocytes
NAME
these mature into marcophages
monocytes
NAME
these arrive at the inflammatory site w.in 24 hours. by 48 hours they are the predominant cell types at the site.
monocytes/marcophages
how quickly does it take for marocphages/monocytes to arrive to the site of injury?
24 hours
what are the characteristics of an acute inflammation? (6)
(1)immediate (2)evoked by injury/goal is to remove infurious agent (3)occurs before a full immune system response (4)limits the extent of tissue damage (5)cardial signs-redness, swelling, heat pain and loss of function (6)addition signs include fever, malaise, headache and loss of appetite
what are the cardinal signs of an acute inflammation? (5)
(1)redness (2)swelling (3)heat (4)pain (5)loss of functioning
what are some types of chemical mediators? (7)
(1)complement (2)histamine (3)kinins (4)prostaglandins (5)leukotrienes (6)cytokines (7)chemotactic factors
what are some types of chemical mediators? (7)
(1)complement (2)histamine (3)kinins (4)prostaglandins (5)leukotrienes (6)cytokines (7)chemotactic factors
NAME
these include (1)complement (2)histamine (3)kinins (4)prostaglandins (5)leukotrienes (6)cytokines (7)chemotactic factors
chemical mediators
what is complement?
assist in the release of other mediators
NAME
these assist in the release of other mediators
complement
what is histamine?
causes vasodilation, increased vascular permeability and contraction of the broncholar smooth muscles
NAME
causes vasodilation, increased vascular permeability, and contraction of the broncholar smooth muscles
histamine
what are kinins?
cause vasodilation, increased permeabiltiy and pain
NAME (2)
these chemical mediators cause
vasodilation, increased permeabiltiy, and pain
kinins and prostaglandins
what are prostaglandins?
cause vasodilation, increased permeabiltiy and pain
what are leukotrienes?
cause the contraction of bronchiolar, smooth muscle, and help w the development of inflammation
NAME
this chemical mediator causes the contraction of bronchiolar, smooth muscle, and helps w the development of inflammation
leukotrienes
what are cytokines?
they stimulate communication btwn cells
NAME
these chemical mediators stimulate communication btwn cells
cytokines
what are chemotactic factors?
they attract phagocytes to the area
NAME
these chemical mediators attract phagocytes to the area
chemotactic factors
what are some local manifestations of inflammation? (4)
(1)local inflammation (2)suppuration (2)exudate formation (4)ulceration
what is suppuration?
is the development of suppurative or purulent exudate containing degraded neutrophils and tissue debris
NAME
this is the development of suppurative or purulent exudate containing degraded neutrophils and tissue debris
suppuration
what is serous exudate?
refers to watery fluid usally due to an allergic reaction or burns
NAMe
this refers to watery fluid in a inflammed area usally due to an allergic reaction or burn
serous exudate
what is fibrinous exudate?
thick pus usally increased bc of scar
NAME
this refers to thick pus increased bc of scar
fibrinous exudate
what is pururlent exudate?
thick, yellow green pus containing more leukocytes and cell debris
NAME
this refers to thick yellow green pus containing more leukocytes and cell debris
purulent exudate
what are (2)kinds of purulent exudate?
(1)abcess (2)hemorrhagic
NAME
2 kinds of this include abcess and hemorrhagic
purulent exudate
what is abcess?
is a localized pocket purulent exudate or pus around a solid tissue such as tooth
NAME
this is a localized purlent exudate or pus around a solid tissue such as a tooth
abcess
what is hemorrhagic?
refers to a blood exudate caused by damage blood vessels
NAME
this refers to epithelial surface that has become necrotic and eroded due to trauamtic injury or vascular compromise
ulceration
what is the sepsis?
major infection in either urine or blood
NAME
this is a major infection in either the urine or the blood
sepsis
what is the acute phase of sepsis and septic shock? (5)
(1)plasma protein changes (2)increase sedimentation rate (3)increase WBCs (4)fever (5)skeletal muscle catabolism
NAME
the acute phage of this includes (1)plasma protein changes (2)increase sedimentation rate (3)increase WBCs (4)fever (5)skeletal muscle catabolism
spesis and septic shock
What is one things OTs can do to prevent scaring?
massaging of the tissue
what are some characteristics of chronic inflammation? (2)
(1)inflitraction of marcophages and lymphocytes instead of neutrophils (2)proliferation of fibroblasts rather than exudates-(increased risk for scaring
NAMe
some characteristics of this include inflitiration of marcophages and lymphocytes instead of neutrophils and proliferation of fibroblasts rather than exudates
chronic inflammation
what are some agents that can evoke a chronic inflammation? (7)
(1)talc (2)slicia (3)abestos (4)surgical materials (5)Tubercle basillus (tb) (6)treponema of symphillis (7)bone fracture
what are some agents that can evoke a chronic inflammation? (7)
(1)talc (2)slicia (3)abestos (4)surgical materials (5)Tubercle basillus (tb) (6)treponema of symphillis (7)bone fracture
NAME
some of these include (1)talc (2)slicia (3)abestos (4)surgical materials (5)Tubercle basillus (tb) (6)treponema of symphillis (7)bone fracture
agents that can induce chronic inflammation
what are some types of chronic inflammation?
(1)nonspecfic chronic inflammation (2)granulomatous inflammation
NAMe
some types of this include nonspecfic inflammation and granulomatous inflammation
chronic inflammation
what is a granulomatous inflammation?
usally occurs when the foriegn agent is poorly digested and not easily controlled by other inflammatory mechanisms and the granulomatous inflammation will gather or clump together to attempt to surround the foreign agent
NAME
this usally occurs when the foriegn agent is poorly digested and not easily controlled by other inflammatory mechanisms and the granulomatous inflammation will gather or clump together to attempt to surround the foreign agent
granulomatous inflammation
Chronic inflammation increases the risk of (1)
scaring
Chroninc inflammation of the bowel causes (1)
narrowing of the bowel lumen
what are some treatment methods for inflammation? (4)
(1)drugs (2)physical agent modalities such as hot and cold (3)elevation (4)elastic shocking and intermittent pumps
NAME
some treatment methods for this include (1)drugs (2)physical agent modalities such as hot and cold (3)elevation (4)elastic shocking and intermittent pumps
inflammation
what are some drugs used to treat inflammation? (4)
(1)ASA (2)NSAIDs (3)Glucocorticoids (4)methylpredinstone, dexamethsone, and prednisone
NAME
some drugs used to treat this include (1)ASA (2)NSAIDs (3)Glucocorticoids (4)methylpredinstone, dexamethsone, and prednisone
inflammation
what does ASA stand for?
Acetylsallicylic acid
what does ASA do?
decreases prostaglandin synthesis at the site of inflammation (2)reduces pain and fever
NAME
this drug decreases the prostaglandin synthesis at the site of the inflammation and reduces the pain and fever
ASA
what does NSAIDs stand for?
Nonsteriodal-anti-inflammatory drugs
NAME
some of these include (1)talc (2)slicia (3)abestos (4)surgical materials (5)Tubercle basillus (tb) (6)treponema of symphillis (7)bone fracture
agents that can induce chronic inflammation
what are some types of chronic inflammation?
(1)nonspecfic chronic inflammation (2)granulomatous inflammation
NAMe
some types of this include nonspecfic inflammation and granulomatous inflammation
chronic inflammation
what is a granulomatous inflammation?
usally occurs when the foriegn agent is poorly digested and not easily controlled by other inflammatory mechanisms and the granulomatous inflammation will gather or clump together to attempt to surround the foreign agent
NAME
this usally occurs when the foriegn agent is poorly digested and not easily controlled by other inflammatory mechanisms and the granulomatous inflammation will gather or clump together to attempt to surround the foreign agent
granulomatous inflammation
Chronic inflammation increases the risk of (1)
scaring
Chroninc inflammation of the bowel causes (1)
narrowing of the bowel lumen
what are some treatment methods for inflammation? (4)
(1)drugs (2)physical agent modalities such as hot and cold (3)elevation (4)elastic shocking and intermittent pumps
NAME
some treatment methods for this include (1)drugs (2)physical agent modalities such as hot and cold (3)elevation (4)elastic shocking and intermittent pumps
inflammation
what are some drugs used to treat inflammation? (4)
(1)ASA (2)NSAIDs (3)Glucocorticoids (4)methylpredinstone, dexamethsone, and prednisone
NAME
some drugs used to treat this include (1)ASA (2)NSAIDs (3)Glucocorticoids (4)methylpredinstone, dexamethsone, and prednisone
inflammation
what does ASA stand for?
Acetylsallicylic acid
what does ASA do?
decreases prostaglandin synthesis at the site of inflammation (2)reduces pain and fever
NAME
this drug decreases the prostaglandin synthesis at the site of the inflammation and reduces the pain and fever
ASA
what does NSAIDs stand for?
Nonsteriodal-anti-inflammatory drugs
what are some examples of NSAIDS?
(1)advil (2)celebrex (3)motrin
NAME
some exs of this type of drug include advil, celebrex, and motrin
NSAIDs
what are NSAIDS?
decrease prostagladin synthesis and pain
NAME
this drug decreases prostagladin synthsis and pain
NSAIDS
What are Gluccorcoticoids?
steriods
NAME
this is jst a fancy name for steriods
Glucocorticoids
How does work Glucocorticoids? (4)
decrease capillary permeability increasing ephinephrine and nonephrinephrine in the system (2)reduce the number of Mast cells thus decreasing histaine and prostgladins (3)blocks the immune response
NAME
this drug works by decrease capillary permeability increasing ephinephrine and nonephrinephrine in the system (2)reduce the number of Mast cells thus decreasing histaine and prostgladins (3)blocks the immune response
Glucocorticoids
One important thing to keep in mind about Glucocorticoids?
they block the immune response
what are some side effects of long term use of drugs for inflammation? (4)
(1)decrease immune respnse (2)catabolic effects such as tissue breakdown (3)osteoprosois, muscle wasting and thinning of the skin (4)sodium and water retention leading to increased blood pressure and edema
NAME
some negative side effects of this include (1)decrease immune respnse (2)catabolic effects such as tissue breakdown (3)osteoprosois, muscle wasting and thinning of the skin (4)sodium and water retention leading to increased blood pressure and edema
drugs for inflammation
How does heat work against inflammatioN?
helps to dilate the blood vessels
Heat helps to (1)
dilate the blood vessels
how does cold pack help against inflammation?
constricts the blood vessels
Cold packs (1)
blood vessels
(1)packs dilate the blood vessels while (2)constricts the blood vessels
(1)heat (2)cold
How does intermittent pumps help w inflammation?
pushes the fluid out of the body
what are the differ kind of T cells? (4)
(1)helper T cell (2)memory T cell (3)supperssor T cell (4)cytotoxic T cell
NAME
these come from stem cells in the bone marrow
T cells
what are T cells?
recognize and destroy antigens
NAME
these cells recognize and destroy antigens and can reproduce creating a army to battle the invader
t cells
NAME
these are responsible for immunity and the production of antibodies and immunoglobulins
B cells
what is the differ btwn T and B cells?
(1)t-cells-recoginze and destory antigens (2)b cells-are responsible for the immunity and the production of antibodies and immunoglobulins
what are B cells?
are responsible for the immunity and the production of antibodies and immunoglobulins
B cells can either become (1)or (2)
antibody producing cell (2)B memory cell
NAME
these can either become antibody producing cell or memory cell
B cells
T helper cells are also called (1)
CD4 cells
(1)are also called CD4 cells
T helper cells
what are cytotoxic cells?
are killer T cells
NAME
these are killer T cells
cytotocoxic cells
T or F
the natural killer cells need to be trained to destory cells
false
Do the natural killer cells needed to be trained to destory cells?
no
what are the stages for acquiring immmunity? (2)
(1)primary response (2)secondary response
NAME
these stages include primary and secondary response
acquiring immunity
what is the primary response to acquiring an immunity?
person is exposed to antigen, recoginized to be processed, and antibodies are sensitized and process stored
what is the secondary response to acquiring an immunity?
person is exposed again to antigen, antigen is recognized, and the antigen is immedialy produced
what is the differ btwn primary and secondary response to acquiring an immunity? (2)
(1)primary-person is exposed to antigen, recoginized to be processed, and antibodies are sensitized and process stored (2)secondary-person is exposed again to antigen, antigen is recognized, and the antigen is immedialy produced
why is their a need for a different flu vaccination every yr?
the virus mutates and their are hundreds of strains
what are some differ ways to acquire immunity?(4)
(1)active natural immunity (2)active artificial immunity (3)natural passive immunity (4)passive artificial immunity
what is active natural immunity?
is direct exposure
nAME
this is when immunity is acquired through direct exposure such as the chicken pox
active natural immunity
what is active artifical immunity?
is when the person acquires the immunity bc an antigen is purposefuly introduced such as through a vaccine
nAME
this is when the person acquires the immunity bc the antigen is purposeful introduced such as through a vaccine
artificial immunity
what is natural passive immunity?
is when the immunity passes from one person to another such as a mother and her breast milk
NAME
this is when the immunity passes from one person to another such as a mother and her breast milk
natural passive immunity
what is passive artifical immunity?
is when the immunity is acquired bc an injection of antibodies from one person to animal to another
NAME
this immunity is acuiqred bc of an injection of antibodies from one person to animal to another
artificial immunity
what are some types of tissue and organ transplant?
(1)allograft (2)isograft (3)autograft (4)xenograft
NAMe
some types of this include allograft, isograft, autograft, and xenograft
tissue and organ transplant
what is allograft?
issue/organ transplant that comes from the same species orperson
NAME
this type of tissue/organ transplant comes from the same species/ person
allograft
what is isograft?
this type of tissue/organ transplant two genetically identical bodies
NAME
this type of tissue/organ transplant comes from two gentically indentical bodies
isograft
what is active natural immunity?
is direct exposure
nAME
this is when immunity is acquired through direct exposure such as the chicken pox
active natural immunity
what is active artifical immunity?
is when the person acquires the immunity bc an antigen is purposefuly introduced such as through a vaccine
nAME
this is when the person acquires the immunity bc the antigen is purposeful introduced such as through a vaccine
artificial immunity
what is natural passive immunity?
is when the immunity passes from one person to another such as a mother and her breast milk
NAME
this is when the immunity passes from one person to another such as a mother and her breast milk
natural passive immunity
what is passive artifical immunity?
is when the immunity is acquired bc an injection of antibodies from one person to animal to another
NAME
this immunity is acuiqred bc of an injection of antibodies from one person to animal to another
artificial immunity
what are some types of tissue and organ transplant? (4)
(1)allograft (2)isograft (3)autograft (4)xenograft
NAMe
some types of this include allograft, isograft, autograft, and xenograft
tissue and organ transplant
what is allograft?
issue/organ transplant that comes from the same species orperson
NAME
this type of tissue/organ transplant comes from the same species/ person
allograft
what is isograft?
this type of tissue/organ transplant two genetically identical bodies
NAME
this type of tissue/organ transplant comes from two gentically indentical bodies
isograft
is their usally an immune response from w a isograft?
no
is their usally an immune response w an autograft?
no
is there usally an immmune response w a allograft?
yes
Is there a chance of immmune response w a xenograft?
yes
what is autograft?
this type of tissue/organ transplant that comes from one part of the body to another
NAME
this type of tissue/organ transplant comes from one part of the body to another
autograft
what xenograft?
is when two different species such as pig is used for tissue/organ transplant
NAME
this is when two different species such as pig is used for tissue/organ transplant
xenograft
what is type I hypersensitity? (4)
INCLUDES ALLERGIES SUCH AS (1)hay fever- (2)food allergies=-(3)eczemea (4)asthma
NAME
some signs and symptoms of this type of hypersensitivity include hay fever, food allergies, eczema, and asthma
type I allergy
Anaphylaxis is also called (1)
Anaphylactic shock
(1)is also called Anaphylactic shock
Anaphylaxis
what is involved in the systematic reaction during Anaphylaxis?
(1)itching/tingling reaction (2)coughing (3)feelings of weakness, dizziness, or fainting (4)edema in the eyes, lips, tongue, hands, and feet (5)loss of consciousness
NAME
some signs of this include (1)itching/tingling reaction (2)coughing (3)feelings of weakness, dizziness, or fainting (4)edema in the eyes, lips, tongue, hands, and feet (5)loss of consciousness
Anaphylaxis
NAME
an example of this type of hypersensitivty includes TB
type IV-mediated or delayed hypersensitivityy
what is type IV-mediated or delayed hypersensitivity?
is when there is a delayed response by T cells to the invading antigens
NAME
this refers to when there is type IV-mediated or delayed hypersensitivity?
IV mediated or delayed hypersensitivity
what is the host?
an organism capable of the nutriiontal and physical growth of another
NAME
this is organism capable of the nutritional and physical growth of another
host
what is an infection?
the presence and multiplication of a living organism on or w.in a host
NAME
this is the presnece and multiplication of a living organism on or w.in a host
infection
T or F
all infections btwn a host and infection are detrimental
false
give some examples of infections btwn a host and infection that aren ot detrimental?
(1)commensalism (2)mutual ism (3)parastic
what are some types of infectious agents (6)
(1)prions (2)viruses (3)bacteria (4)rickettsaie (5) and Chlymadia (6)fungi (7)parasites
NAME
some of these include (1)prions (2)viruses (3)bacteria (4)rickettsaie and Chlymadia (5)fungi (6)parasites
infectious agents
what are prions?
are protien particles that lack any kind of DNA or RNA
NAME
these are protein particles that lack any kind of genetic material (DNA/RNA)
prions
T or F
prions are infectious and capable of replication
true
what does BSE stand for?
Bovine spongiform encephalopathy
BSE is also called (1)
mad cow disease
(1)is also called mad cow disease
BSE
what are some diseases that are cuased by prions? (3)
(1)Cretuzfeldt-Jacob disease (2)kuru (3)BSE
why does antibacterial and antiviral agents not work on prions?
bc prions lack reproductive and metabolic functions
what are symptoms cuased by prions? (4)
(1)slow progressive non-inflammatory neuronal degeneration (2)ataxia (3)dementia (4)death
NAME
some symptoms of this include slow progressive non-inflammatory neuronal degeneration, ataxia, dementia, and death
prions
what is ataxia?
lack of coordination
NAMe
this is a lack of cooridnation
ataxia
describe the process of how prions attack the brain (3)
(1)prion comes into contact w normal protien in the brain causing it to change shape (2)causing a change reaction (3)the altered protien accumulate and cause brain tissue in clump leaving gaps
eventually prions leave (1)in the brain
gaps/cut holes in the brain
Describe how virus replicate? (6)
virus enters the cell (2)attachment of the host to the cell (3)uncoating of the viral DNA or RNA enters the host cell nucleus and takes control of the host's DNA (4)host cell syntheized viral components (5)assembles new viruses (6)release of new virsuses and host cell lysis
T or F
viruses do not require a living host to survive
false
what is a virus?
intracellular pathogens that requires a living host to survive
NAME
this is an intracellular pathogens that requires a living host to survive
virus
How to virus work?
they penetrate the living host and use their cell energy to replicate
NAME
these penetrate the living host and use their cell energy to replicate
virus
T or F
there are many differ types of viruses
true
Describe the herpes virus
enters the host remains dormant until stimualted
NAME
this type of virus enters the host remains dormant until stimulated
herpes virus
what are some disorders that the Herpes virus can cause? (6)
(1)chicken pox (2)herpes zoster (3)gential herpes (4)cytomegalovirus (5)infectious mononucleosis (6)fever blisters (7)Kaposi's sacroma
NAMe
this virus can cause (1)chicken pox (2)herpes zoster (3)gential herpes (4)cytomegalovirus (5)infectious mononucleosis (6)fever blisters (7)Kaposi's sacroma
Herpes virus
Herpes zoster is the virus that causes called (1)
shingles/chicken pox
(1)is caused Herpes Zoster
chicken pox
Describe how the retrovirus works (4)?
enters the host cell, the viral RNA, is transplanted into the DNA (2)the RNA is converted to viral DNA and integrated into the host chromosome and exists in a latent state (3)replication may cause lysis (4)during the process,the infected the cells regulate the immune defense system
what does HIV stand for?
human immunodeficiency virus
what does oncogenic mean?
is the ability to transform normal host cells to maligant cells during replication
NAME
is the ability to transform normal host cells to maligant cells during replication
oncogenic
what are some characteristics that are used to id viruses?
(1)type of genome (2)mechanism of replication (3)mechianism for transmission (4)type of disease produced
NAME
this is unicelluar cells that do not require living tissue survive, they also lack a nucleus and genonme is a single chromosome DNA which enters the host cell cytoplasm cuasing a change in shape
bacteria
descibe bacteria (4)
(1)unicelluar (2)does not need living tissue to live (3)lack an organized nucleus (4)genome is a single chromosome of DNA which enters the host cells cytoplasm cuasing a change in shape
what are some types of bacteria (based on shape)?
(1)cocci (2)spirilla (3)bacilli (4)flagella
NAME
some types of this include cocci, spirilla, bacillie, and flagella
bacteria
what is cocci bacteria?
are spherical shaped
NAME
this type of bacteria is spheriacal shaped
cocci bacteria
what is spirilla bacteria?
is spiral/helical shaped
NAME
this type of bacteria spiral/helical shaped
spirilla
what is bacilli bacteria?
is rod shaped and elongated
NAME
this type of bacteria is rod shaped and elongated
bacilli bacteria
what is flagella?
have a tial for mobility
NAME
this type of bacteria has a tail for mobility
flagella
how does bacteria reproduce?
by simple cell division.....develop a rigid cell wall divide into a number of planes
what are some (2)types of cocci bacteria?
(1)streptococci (2)staphylococci
NAME
some types of this bacteria include streptococci and staphylococci
cocci bacteria
what is streptococci bacteria?
cocci bacteria that divides into chains
NAME
this type of bacteria is cocci bacteria that divides into chains
streptococci bacteria
what is the differ btwn streptococci and staphylococci bacteria?
(1)streptococci -cocci bacteria that divides into chains (2)
staphylococci-cocci
bacteria that divies into clusters
what is staphylococci bacteria?
cocci bacteria that divides into clusters
NAME
thist type of cocci bacteria divides into clusters
staphylococci bacteria
T or F
bacteria are extremely adpatable
true
what are aerobes?
bacteria that require O2 to live
NAME
bacteria that require O2 to live
aerobes
what are anaerobes?
bacteria that do not need O2 to live
NAME
this bacteria that does not require O2 to live
anaerobes
what is the differ btwn anaerobes and aerobes?
(1)anaerobes-do not require O2(2)aerobes-require O2
what are some growth parameters for bacteria? (4)
(1)nutrition (2)temp (3)light (4)humidity
how are bacteria classifed?
according to gram stain (gram negative or gram positve)
NAME
this can be either classifed as--gram postive or negative
bacteria
what is gram postive?
bacteria that stains purple
What is gram negative?
is bacteria that is not stained purple
What is the differ gram postive and negative?
(1)positive-bacteria that is stained purple (2)negative-not stained purple
What type of bacteria is resistant to gram staining?
mycobacterium tuberculsosis
T or F
mycobacterium tuberculsosis is not resistent to gram staining
false
what is streptococcus pyrogenes?
agent for scarlet fever and Rheumatic fevers
NAME
this is agent for scarlet fever and Rheumatic fever
streptococcus pyrogenes
what is legionella pneumophila?
responsible for Legionnaire's disease
NAME
this is responsible for Legionnaires disease
Legionella pneumophila
how does chlamydiea reproduce? (5)
elementray body enters host cell (2)elementary body reorgainzes into a reticulate body (3)cell division (4)cell burst releasting elementary bodies (5)elementary body enter another host cell to start the process all over again
what are (2)agents that have both bacterial and viral agents?
Rickettsiae and (2)chlamydiae
Rickettsaie and Chlamydiae have Both (1)
bacterial and viral agents
what are some components that rickettsaie and Chlamydiae have in commmon w bacteria and viruses? (4)
(1)intracelluar /require a living organism (2)form a rigid wall (3)repoduce by cell division (4)RNA and DNA similar to those found in bacteria
what is Rickettsaie?
causes Rocky Mountain Spotted Fever and Epidemic Typhus
NAMe
this type of bacteria causes Rocky Mountain Spotted Fever and Epidemic Typhus
Rickettsaie
Rickettsaie usally affect (1)which in turn transmits it to huamsn
ticks, fleas, and lice
How can Chlamydiae be acquired? (3)
(1)sexually transmitted (2)ocular infections (3)acquired from infected birds
NAME
this can acquired through sex, ocular infections, and from infected birds
Chlamydiae
how does fungi affect people?
usally self limiting infections of the skin surface...however, more serious fungi infection occur through puncture wounds and inhalation
NAME
this usally causes self limiting infeciton of the skin surface...however, more serious infections occur through punture wounds and inhalation
fungi
what are some types of fungi?
yeast (2)mold
NAME
some types of this include yeast and mold
fungi
what kind of evironments do dermatophyres require?
cooler /darker surfaces
what are dermatophytes?
fungi such as athletes foot, jock itch, and ring worm
NAME
this is fungi such as athletes foot, jock itch, and ring worm
dermatophytes
where can you get yeast infections? (3)
skin, (2)mucous membrane (3)Gi tract
what are (2)types of parasites?
(1)protozoa (2)Helmiths
NAME
some types of this include protoza and Helmiths
parasites
how does protozoa transfered? (4)
(1)from host to host (2)seuxal contact (3)contaminated water or food
what are some diseases that protoza can cuase?
(10giadrasis (2)amembic dysentray (3)malaria
NAMe
this can cause giadrasis, amebic dysentray, and malaria
protozoa
how are Helminths transfered?
passed by ingestion of fertilzied eggs or the pentration through the skin
what are some problems that Helminths can cause in humans? (3)
(1)round worm (2)tape worm (3)flukes
NAME
this can cause round worm, tape worm, and flukes
Helminths
what is reservoir?
is the source of infection
NAME
this is the source of infection
reservoir
what are some types of reservoirs? (4)
(1)incubation stage (2)acute stage (3)carrier stage (4)non human stage
NAME
these include incubation stage, acute stage, carrier stage, and non human stage
reserviors
how is hepa A transfered?
the oral fecal route
How is Hep B transfered?
by carriers
what is the portal of entry?
when pathogens enter the body and gain acesss to susecptible tissues and cause disease
NAME
this is when pathogens enter the body and gain acess to suspectable tissues and cause disease
portal of entry
what aer some portal of entry? (4)
(1)penetration (2)direct contact (3)ingestion (4)inhalation
Describe the disease course stages? (6)
(1)infection (2)incubation period (3)prodromal stage (4)acute stage (5)convalescent stage (6)resolution stage
NAME
the course of this includes (1)infection (2)incubation period (3)prodromal stage (4)acute stage (5)convalescent stage (6)resolution stage
disease
what is the incubation period?
is when their is active replication w. out producing recogonizble symptoms in the host
NAME
this is when their is active replication w out producing recoginzble symptoms in the host
incubation period
what is prodromal stage?
is when the intial symptoms may appear such as mild fever, headache and fatigue
NAME
this is when the intial symptoms may appear such as mild fever, headache and fatigue
predromal stage
what is the acute stage?
is when the person experience the max impact of the infectious process
NAME
this is when the person experience the max impact of the infectious process
acute stage
what is the convalescent stage?
is when the infection is contained and the damaged cells are repaired
NAME
this is when the the infection is contained and damaged cells are repaired
convalescent stage
what is the resolution stage?
is when the pathogen is eliminated from the body
NAME
this is when the pathogen is elimated from the body
resolution
what are some things that make a host more suspect able to disease? (8)
(1)age (infants and elderly (2)genetic suspectability (3)immunodeficiency (4)malnutrition (5)chronic disease (6)severe physical or emotional stress (7)inlammation or trauma (8)poor inflammatory response
what are some local signs of the disease course?
inflammation (2)Erythema (3)pain/tenderness (4)lymphadenopathy (5)exudate
NAME
some signs of this include inflammation, erythema, pain/temp, lymphadenoapapthy, and exudate
local signs of the disease course
what are some systemic signs of disease course? (6)
(1)fever (2)increase in WBCs (3)decrease in WBCs (4)fatigue/weakness (5)headache (6)arthralgia
What is arthralgia?
pain in joints
NAMe
this refers to pain in joints
arthralgia
NAME
some signs of this include (1)fever (2)increase in WBCs (3)decrease in WBCs (4)fatigue/weakness (5)headache (6)arthralgia
signs of systematic disease course
an increase in WBC can indicate (1)
bacterial infection
An (1)can indicate bacterial infection
increase in WBCs
A decrease in WBCs can indicate (1)
viral infection
An (1)can indicate a viral infection
decrease in WBCs
what is septicemia?
infection/toxins in the blood
nAME
this refers to toxins in the blood/infection
septicemia
what are virulence factors?
substances or products that are generated by infectious agents that enhance their abiltiy to cause disease
nAME
these are substances or products that are generated by infectious agents that enhance their ability to cause disease
virulence factors
what are some virulence factors? (4)
(1)toxins (2)adhesion factors (3)evasive factors (4)invasive factors
NAME
some of these include (1)toxins (2)adhesion factors (3)evasive factors (4)invasive factors
virulence factors
toxins are primarly (1)
bacteria
NAME
these virulence factors are primarly bacteria
toxins
what are some types of toxins?
(1)exotoxins (2)endotoxins
what are some exs of exotoxins?
(1)botulism (2)tetnus
NAME
some exs of these include botulism and tetnus
exotoxins
what are some exs of endtoxins?
fever/weakness (2)clotting bleeding (3)inflammation
what are evasive factors?
substances that avoid the recogintion of hosts antibodies
NAME
these are virulence factors that avoid the recoginition of hosts antibodies
evasive factors
Give an ex of disease that has evasive factors
Lyme disease
what are invasive factors?
faciliate the pentration of anatomic barriers
NAME
these faciliate the pentration of the anatomic barreirs
invasive factors
what are some ways to prevent disease? (4)
(1)univeral precautions (2)understanding sources of infection by removing/elimating --having traveling restrictions, quartine, food.water contamination and education (3)block portal exit by hand washing (4)block potrals of entrance by wearing mask and gloves
what are some treatments for bacteria? (3)
(1)no treatment (2)antimicrobe agents (3)antibacterial agents
what are antimicrobial agents?
refers to antibiotics
NAME
these include Penicillin and sulfa drugs
antimicrobial agents
Antibacterial agents are also called (1)
antibiotics
(1)are also called antibacterial agents
antibiotics
what are antibiotics?
are produced by other mircobes to be used against others microbes
NAMe
these are produced by other microbes to be used against other microbes
antibiotics
NAME
these where recental develops as a result of the AIDs epidemic
antiviral agents
what are protease inhibitors?
inhibit an HIV specfic enzyme that is necessary for maturation of the virus cell
NAME
these inhibit an HIV specific enzyme that is necessary for maturation of the virus cell
protease inhibitors
what are some antifungal agents?
go after the cytoplasmic memembrane of yeast and molds or go after the cholestral in fungal yeast infections disrupting RNA and DNA synthesis
NAME
these go after the cytoplasmic membrane of yeast and molds or go after the cholestral in fungal yeast infections disrupting RNA and DNA synthesis
antifungal agents
what is the problem w the development of antiparasitic agents?
problem w 3rd world countries bc their is not a lot of development
what is immunotherapy?
is supplementing or stimulating the hosts immune response to the limit the pathogen or reverse its effects
NAME
this is supplementing or stimulating the hosts immune response to the limit the pathogen or reverse its effects
immunotherapy
what is hyperimmune immunoglobulin?
contain high titers of antibodies against specfic pathogens including hep B or rabies
NAME
these contain high titers of antibodies against specfic pathogens including hep B or rabies
hyperimmune immunoglobulin
what are cytokine?
stimulates WBCs replicaiton, phagocytosis, antibody production and the induction of fever, inflammation and tissue repair
NAME
these stimulates WBCs replicaiton, phagocytosis, antibody production and the induction of fever, inflammation and tissue repair
cytokines
what are some types of immunotherapy? (3)
(1)hyperimmune immunoglobulin (2)cytokines (3)vaccines
what does LRN stand for?
lab response network
what are some global infectous diseases? (2)
west nile virus (2)SARS
NAME
these include west nile virus and Sars
global infectious diseases
what are the differ categorizes of bioterrorism agents? (3)
(1)highest-antrax, plague, small pox, hemorrhagive fevers (2)next level-food and water (3)emerging pathogens-tick born and yellow fever
Describe the West Nile virus? (2)
comes from mosquitoes, birds, and horses (2)symptoms range from nonspecfic ferbile illness to meningoencephaltis to death
what is ascariasis?
is an infection of the small intesine w live worm in the stools
NAME
this is an infection of the small intestine w live worms in the stools
ascariasis
what is the mode of transmission for ascariasis?
ingestion of infected eggs from soil contaimainted human feces
what is the incubation period for ascariasis?
2 months
what is the communicabiltiy for ascariasis?
as long as there is live worms in the intestine
candidiasis is also called (1)
thrush
(1)is also called the thrush
candidiasis
what is candidias?
fungal yeast infection confined to the superficial layers of the skin
NAME
this is a fungal yeast infection confined to the superficial layers of the skin
candidias
what is the mode of transmission and incupation period for candidiasis?
contact w excerations of the mouth, skin, vagina, and feces
what is the communicability for candidisis?
as long as lesions are present
what causes the chicken pox?
herpes zoster
NAME
this is cuased by the herpes zoster
chicken pox
what is chicken pox?
viral disease charcterized b sudden onset and skin eruptions/rash
NAME
this is a viral disease charterized sudden onset and skin eruptions /rash
chicken pox
what is the mode of transmission and incubation period?
person to person contact or air borne droplet (2)incubation period is 2-3 weeks
what is the communicaiablity for chicken pox?
5 days BEFORE of the onset of the rash
what is conjuctivitis?
pink eye
NAME
this refers to pink eye
conjuctivitis
what are the symptoms of conjuctivtis?
irritation, edema, redness, photophobia, purulent discharge of one or both of eyes
NAME
this has irritation, edema, redness, photoboia, purulent discharge of one or both of the eyes
conjuctivtis
what is the mode of transmission and incupation period for conjuctivtis?
contact w discharge from eyes of the Upper resipratory tract of the infect person through clothing and fingers
what is the communicability of conjuctivtis?
during the infection
what is dermatophyosis?
is ring worm, flat spreading ring shaped lesions which may be red, dry scaly, moist, and crusted on various parts of the body such as scalp,beard, nails, and groin
NAME
this is ring worm, flat spreading ring, shaped lesion which may be red, dry, scaly, moist, and crusted on various parts of the body such as the scalp, beard, nails, and groin
dermatophytosis
what is diptheria?
affects the throat...grey membrane is surrounded by red area
NAME
this affects throat ..grey membrane is surrounded by red area
diptheria
how is hep A transmited/
oral fecal route
what is the mode of transmission and incubatio period for diptheria?
contact w patient or carrier....2 to 5 days
what isthe communicablity of dptheria?
until bacilli have disappeared from discharge
what is hep A?
is abrupt onset mainly affecting the liver....w fever, malaise, anorexia, nausea, followed w.in a few days of jandice
NAME
this mainly affect the liver, w fever, malaise, anorexia, nausea, followed w. in a few days
hep A
what is the mode of transmision and incupation period for hep A?
person to person by the oral fecal route w 15 dys to 50 days
what is the communicabiltiy of hep A?
later 1/2 of the incubation period and cont until a few days after the onset of jandice
what is hep B?
insidious onset. vague abdnomianl discomfort, nasuea, and vomiting
NAME
affects the liver w insidisous onset, vague, abdnominal discomfort nasuea, and vomting
hep B
what is the mode of transmission and incupation period for hep b?
virus is found in body secrections esp blood, saliva, and semen...period is 45 to 160 days
what is the communicability of hep B?
for several weeks, before the onset through the clinical course of the disease
what is the measles?
viral disease w fever, conjuctivits, bronchits, red blotchy rash that appears on the 3=7 dys
NAME
this is a viral disease w fever, conjuctivits, bronchitiv, red bloctchy red rash that appears on the 3-7 day
measles
what is the communiciability?
before the onset of the fever to 4 days after the appearance of the rash
what is the mumps?
viral disease w fever, swelling, and tenderness of the salivary glands and the partiod glands
NAME
this is a viral disease w fever, swelling, and tenderness of the salivary galnds and the partoid glands
mumps
what is the mode of transmission and incupatbion period for mumps?
droplet and direct contact w salivia....18 dys for incubation
what is the communicability for mumps?
6 days before the saliviary involvement to urine being postive for as long as 14 days after symptoms have subsided
Pediculosis is also called (1)
lousiness
(1)is also called lousiness
pediculosis
what is pediculosis?
is lice and crab lice
NAME
this refers to lice and crab lice
pediculosis
what is the mode of transmission for pediculosis?
direct contact w infected person ......period of eggs hatching in one week to them reaching sexual maturity in two weeks
what is the communicability of pediculosis?
as long as the person is infected
describe how the symptoms progress for tb
intial infection goes unnoticed...sensitivity appears w. in few weeks and may progress and become systemtic
what is the mode of transmission and incubation period for tb?
air droplets....intial infection in 4-12 weeks..high risk for infection to spread 1-2 yrs after
what is the communicability for tb?
as long bacilli are being discharged but usally 1-2 yrs after treatment
whooping cough is also called (1)
pertussis
(1)is also called pertusssis
whopping cough
what is whopping cough?
is bacterial infection involving the trachea and bronchi w a gradual onset of cough lasting 1-2 months
nAME
this is a bacterial infection involving the trachea and bronchi w a gradual onset of cough lasting 1-2 months
whopping cough
what is the transmission and incbuation period for whooping cough?
direct contact w discharges from infected person
what is the communicabiltiy for whooping cough?
highly vontagious before coughing stage....remains contagious until aprox 3 weeks after coughing
what is staphyloccocal aureus?
normally resides on the skin, nerves, clothing and inanimate objects and cannot invade intact skin
NAME
this normally resides on the skin, nerves, clothing, and inanimate objects. however, it cannot invade intact skin
staphyloccoal aureus
what are the clinical signs/symptoms of staphyloccoal aureus?
furnuncles (2)carbuncles (3)osteomyletisis (4)resp infections (5)surgical wounds
NAME
some clinical signs and symptoms of this include furnuncles (2)carbuncles (3)osteomyletisis (4)resp infections (5)surgical wounds
staphyloccoal aureus
what is a furuncle?
is a boil
NAME
this refers to a boil
furuncle
what are carbuncles?
are clusters of boils
NAME
these are clusters of boils
carbuncles
what is osteomyeltis?
is an open fracture
NAME
this refers to an open fracture
osteomyeltis
what is the treatment for staphyloccoal aureus? (2)
varied/infection control (2)pencillin
what are some categories of streptoccoal infections?
(1)supurative (pus formation (2)nonsuppurative
NAME
this has two categories of infections-supruative (pus formation), and nonsuppurative
streptoccoal infections
describe streptoccocal pharyngitis? (4)
(1)1=5 days incubation period (2)101-104 degrees temp (3)sore throat/red (4)swollen tonsils/ glands
NAME
someone w this had a high fever, sore throat, and swollen tonsil glands
streptoccocal pharyngitis
describe scarlet fever
follow the strep throat and spread by droplets or direct contact (2)strep throat symptoms (3)red rash that blacnhes w pressure look like sunburn w goose bumps (4)appears on chest spreading to neck to abdoment to legs (5)spares the palms and sides of the feet
NAME
this follows strep throat and is spread by droplets or direct cntact. has strep throat symptoms w red rash that blacnhes w pressure looks like sunburn w goose bumps spreading from the upper chest, neck, abdomen, and leg
scarlet fever
what is gangrene?
is the death of tissue secondary to loos of blood supply, infection, and putrefection
NAME
this is a deep death of tissue 2nd to loss of blood supply, infection and putrefection
gangrene
what can cause gangrene? (4)
severe trauma (2)spetic abortions (3)tourniguets (4)deep wounds
NAME
this can be caused by severe trauma (2)spetic abortions (3)tourniguets (4)deep wounds
gangrene
what are some types of gangrene? (3)
(1)dry (2)moist (3)gas
what is the incubation period for gangrene?
2-4 dys, lesion has a thick discharge , foul odor--gas bubbles, dark brown watery
describe the lesion of gangrene
has a thick discharge fould odor-gas bubbles, dark brown watery
NAME
this has a thick discharge, foul odor=gas bubbles, dark brown watery
gangrene
what is the treatment for gangrene?
prevention and anti-infective agents amputation
NAME
this is a common noscomial infections
pseudomonas
what are some types of pseudomonos? (5)
(1)CNS (2)ear (3)sinus (4)head trauma /open skin and (5)soft tissue bone and joints
What is pseudomonoas>
is a common type of noscomial infection
NAME
this is a common type of noscomial infection
pseudomonoas
what does CMV stand for?
cytomegalovirus
how is CMV transmitted?
by human contact w urine, breast milk, feces, blood transplanted organs, very common w AIDS
how does CMV spread?
lymphatic system
To r F
normal adult infection w CMV is asymptomatic
true
NAME
this is a snyrdome that spurpesses the immune system which allows for a variety of opportunistic infections
AIDS
AIDS suppreses the immune system which why people w AIDS are more susceptable to (1)
opportunistic infection (fungal)
what are some tests used to find out if a person has AIDS? (3)
antibody test-ELISA (2)Western blot test (3)viral load test
Describe ELISA? (3)
antibody test (2)the ELISA needs to be done twice (3)if postive on both tests more tested are needed
what specfic cells does HIV affect?
CD4 lymphocytes
NAME
this disease specfically affects CD4 lymphocytes
HIV
NAME
this indicates the diagnosis of AIDS and HIV +
dx of HIV + and CD4 lymphocytes count less than 200
Dx of HIV and CD4 lymphocytes count of less than 200 indicates (1)
AIDS
NAME
this is indicated by HIV + and w CD4 count less than 400
HIV +
what are some inficator conditions of HIV? (16)
(1)candidiasis (2)invasive cervical cancer (3)coccidiodmyocisis (4)cryptomcoccosis (5)cryptsporidosis (6)CMV (7)encephalopathy (8)ptohtrddibr multifocal leukoencephalopathy (9)histaplasmosis (10)isosporiasis (11)Kaposi sacroma (12)lymphomas (13)pneumocystic carinii phneumona (14)wasting syndrome (15)toxoaplasmosis of the brain (16_salmonella septicemia
Describe the disease process of AIDS? (7)
(1)infection (2)seroconversion (3)asymptomatic HIV infections (4)persistent generalized lymphadenoapthy (PgL) (5)sympathatic HIV infection (6)AIDS (7)death
what does PgL stand for?
persistent generalized lymphadenoapthy
NAME
the cause of this unkown but it beleived to be an action of the hiV
wasting snydrom
what is the wasting syndrome?
rapid unexplained weight loss of 10% of body weight w persistant fever over 100 for at least 30 days w unexplained diarherea, fatigue, and listneess
NAME
this involves rapid unexplained weight loss of 10% of body weight w persistant fever over 100 for at least 30 days w unexplained diarherea, fatigue, and listneess
wasting syndrome
NAME
this is a progressive intellectual, motor and behavorial deterioration
AIDS dementia
NAME
this is usally the most horrifying for the patients w HIV
AIDS dementia
what does CMV stand for?
cytomegalovirus
NAME
this impacts the eyes (spots on the retina), lungs causing pneumonia, and cirrhosis
CMV
what is the treatment for the wasting syndromes?
anti-diarhea pills
what does KS stand for?
kaposi's sacroma
what is kp?
rare distubrance of the skin's blood vessels that first appear as small blue violet to brownish lesions on the trunk, arms, head, and neck and later develops into ulcerating sores or invades the lungs and other organs
NAME
this is a rare distubrance of the skin's blood vessels that first appear as small blue violet to brownish lesions on the trunk, arms, head, and neck and later develops into ulcerating sores or invades the lungs and other organs
kp
Candidias is also called (1)
thrush
(1)is also called candidias
thrush
what is candidias?
a oppoturnistic yeast infection that moves down the throat
NAME
a oppoturnistic yeast infection that moves down the throat
cnadidiasis
what is cryptococcal meningitis?
is a fungus infection that infects the covering of the nerves, leading to serious peripheral nerve problems
nAME
this is a fungus infectio nthat infects the nerve covering-leading to serious peripheral nerve problems
cryptococcal meningitis
what does HSV stand for?
chronic herpes simplix
what are some AIDS/opportunistic infections? (8)
(1)candidias (2)HSV (3)HIstoplsmosis (4)maligancies such as non-Hoodgkins lymphomas (5)Pelvic inflammatory diseases (6)disseminated tb (7)toxoplasmosis gondii (8)cryptosporidosis
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what is a normal intiation for SA?
70 beats per minute
What does SA stand for?
sinoartial
what is tachycarida?
is an irregulr heart beat
NAME
this is an irregular heart beat
tachcardia
what are some types of heart Arrhythmias? (7)
(1)Brady/tachcycardia (2)premature Atrial contractions (3)artial flutter (4)heart block (5)V-tach (6)PVC (7)ventricular fibriliation
what does V tach stand for?
ventricular tachycardia
what does PVC stand for?
premature ventricular contractions
Describe the cardiac cycle
(1)artias fill (2)AV values open (3)atrias contract (4)ventricles fill (5)ventricles begin to contract and AV valve closes (6)semilunar valve opens (7)blood flows into the pulmonary artery or aorta
what is the cardiac output?
vol of blood supply ejected by the ventricle in one min
NAME
this is the vol of blood supply enjected by the ventricle in one min
cardiac output
sometimes (1)can cause strokes
A fib
what does A fib stand for?
atrial flutter fibriliation
What is heart block ?
is when the conduction is delayed at the bundle of Hi
NAME
this when the condution is delayed at the bundle of HIS
heart block
what is PVC?
is when the ventricles are not contracting ...only allowing hal f the normal blood supply through
NAME
this is whne the ventricles are not contracting--they are only allowing half of the normal blood supply through
PVC
How many PVC is ok when doing therapy?
4 per min
When doing therapy (1)per min is bad
over 5
what v fib?
is when the muscles are not contracting
what is v fib stand for?
ventricular fibriliation
NAME
this is when the muscles are not contracting
v fib
NAME
this is depedent on stroke vol and heart rate
cardaic output
Cardiac output is dependent on (1)and (2)
stroke vol and heart rate
Stroke volume depends on (1)
sympathetic stimulation and venous return
NAME
this depends on sympathetic stimulation and venous return
stroke volume
what is the cardiac reserve?
ability of the heart to respond w greater output
NAMe
this is the ability of the heart to respond to w greater output
cardiac reserve
what happens when the blood vessels vasodilated?
decreased O2 levels, increased pH (3)increase in CO2
Release of histamine or increase in temp will increase(1)
vasodilation
what happens w. vasocontriction?
noneprinephrine or epinephrine is released
what is pericardais?
inflammation of the pericardial layer of the heart
NAME
this is the inflammation of the pericardial layer of the haert
pericardias
What else does pericardias do to the body? (2)
causes increased pressure on the heart (2)increased cardaic output
What is blood pressure dependent on> (2)
cardaic output (2)peripheral resistance
nAME
this is depedent on cardaic output and peripheral resistance
blood pressure
Blood pressure is resistance on (1)and (2)
cardiac output and peripheral resistance
Blood pressure is elevated by the (1)NS
sympathetic
the sympathetic nervous system elevates the (1)
blood pressure
NAME (2)
this can also increase blood pressure
ADH and aldosterone
what does ADH stand for?
antideutric hormone
how does the sympathic NS increase blood pressure? (3)
(1)Epinephrine acts on beta-adrenergic receptors to increase heart rate (2)epinephrine and nonepinephrine increase vasoconstriction in the periphery and increase venous return (3)ADH and aldosterone increase blood volume and increased blood pressure
what does ECG stand for?
electrocardiogram
what is a ECG?
machine that monitors the arrhythmias, MI, infection, and pericarditis
NAME
this machine that monitors that arrthymias, MI, infection, and pericarditis
ECG
what does MI stand for?
myocardial infarction
what is the cardiac catherization?
cather is inserted into the femoral A to the Aorta to Coronary Arteries
NAME
This is when the cather is inserted into the femoral A to the Aorta to Coronary Arteries
cardaic cathererization
what is a angiogram?
is when dye is inserted to the heart
NAME
this is when dye is inserted
angiogram
what are some precautions with someone w regular heart monitor? (4)
mostly bedside activtie (2)limited to movement around bed (3)dressing and bathing limited bc of all the lines (4)use of electric such as electric razor can mess about the reading
what are some types of heart monitors that heart pts may have? (3)
(1)regular monitor (2)telemetry (3)holtermonitor
what are some telemetry precautions? (3)
(1)talk to nurse first about what can do (2)bathing/electric razor can mess up monitor (3)must ask permission to move off of floor
whaat is the Hoter monitor?
is like necklace that measures heart rate...pts usally have to record a jounral of activties..can go anywhere
NAME
this is like a necklace that measures heart rate..pts usally have to record a journal of activties
Hoter monitor
T or F
Pts w the Hoter monitor have to be on bedrest
false
why do people w Hoter monitor have to keep a jounral?
trying to firgue out what activties cause the heart rate to increase
what are some precautions w cardiac cather? (3)
(1)bleed from femoral artery (2)flexion of the hips (3)keep in bed (on bed rest)
what are some precuations for angiogram? (3)
(1)bleed from femoral artery (2)flexion of the hips (3)keep in bed (on bed rest)
what is the orthostatic hypertension?
is when the blood pressure changes when someone goes from laying down to standing or sitting up--resulting in them becoming dizzy/lightheaded
NAME
this is when the blood pressure changes when someone goes from laying down to standing up or sitting--resulting in them feeling dizzy/lightheaded
orthostatic hypertension
what is paplitations?
is when the client is aware of irregular heart beat
NAME
this refers to when the client is aware of irregular heart beat
paplitations
what are some general treatments for people w cardiac disorders? (4)
lifestyle changes such as (1)die t (2)excerise (3)no smoking (4)drug therapy
the parasympathic NS (1)the heart rate
decreases
what are some types of drugs used for cardiac disorders? (8)
(1)vasodilators (2)beta blockers (3)Ca channel blockers (4)nitrates (5)cardiac glycosides (6)dieutrics (7)anticoagulants (8)cholesterol or lipid lowering drugs
what are some types of drugs used for cardiac disorders? (8)
(1)vasodilators (2)beta blockers (3)Ca channel blockers (4)nitrates (5)cardiac glycosides (6)dieutrics (7)anticoagulants (8)cholesterol or lipid lowering drugs
what are some side effects you should be aware of for vasodilaters? (3)
orthostatic hypertension (2)tachycardia (3)palpitations
what are some side effects you should be aware of for beta blockers?
(1)bradycardia (3)impotence (3)weakness
what are some side effects you should be aware of for Ca Channel blockers?
orthostatic hypertension
what are some side effects you should be aware of for Cardiac glycosides?
anorexia (2)nausea
what are some side effects you should be aware of for nitrates?
headache (2)orthostatic hypertension
what are some side effects you should be aware of for dieutrics?(3)
orthostatic hypertension (2)dedydration (3)muscle spasms
what are some side effects you should be aware of for anticoagulants? (3)
hermorrhage (2)nausea (3)abdominal cramps
what are some side effects you should be aware of for cholestral or lipid lowering drugs?
liver faliure
how do beta blockers work?
the block sympathic response-thus slow down the heart rate
nAME
this drug blocks the sympathetic response-thus slowing down the heart rate
beta blockers
the parasympathic (1)the heart rate while the sympathetic (2)heart rate
(1)decreases (2)increases
the parasympathetic (1) heart rate
decreases
NAME
this NS descreases
heart rate
what are anticoagulants?
thin the blood
NAME
this drug thins the blood
anticoagulants
T or F
many of the cardaic pts will not be anticoagulants
false
many of the cardiac pts will be on (1)
anticoagulants
what are some precautions-for cardaic pts anticoagulants?
no sharps..do not want to take the change of cutting themselves....such as razors
if a cardiac pt is lightheaded you should (1)
take their blood pressure
what is angina?
refers to chest pain
NAME
this refers to chest pain
angina
what is the best position to put someone in?
45 degrees position
what is dyspnea?
pts perception of breath
NAME
this pts perception of their breath
dyspnea
what is SOB?
is the observer's observation of the client's breath
NAME
this is the observer's observation of the client's breath
SOB
what is the differ btwn SOB and dyspnea? (2)
(1)dyspnea-is pts perception of breath (2)SOB-observer's observation of the client's breath
what position should the cardaic pt be in?
orthopnea
what is orthopnea?
need for cardiac 45 degrees
NAME
this need for the cardiac pt to be at 45 degrees
orthopnea
what is diaphoesis?
is uncontrolled sweating
NAME
this is uncontrolled sweating
diaphoesis
what are some signs and symptoms of the cardiac disease? (9)
(1)angina (2)dyspnea (3)orhopnea -lying supine/number of pillows (4)nausea (5)diaphoersis (6)fatigue (7)cerebral signs- ataxia, dizziness, confusion, and syncope (8)Orthostatic hypertension
Dyspnea at rest and resting resiratory over (1)breath per min is a sign of acute CHF or emergency
30
NAME
this is a drop in systolic blood pressure greater than 10 HG w change in position
orthostatic hypertension
Coronary artery disease is also called the (1)
ischemic heart disease
(1)is also called Ischemic heart disease
Coronary artery disease
NAME
this drug thins the blood
anticoaglant
what is arteriosclerosis?
is a general term for degenerative changes such when the blood vessels loose its elsticity or the walls become thick or lumen becomes small
NAME
this is a general term for degenerative changes such when the blood vessels loose its elsticity or the walls become thick or lumen becomes small
arteriosclersosis
what are some other factors that can increase your chances of ischemic heart disease? (9)
(1)age over 40 (2)men (3)genetic (4)obesity (5)diets high in cholestral/fat (6)smoking (7)secondary life style (8)diabetes (9)oral contraceptives
what does CAD stand for?
coronary artery disease
what are some general treatments for CAD? (6)
lower serum cholestral and LDL levels (2)decrease sodium intake (3)control diabetes or hypertension (4)cease smoking (5)if, thrombus..use anticoagulant (6)surgery
what are some types of surgury for CAD? (2)
angioplasty (2)CABG
what is an emboli?
is clot that where used to lung
NAME
this is blood clot goes to the lung
emboli
what is thrombus?
is plague in the blood vessel walsl
NAME
this is when plague in the walls blocks blood flow
thrombus
what is hemorrhage ?
is when the blood vessel breaks
NAME
this is when the blood vessel breaks
hemorrhage
what is the angioplasty?
is when the balloon is inserted through the femoral artery to the coronary artery to break up plague and placement of a stint
NAME
this is when the balloon is inserted through the femoral artery to the coronary artery to break up plague and placement of a stint
angioplasty
what are some precautions for someone w an angioplasty?
(1)bedside rest (2)no flexion of the hip (3)bleed from the femoral artery
what does CABG stand for?
coronary artery bypass graft
what is CABG?
is when the mamillary or other veins are used to replace /restore coronary arteries
NAME
this is when the mamillary or other veins are used to replace/restore coronary arteries
CABG
What usally happens after CABG?
have kidney problems
Usally after this type of surgery, the patients have kidney problems
CABG
what are some precautions for some one w broken sternum?
bc pecs attached at the sternum keep these in mind (1)keep shoulder at 90 degrees (2)no push or pull (3)no lifting (4)have low endurance-so keep METs low (5)use log roll
what is log roll?
is rolling whole body over at the same time
NAME
this is rolling the whole body over at the same time
log roll
what are some precautions for CABG? (4)
(1)keep shoulder at 90 degres intially (2)no push, pull, or lifting (3)keep METs level low or docs orders (4)use log roll
what is angina pectoris?
is a deficit of O2 to the heart muscle w tight pressure
NAME
this is a deficit of O2 to the heart muscle
angina pectoris
what is angina?
refesr to chest pain
NAME
this refers to chest pain
angina
what can cause angina pectorsis? (6)
atheroscelrosis (2)arterioscleorsis (3)vasopsams (4)myocardial hypertrophy (5)severe anemia (6)heart disease
what are some signs and symptoms of angina pectoris? (3)
(1)intermittent breif episodes of substernal pain (2)physical or emotional triggers (3)pain is desribed as a tight pressure in the chest and may radiate down the neck and left arm
what are some treatments for angina? (5)
(1)rest/stop activity (2)seat pt upright (3)nitroglycerin sublingually (4)check pulse and respiration (5)adminsotr O2
T or F
a 2nd dosage of nitroglycerin can be administered in 5mins..afer three doses in less than 10 mins it should be considered a heart attack if someone is known to have angina
true
when giving nitrates or nitroglycerin when should the angina be considered a heart attack? (2)
2nd dosage can be given in 5 mins...after 3 doses in less than 10 mins it should be considered a heart attack (3)for somone w no history of angina should be treated as MI after 2nd dosage
what is MI?
is when the coronary artery is obstructed leading to prolonged ischemia and cell death
NAME
this when the coronary artery is obstructed leading to prolonged ischemia and cell death
MI
MI is also called (1)
heart attack
(1)is also called heart attack
MI
what does CHF stand for?
congestive heart failure
what are some signs and symptoms of MI? (6)
(1)feeling of pressure, heaviness, burning in the chest esp w increased activity (2)SOB, sweating, weakness, and fatigue (3)nausea, indigestion (4)anxiety/fear (5)hypotension w rapid pulse (6)low grade fever
what are some diagnostic tests for MI? (6)
(1)ECG (2)serum enzymes and iscoenzymes (3)serum levels myosin and trophin elevated (4)electrolytes abnomral -esp sodium and potassium (5)arterial blood gases (6)pulmonary artery pressure measurement for ventricular function
what are some treatments for MI?
(1)dpends on the site and size of the infarct, presnece of collateral circulation an time eplasped before treatment
what is collateral circulation?
is when the body tries to repair /restore blood flow by bpass blockage and using an alternative route for blood supply
NAME
this is when the body tries to repair /restore blood flow by bpass blockage and using an alternative route for blood supply
collateral circulation
what is CHF ?
is when the heart is unable to pump sufficient blood supply to the needs of the body
NAME
this is when the heart is unable to pump sufficient blood supply to the needs of the heart
CHF
CHF can be either (1)or (2)
left or right
what is left sided CHF? (4)
(1)ventricular infarction, aortic valuve stenosis, hypertenion, hyperthyriodism (2)dcreased cardaic output and pulomary congestion (3)fatigue, weakness, dysnpea, (4)orthopnea, cough, SOB, and hemoptysis
what is the differ btwn left and right CHF
LEFT CHF
is when the body tries to repair /restore blood flow by bpass blockage and using an alternative route for blood supply

RIGHT CHF
(1)infaraction in right ventricle, pulomary valve stenssis, pulmonary disease (2)decreased cardaic output, systematic congestion, and edema of hte legs and abdomen (3)fatigue, dyspnea, excerise intolerance (4)dependent edema, distended neck veins, headache, and flushed face
Describe a right CHF?
RIGHT CHF
(1)infaraction in right ventricle, pulomary valve stenssis, pulmonary disease (2)decreased cardaic output, systematic congestion, and edema of hte legs and abdomen (3)fatigue, dyspnea, excerise intolerance (4)dependent edema, distended neck veins, headache, and flushed face
What is the leading cause of CHF?
CAD
CAD is the leading cause of (1)
CHF
NAME
this is the leading cause of CHF
CAD
what is a diagnosistic test for CHF?
cardiomegaly
what is cardiomegaly?
enlarged heart
what are some congential heart disease conditions? (3)
(1)cardiac anomailies (2)congential heart disease (3)acyanotic and cyanotic conidtions
Pulmale has to do w (1)
hypertension
what are clubbed fingers?
bump at end...see drawing
what is ischemic?
is tissue w out O2
what are some signs and symptoms of congenital defects? (7)
(1)pallor and syanosis (2)tachy (3)dysnpea (4)tolder and older adults children assume squating position to modify the blood flow (5)clubbed fingers (6)intolerance to activity and cold weather (7)delayed growth and development
what is important to note about abdominal aortic aneurysim?
complication that can cause damage to Spinal cord bc blocks O2 and nerves...usally wake up paraplegic
NAME
this can cause damage to nerves in the Spinal cord bc of blocked blood flow.....they usally wake up paraplegic
abdominal aneuruysims
what does PVD stand for?
peripheral vascular damage
what is PVD?
is thrombus that results in multi-amputatiosn
NAME
this is thrombus that results in multi-amputations
PVD
what is a deep vein thrombus?
a blood clot in the vein such as in the legs
NAME
this is a blood clot in the vein such as in legs
deep vein thrombus
what is one precaution about deep vein thrombus?
do not move them
what is cartoid endarterectomy?
is when the brain is not getting enough O2 bc of plague
NAME
this is when the brain is not getting enough O2 bc of plague
cartoid endarterectomy
For deep vein thrombus, and cartoid endartectomy, how do the y fix the problem?
use ballon to clean out the blockage
what is cardiac tamponade?
is fluid build up around the heart
NAME
this is fluid build up around the heart
cardiac tamponade
what is pericarditis?
inflammation of the pericardium
NAME
this inflammation of the pericardium
pericarditis
what is cardiomyopathy?
enlargement of the heart
NAME
this is enlargement of the heart
cardiomyopathy
what is cor pulmonale?
is build up fluid on the lungs due to congestion causing pulmonary hypertension
NAME
this is the build up of fluid on the lungs due to congestion causing pulomary hypertension
cor pulmonale
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STOPPED HERE
what is surfactant?
reduces surface tension and promotes expansion
NAMe
this drug reduces surface tension and promotes expansion
surfactant
what is cyanosis?
is when the skin turns blue bc of lack of O2
NAMe
this is when the skin turns blue bc of lack of O2
cyanosis
when does infant respiratory distress syndrome?start to occur?
during the 3rd trimester.
what happens to infants udring the 3rd trimester who have infant respiratory distress syndrome?
alevor surface area and lung vascularty increase
what is infant respiratory distress syndrome?
refer to premature infants that have diffuciltiy breathing
People w infant respiratory distress syndrome? need (1)
surfactant
NAME
people w this usually need surfactant. w out, it they would die
infant respiratory distress syndrome?
infant respiratory distress syndrome is a (1)type of disease
hyaline membrane disease
what will happen to babies who have infant respiratory distress syndrome who do not get surfactant?
typically the lungs will collapse during expiration requiring ncessary breathes to re-inflate the lungs
when is a baby considered to be respiratory distress syndrome?
rate of over 60 breaths a min, nasal flaring subcostal and intercostal and intercostal retraction, rales, and low body temp
what is the treatment for infant respiratory distress? (4)
(1)prevent premature birth (2)corticosteriods given to mother during premature labor to benefit the premature infant (3)synethic surfactant (4)mechanical ventilation and O2 therapy
the rate of perceived exertion is also called the (1)
Borg scale
(1)is also called the Borg scale
the rate of perceived exertion
describe how the Borg scale rates energy level of activites?
on a scale of 6 (lowest) to 19 (highest)
6=no exertion
9-very light
13-somewhat hard but ok to cont
15-very hard...strenous work but can still go on
17-very hard...strenuous work you can still go on but you have to push yourself
19-exteremely strenuous..most strenuous that you have every experienced
the Borg Scale is from to (1)to (2)
6 (no exertion) to 19 (extremely strenous ....most strenous that you have experienced
what is dyspnea index?
this involves having the client count the number breathes they take while counting to 15 sds.
NAME
this involves having the client count the number breathes they take while counting to 15 sds.
dyspnea index
during the dyspnea index, the client takes 0-1 breathes.

what can conclude?
the client is ok to increase activity level
during the dyspnea index, the client takes 1-2 breathes, what can you conclude?
the client needs to stay at the same excerise level
during the dyspnea index, the client takes over 2 breathes.
what can you conclude?
the client needs to decrease excerise level and cool down
describe how the MET scale (4) look up in book /notes for further detail
(1)3-4 METs=low energy
(2)5-7 METs
(3)7-9 METS
(4)9 or more METs
what are some breathing techniques?
(1)pursed lip breathing (2)diaphramatic breathing
NAME
some types of this include pursed lip breathing and diaphramatic breathing
breathing techiniques
what are some signs of ex cerise intolerance? (10)
(1)chest discomfort (2)pain or funny feeling above the belly button lasting more than one min and not relieved w motion or breathing (3)light headednes, dizzness, or loss of balance (4)SOB lasting more than 10 mins (5)nausea or vomiting (6)leg problems:weakness, swelling or unusual pain (7)fatigue:beyond ordianry tiredness (8)pallor (9)irregular heart beat or palpatations (10)cold sweat
what is pallor?
pale or mottled skin
NAME
this refers to pale or mottled skin
pallor
NAME
some signs of this include (1)chest discomfort (2)pain or funny feeling above the belly button lasting more than one min and not relieved w motion or breathing (3)light headednes, dizzness, or loss of balance (4)SOB lasting more than 10 mins (5)nausea or vomiting (6)leg problems:weakness, swelling or unusual pain (7)fatigue:beyond ordianry tiredness (8)pallor (9)irregular heart beat or palpatations (10)cold sweat
excerise intolerance
what are the components of a sound excerise program?
(1)warm up (2)conditioning (3)cool down
what is the warm up section of an sound excerise program?
3-5 mins of low intensity activity such as slow walking/stretching
what is the conditioning section of the sound exercise program?
20 to 45 mins of aerobic exercise such as brisking/cycling
what is the cool down section of the sound exercise program?
3-5 mins of low intensity activity such as slow walking and stretching
what are some Dos for exercising? (6)q
(1)wear loose fiting clothing (2)comfortable shoes (3)wait one hour after eating before exercising (3)warm up and cool down (4)wear mask on cold windy days (5)make exercise a lifetime commitement (6)reward yourself
what are some donts for exercising?(5)
(1)excerise outside if its is colder than 32 degrees (2)exercise outside if it is hotter than 90 degrees (3)excerise outside if its very humid (4)excerise if its windy (5)dont exercise if you are fighting a cold/virus/or have a temp
how can you increase endurance of a client?
use a progressive resistive excerise program
NAME
this is one way to increase a client's endurance level
progressive resistive exercise program
describe how the MET scale (4) look up in book /notes for further detail
(1)3-4 METs=low energy
(2)5-7 METs
(3)7-9 METS
(4)9 or more METs
what are some breathing techniques?
(1)pursed lip breathing (2)diaphramatic breathing
NAME
some types of this include pursed lip breathing and diaphramatic breathing
breathing techiniques
what are some signs of ex cerise intolerance? (10)
(1)chest discomfort (2)pain or funny feeling above the belly button lasting more than one min and not relieved w motion or breathing (3)light headednes, dizzness, or loss of balance (4)SOB lasting more than 10 mins (5)nausea or vomiting (6)leg problems:weakness, swelling or unusual pain (7)fatigue:beyond ordianry tiredness (8)pallor (9)irregular heart beat or palpatations (10)cold sweat
what is pallor?
pale or mottled skin
NAME
this refers to pale or mottled skin
pallor
NAME
some signs of this include (1)chest discomfort (2)pain or funny feeling above the belly button lasting more than one min and not relieved w motion or breathing (3)light headednes, dizzness, or loss of balance (4)SOB lasting more than 10 mins (5)nausea or vomiting (6)leg problems:weakness, swelling or unusual pain (7)fatigue:beyond ordianry tiredness (8)pallor (9)irregular heart beat or palpatations (10)cold sweat
excerise intolerance
what are the components of a sound excerise program?
(1)warm up (2)conditioning (3)cool down
what is the warm up section of an sound excerise program?
3-5 mins of low intensity activity such as slow walking/stretching
what is the conditioning section of the sound exercise program?
20 to 45 mins of aerobic exercise such as brisking/cycling
what is the cool down section of the sound exercise program?
3-5 mins of low intensity activity such as slow walking and stretching
what are some Dos for exercising? (6)q
(1)wear loose fiting clothing (2)comfortable shoes (3)wait one hour after eating before exercising (3)warm up and cool down (4)wear mask on cold windy days (5)make exercise a lifetime commitement (6)reward yourself
what are some donts for exercising?(5)
(1)excerise outside if its is colder than 32 degrees (2)exercise outside if it is hotter than 90 degrees (3)excerise outside if its very humid (4)excerise if its windy (5)dont exercise if you are fighting a cold/virus/or have a temp
how can you increase endurance of a client?
use a progressive resistive excerise program
NAME
this is one way to increase a client's endurance level
progressive resistive exercise program
Describe how the progressive resistance exercise program works? (2)
(1)establish a baseline of IR, BP and respiration........looking at signs of exercise intolerance, signs of mm fatigue/subsituation, number of rest periods, number of repetitions, number of sets, number of resistance (2)increase activity as client tolerates it .....by increasing reps or adding additional sets (20x), when achieved, add resistance (1-2)and decrease reps/sets, then increase reps or sets at the new weight level, and repeat cycle
Describe how the progressive resistance exercise program works? (2)
(1)establish a baseline of IR, BP and respiration........looking at signs of exercise intolerance, signs of mm fatigue/subsituation, number of rest periods, number of repetitions, number of sets, number of resistance (2)increase activity as client tolerates it .....by increasing reps or adding additional sets (20x), when achieved, add resistance (1-2)and decrease reps/sets, then increase reps or sets at the new weight level, and repeat cycle
the progressive resistive endurance program can be used for IDALS and ADLS by (1)
having them do purposeful activties but do the above as well
when working on endurance while doing ADLs and IADLs, what is one important thing to do?
modify the environment such as temp while showering and bathing (2)adapt the evironment to allow for convenievnce
what are some ways to improve client's endurance?(4)
(1)progresive resistive excerise (2)use a progressive resistive excerise program but have them do purposeful activities instead (3)modify the environment such as by lowering temp while showering and adapt the environment to allow for convenience (4)work simplification and energy conservation principles
what are some ways to improve client's endurance?(4)
(1)progresive resistive excerise (2)use a progressive resistive excerise program but have them do purposeful activities instead (3)modify the environment such as by lowering temp while showering and adapt the environment to allow for convenience (4)work simplification and energy conservation principles
what are some ways for WSEC? (7)
(1)plan activites and set priorities (2)plan ahead for the day and be flexible (3)take frequent breaks (4)balance your day btwn light and heavy work (5)avoid rushing and trying to "beat the clock" (6)divide the long jobs into several shorter tasks (7)allow time for work, rest, and leisure--all 3 are equal important
what are tips for indvls to WSEC? (7)
(1)plan activites and set priorities (2)plan ahead for the day and be flexible (3)take frequent breaks (4)balance your day btwn light and heavy work (5)avoid rushing and trying to "beat the clock" (6)divide the long jobs into several shorter tasks (7)allow time for work, rest, and leisure--all 3 are equal important
What tips indvils for WSEC stand for?
work simplification and energy conservation
what is the biggest way to adapt someone routine w low endurance?
WSEC
what are some body mechanics for WSEC? (7)
(1)sit to work (2)use good posture and avoid slumping (3)use large strong muscle groups instead of weaker smaller groups (4)life w knees instead of back (5)exhale during strenous part and inhale less strenous (6)work at proper heights (7)AVOIDS straining such as by pushing heavy objects, opening tight jars, and straining during a bowel movements
what are some body mechanics for WSEC? (7)
(1)sit to work (2)use good posture and avoid slumping (3)use large strong muscle groups instead of weaker smaller groups (4)life w knees instead of back (5)exhale during strenous part and inhale less strenous (6)work at proper heights (7)AVOIDS straining such as by pushing heavy objects, opening tight jars, and straining during a bowel movements
what are some ways to simplify tasks? (6)
(1)sit to work when possible (2)carry items w both hands or slide item along counter top (3)sit w arms supported while you work. never work w hands higher than shoulder level (4)push instead of pull (5)anaylze the tasks to be done and eliminate any unecessary steps (6)combine operations (cook and serve in the same dish)
what are some ways to simplify tasks? (6)
(1)sit to work when possible (2)carry items w both hands or slide item along counter top (3)sit w arms supported while you work. never work w hands higher than shoulder level (4)push instead of pull (5)anaylze the tasks to be done and eliminate any unecessary steps (6)combine operations (cook and serve in the same dish)
which takes more effort--push or pulling a object?
pulling
which takes the least amount of energy--pushing or pulling?
pushing
T or F
pull instead of push bc it takes less effort when doing WSEC
false
in order to complete WSEC, what are some activities that SHOULD be AVOIDED? (3)
()heaving pushing or lifting (2)opening tight jars (3)straining during bowel movement
What are some ways that the environment can be modified for WSEC?
(1)work in well lighted area (2)proper ventalition such as in the bathroom (3)avoid extremes in temp and humidity (4)wear comfortable clothing (5)place more used items in the easiest to reach shelves and drawers and things in back or up high (6)adapt environmet to allow for conveience
what are some ways that attitudes and emotions affect WSEC? (2)
(1)irritation, frustration and anger cause fatigue and increased blood pressure and heart rate (2)be aware of situations which bring out these emotions and avoid or minimze these situations when possible
what are some ways that WSEC can be used during self-care for someone w low endurance? (4)
(1)put a chair or stool in the shower or tub (2)sit to undress, bathe, dry, and dress (3)use long handed scrub brush /sponge to wash (4)avoid over exertion by taking rest periods (4)an elevated tiolet seat will decrease the amount of bending required
what are some ways that WSEC can be used during grooming for someone w low endurance? (4)
(1)sit when possible (2)consider short, easy haircuts to simplify grooming (3)wash hair in the shower (4)have hair done professionaly or by a family member
what are some activites that may needed to be graded for someone w low endurance? (4)
(1)weekly shopping (2)baking a b0day cake (3)attending a religious service (4)returning to work
what are some red flags for primary diagnosis? (3)
(1)other professionals involved such as cardiopulmonary team (2)increaed precuations such as monitorss (3)lines/bells and whistles
what may be some goals for someone in the acute care setting w low endurance? (including long term and short term goal)
(1)client will be independent with one BADL (1 week)
a)client will tolerate minimal BADL (met level)activity for 5 mins in a upright position
b)client will independently demonstration relaxiation techinques (2 days)
c)client will determine activity for priorities for an ordinary premorbid day (2 days )
d)client will utilize 3 WSEC techinques during BADLS activity
in the acute care setting, what are some strategies for increasing endurance? (someone w low endurance? (3)
(1)client education (2)activity tolerance (PREs and ADL and IADL) (3)lifestyle change such as relaxation techinques, WSEC, values clarification, setting of priorities, and balance btwn work, play and self maintance
in the acute care setting, what are some strategies for increasing endurance? (someone w low endurance? (3)
(1)client education (2)activity tolerance (PREs and ADL and IADL) (3)lifestyle change such as relaxation techinques, WSEC, values clarification, setting of priorities, and balance btwn work, play and self maintance
what may be some goals for someone in the acute care setting w low endurance? (including long term and short term goal)1 long term and 3 STG
(1)client will be independent with one BADL (1 week)
a)client will tolerate minimal BADL (met level)activity for 5 mins in a upright position
b)client will independently demonstration relaxiation techinques (2 days)
c)client will determine activity for priorities for an ordinary premorbid day (2 days )
d)client will utilize 3 WSEC techinques during BADLS activity
describe how the process of improving someone's endurance in a acute care would go?
(1)establish baseline--(nursing notes/dr. parameters and monitors) (2)warm up-activity-cool down (3)shorter periods of time ...gradually build up to 20 mins or more (4)check vitals throughout
When doing trying to build up endurance levels(using purposeful activities)what are (2)things you should do
(1)starts w shorter periods of time and gradually build up to 20 mins or more (2)check vitals throughout
what are some things you want to look at before you treat the client to increase endurance? (3)
(1)HR,BP and respiration (2)activity history prior to arrival--emotional, sleep, temp (3)establish baseline
why is important to note the client's temp before begining treatment?
if have fever need to min treatment or not do treatment bc could be fighting off infection and need extra rest
What are some general signs and symptoms of an infectious disease?
(1)fever (2)enlarged lymph node (3)wound drainage, rash/red streaks (4)change in heart rate
NAME
Some general signs of this include fever, enlarged lymph nodes, wound drainage, rash/red streaks, and change in heart rate
Infectious disease
Any time you have an infection the (1)changes
The heart rate increases
What are the most common causes of a fever in the hospitalized patient? (8)
(1)atelectasis (2)phenumonia (3)cathteter related (4)surgical wound (5)UTI (6)drugs (7)pulmonary emboli (8)infected decubiti
What is atelectasis?
Is when the lungs shrink and are unable to expand big enough (barley moving)
NAME
This is when the lungs shirnk and are unable to expand big enough (barley moving)
Atelectasis
How can a catheter cause a fever?
If kept higher than the opening…must remain lower to floor
What does uti stand for?
Urinary tract infection
What is an infected decubiti?
Infected wound
NAME
This refers to an infected wound
Infected decubiti
What is a noscomial infection?
Is a hospital acquired infection
NAME
This is a hospital acquired infection
Noscomial infection
MRSA is the most common type of (1)infection
Noscomial
NAME
This is the most common type of noscomial infection
MSRA
Ascariasis is also called (1)
Round worm
(1)is also called round worm
AScariasis
(1)is also called round worm
AScariasis
what is Hyperpyrexia ?
Refers to a high grade fever btwn 105 and above
NAME
This refers to a high grade fever over 105 and above
Hyperpyrexia
What is hypopyrexia?
Refers to a high grade fever btwn 100 and 104
NAME
This refers to a high grade fever between 100 and 104
Hypopyrexia
what is the average temp?
96.8 btwn 98.6
The averge temp is btwn (1) and (2)
96.8 and 98.6
At what temp does hypothermia set in?
Temp below 96.8
NAMe
Anyone w a temp below 96.8 has this
Hypothermia
What are some side effects the body has onset stage of a fever? (4)
(1)increased heart rate and respiration (2)shivering (3)pallid cold skin (3)complaints of feeling cold (4)gyanotic nail beds (5)goosebumps
what are the differ stages the body goes through as the temp changes? (3)
(1)onset stage (2)course stage (3)fever abatement
NAMEwhat are some changes the body goes through during the course stage?
(1)absence of chills (2)skin is warm (3)photosensitivity (4)glassy eyed appearance (5)increased heart rate and respiration (6)course conts (7)increased thrist (8)malaise, weakness, and acning of muscles
What are some of the changes that the body goes through during the fever abatement stage?
(1)flushed skin (2)warmth (3)sweating (4)decreased shivering (5)possible of dehydration
Onset stage is also called (1)or (2)
Chill or onset stage
Cold stage is also called (1)or (2)
Chill or onset stage
Chill stage is also called the (1)or (2)
Cold or onset stage
What changes does the body undergo during hypothermia? (8)
(1)decreased body temp, pulse and respiration (2)severe shivering initially (3)feelings of cold and chills (4)pale,cool, waxy skin (5)hypotension (6)decreased urinary output (7)lack of muscle coordination (8)drowisness progressing towards coma
NAME
As the body undergoes this, the following changes occur--
(1)decreased body temp, pulse and respiration (2)severe shivering initially (3)feelings of cold and chills (4)pale,cool, waxy skin (5)hypotension (6)decreased urinary output (7)lack of muscle coordination (8)drowisness progressing towards coma
Hypothermia
What is the normal pulse for an infant?
80 to 180
What is the normal pulse for 1 lyr toddler?
80 to 140
What is the normal pulse for for 5-8yr old?
75 to 120
What is the normal pulse for 10 yr old?
50 to 90
What is the normal pulse for a teen?
50 to 90
What is the normal pulse for a adult?
60 to100
What is the normal pulse for a 70 yrd old?
60 to 100
What is Bradycardia?
Is a pulse under 60 bpm
What bpm stand for?
Beats per min
What is tachycardia?
Is more than 100 bpm
NAME
This is a pulse under 60 bpm
Bradycardia
NAME
This a pulse over 100 bpm
Tachycardia
NAME
This is a pulse under 60 bpm
Bradycardia
NAME
This a pulse over 100 bpm
Tachycardia
What is the differ btwn bradycardia and tachycardia?
Bradycardia-is under 60 bpm (2)trachycardia-is over 100 bpm
What is a pulse created by?
The contraction of the left ventricle of the heart
NAME
This created by the contraction of the left ventricle of the heart
pulse
What are some of the differ pulses that you can populate on the body? (9)
(1)temporal (2)carotid (3)apical (4)brachial (5)radial (6)femoral (7)popliteal (8)posterior tibal (9)dorsalis pedis
Where is the temporal pulse located?
Superior and lateral to the eye
NAME
This pulse is located superior and lateral to the eye
Temporal pulse
Where is the apical pulse located?
Left of the sternum at the 4-6 intercostal space
NAME
This pulse is located left of the sternum at the 4-6 intercostal space
Apical pulse
Where is the brachial pulse located?
Inner aspect of the biceps mm towards the radial side of the arm
NAME
This pulse is located on the inner aspect of the biceps mm towards the radial side of the arm
Brachial pulse
Where is the femoral pulse located?
Passing the inguinal ligament
NAME
This pulse is located passed the inguinal ligament
Femoral pulse
Where is the popliteal pulse located?
Behind the knee
NAME
This pulse is located behind the knee
Popliteal pulse
Where is the posterior tibial pulse located?
Behind the medial mallcolus
NAME
This is pulse is located behind the medial malloclus
Posterior tibial pulse
Where is the dorsalis pedis located?
Tip of the foot space btwn the big and 2nd toe
NAME
This pulse is located btwn the big and 2nd toe
Dorsalis pedis
What is the pulse rhythm?
Is the equal time btwn beats
NAME
This is the equal time btwn beats
pulse rhythm
Some people’s pulse can be (1)
Weak, feeble, and thread
How does healthy food affect the elasticity of the aterial wall?
The wall feels smooth and soft and pliable
How does non-healthy food affect the elasticity of the aterial wall?
Inelastic, twisted, and irregular
What is febrile?
Means the person has a fever
NAME
This means a person has fever
Febrile
What does afebrile mean?
The person has a temp below normal
NAME
This means the person has a temp below normal
Afebrile
What is the normal blood pressure for an adult?
130/65
For 130/65 which one is the systolic vs the diastrolic pressure?
130-systolic 65-diastolic
What is the recommandition if someone blood pressure is btwn 130-139/85-89
Recheck in 2 yrs
What is the recommendation if someone’s blood pressure is btwn 160-179/100-109
Evulate and refer to dr
What is the recommendation if the blood pressure is btwn 140-159/90-99
Confirm in 2 months
What is the recommendation if the blood pressure is btwn180-209/110-119
Refer to dr
What is the recommendation if the blood pressure is btwn greater than 210/120
Call 911
Around what blood pressure should you be calling 911 for?
Anything greater than 210/120
Around what blood pressure should you be referring the pt to a dr?
160-209/100-119
What is invasive blood pressure?
Is the insertion of a catheter into the brachial, radial or femoraly artery
NAME
This is when a catheter is inserted into the brachial, radial or femoral artery to determine the blood pressure
Invasive blood pressure
What is a noninvasive way of finding blood pressure?
Using a sphgmomanometer cuff and a stethoscope
How do you use the blood pressure cuff?
(1)position the arm in 90 degrees of shoulder and flexion jst above radial artery (2)position stethoscope over artery (3)pump to 30 degrees over normal (4)measure when first drop occurs and last drop for (heart beat)
NAME
This refers to blood pressure that falls when the client sits or stands
orthostatic hypertension
Describe the process of orthostatic hypertension?
Blood leaves the central body organs and the brain (2)moves to the peripheral (3)person feels faint
What do you if the person experiences orthostatic hypertension?
(1)place in supine position at 45 degrees (2)wait 2-3 mins and record pulse and pressure (3)assist client to upright position and after 1 check pulse again (4)rise in pulse of 40 below or above indicates abnormal pulse
What are some treatments for orthostatic hypertension? (2)
Pressure gradient LE garents (2)abdominal binder
What is a pressure gradient LE garment?
Keeps the blood from pulling away from the abdomen as when have orthostatic hypertension
What is the respiration average for a newborn?
30-80
What is the respiration average for a 1 yr old?
20 to 40
What is the respiration average for a 5-8 year old?
15-25
What is the respiration average for a 10 yr old?
15-25
What is the respiration average for a teen?
15-20
What is the respiration average for a adult?
12-20
What is the respiration average for a person above 70 yrs old?
15-20
NAME AGE GROUP
pulse-btwn 80-180
newborn
NAME AGE GROUP
pulse-1 yr
80-140
NAME AGE GROUP
pulse-btwn 75-120
5-8 yrs
NAME AGE GROUP
pulse-btwn 50-90
1o`yrd old
NAME AGE GROUP
pulse-50-90
Teen
NAME AGE GROUP
pulse-adult
60-100
NAME AGE GROUP
pulse-60-100
Adult older than 70 yrs old
What are some types of respiration rates? (3)
(1)tachypnea (2)bradypnea (3)apnea
NAMe
These include tachypnea, bradypnea, and apnea
Type of respirations breathes
What is a tachypnea breath?
Are quick shallow breaths
NAME
These are quick shallow breaths
Tachypnea
What are bradypne?
Is abnormally slow breathing
NAME
This abnormally slowing breathing
Bradypne
What is apnea?
Is the cessation of breathing
NAME
This is the cessation of breathing
apnea
What are some types of respiration vol?
(1)hyperventilation (2)hyperventaltion
What is the differ btwn tachypnea, bradypnea, and apnea?
(1)tachypnea-is quick shallow breaths (2)bradypnea-abnormally slow breathing (3)apnea-is ceastion of breathing
What is hyperventilation?
Is the overexpension of the lungs leading to deep breaths
NAME
This is the overexpansion of the lungs leading to deep breaths
hyperventalition
What is hypoventalition?
Is the under expansion of the lungs leading to shallow breaths
NAME
This is the underexpansion of the lungs leading to shallow breaths
Hypoventalition
What is the differ btwn hyperventilation and hypoventilation?
(1)hyperventilation-is the overexpansion leading to deep breaths (2)hypoventilation-is the underexpansion leading to shallow breaths
What is the effort type of respiration?
(1)dyspnea (2)orthopnea
What is orthopnea?
Is the abitiy to breathe only in an upright or sitting position
NAME
This is the ability to breathe only in an upright or sitting position
Orthopnea
What is the differ btwn dyspnea nad orthopnea?
(1)dyspnea-labored breathing (2)Orthopnea-ability to breathe only in a upright or standing position
What is the cheyne-stokes?
Is the rhythmic waxing and waning of respirations from very deep to very shallow temporary apnea
NAME
This is the rhythmic waxing and waning of respirations from very deep to very shallow temporary apnea
Cheyne-stokes
What are sometypes of breath sounds?(1)
(1)sidor (2)wheeze (3)bubbling
NAME
These include sidor, wheeze, and bubbling
breath sounds
What is sidor breaths?
Are shrill harsh sounds during inspiration w laryngeal obstruction
NAME
These are shrill harsh sounds during inspiration w laryngeal obstruction
Sidor breaths
What is a wheeze?
High pitched musical squeak or whistling sound
NAME
This is a high pitched squek or whistling sound
wheeze
What is bubbling breathing sound?
gurgling sound
NAME
This type breath sound is like a gurgline sound
Bubbling sound
What are some of the signs and symptoms of asthma?(7)
Cough (2)dyspnea (3)tight feeling in the chest (4)agitation (5)wheezing rapid breathing (6)thick or sticky mucus (7)hypoaxia
NAMe
Some of the signs and symptoms of this include cough, dyspnea, tight feeling in the chest, agitation, wheezing rapid breathing, thick or sticky mucus, and hypoaxia
Asthma
What is some treatment for asthma?
Prevent (2)acute attacks use bronchodilators such as (albuetrol) controlled or pursed lip breathing
What is emphysema?
Is the break down of the alveolar wall and lungs loose ability to recoil
NAME
This is the break down of the alveolar wall and in which the lungs lose their ability to recoil
Emphysema
Describe what would happen to someone w emphysema?
(3)
(1)break down of alveolar wall (2)fibrosis and thickening of the bronchi walls (3)decreased espiration resulting in
How does the breakdown of alveolar wall affect the lungs? (3)
(1)loss of surface area for gas exchange (2)loss of pulmonary capillaries and perfusion (3)loss of elastic fibers and loss of recoil expiration
What is perfusion?
Is the loss of the lungs to recoil after expiration
NAME
This is the loss of the lungs to recoil after expiration
perfusion
NAMe
This is secondary to chronic infections and smoking
Emphysema
Emphysema is secondary to (1)and (2)
Chronic infections and smoking
How does decreased expiration affect the lungs? (4)
(1)residual vol (2)over-inflation (3)barrel chest (4)diaphragm appears flat on x-ray
Describe advanced emphysema?(4)
(1)pnemuathorax (2)hypoaxic drive for inspiration w chronic increase in CO2 levels (3)infections bc secretions are more diffuclt to move (4)pulmonary hypertension
What is pulmonary hypertension?
Increase resistance pulmonary artery leading to right ventricle failure
NAME
This is the increase resistance pulomary artery leading to right ventricle failure
Pulmonary hypertension
What are some of the signs and symptoms of Emphysema?
(1)insidious onset (2)dyspnea exertion (3)hyperventilation w prolonged espirtory phase (4)anorexia (5)clubbed fingers
NAMe
Some signs and symptoms of this include insidious onset, dyspnea exertion, hyperventilation w prolonged respiratory phase, anorexia, and clubbed fingers
Emphysema
What are some treatments for emphysema? (3)
Avoidance of irritants (2)pulmonary rehab (exercise and breathing ) (3)pursed lip breathing
The pink puffers refers to (1)
Barrel chest
(1)this refers to someone w a barrel chest
pink puffers
What is cor pulmonale?
is the build up of fluids around the heart—resulting in increased chest pressure
NAME
This is the build up of fluids around the heart/pressure
Cor pulmanle
What is chronic bronchitis?
In the inflammation of bronchi
NAME
These are changes in the bronchi secondary constant irritation from smoking or industrial exposure
Chronic bronchitis
NAME
This is the inflammation of the bronchis
Chronic bronchitis
What are some the changes that occur chronic bronchitis?
(1)mucosa is inflamed (2)hypertrophy of the mucus glands (3)O2 levels are low (blue bloaters) (4)pulmonary hypertension and cor pulmonale
What are your blue bloaters?
People whose cheeks become blue bc they are not getting enough O2
NAMe
These are people who cheeks become blue bc they are not getting enough O2
blue bloaters
NAME
People who usally get this has a history of cigarette smoking or living in an urban area
Chronic bronchitis
What are the signs and symptoms of chronic bronchitis?
Is the productive cough w tachpynea, and SOB (2)worse in the morning …secretions have pooled overnight
NAME
Some signs and symptoms o this include a productive cough w tachpynea, and SOB ….is usally in the morning and secretions that have pooled overnight
Chronic bronchitis
What are some treatment for chronic bronchitis?
(1)prevent exposure (2)expectorants, bronchidilators, postural drainage and percussion (3)low flow of O2
What is chest PT stand for?
Chest postural drainage
What is chest PT?
Usally done by PTs is used to make person cough up mucus
People w chronic bronchitis are usally your (1)
Blue bloaters
Blue bloater are usally your people w (1)
Chronic bronchitis
What is bronchiectasis?
Is the abnormal or widening of the medium sized bronchi
NAME
This is the abnormal or widening of the medium sized bronchi
bronchiectasis
Bronchiectasis is secondary to (1)
Reoccurring inflammation and inflection
NAME
This is secondary to reoccurring inflammation and infection
Bronchiectasis
What changes occuring the body during bronchiectasis? (2)
Weakening of the mm and elastic fibers in the bronchial wall (2)in ballooned or dilated areas amount of fluid collect and become infected
What are some of the signs and symptoms of bronchiectasis?
Chronic productive cough, more coughing in the morning as the sputum shifts (2)rales, foul breath (3)dyspnea (4)hemophrysis
NAME
Chronic productive cough, more coughing in the morning as the sputum shifts (2)rales, foul breath (3)dyspnea (4)hemophrysis
Bronchietcatsis
what are some treatments for bronchiectasis?(2)
(1)antibiotics (2)bronchidilators