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30 Cards in this Set

  • Front
  • Back

What is 3rd leading cause of death for 45-65 years of age?

unintentional injury

Which Evacuation is first?

Horizontal


3 cardinal rules of radiation protection

1. minimize the time of exposure from the source


2. maximize distance from the source


3. use appropriate shielding

Fall prevention in home

remove throw rugs, stairs must be well lighted and in good condition, remove clutter, install handrails, clean up spills promptly, raised toilet seat with bars

Negative Outcomes of Retraints

Skin breakdown/contractures/incontinence



depression/delirium/anxiety



aspiration/respiratory/deateh

Senses involved in Sensory Reception

5 senses



Kinesthesia - awareness of position of body



Visceral - Internal organs



Sterognosis - perceived solidity of object



Proprioception - input from sensory nerve. terminal in muscles and tendons, joins and vestibular apparatus

Reception

receiving input from the enviroment

Perception

conscious process of selecting, organizing, and interpreting data

RAS

reticular activating system - a network in brain that mediates arousal, selectively allows some nerve impulses to reach the cerebral cortex


Adaptation

a repeated stimuli no longer gets acted upon`

Sensory deprivation

decreased sensory input of input that is monotonous, unpatterned or meaningless (bedrest, isolation, impaired abilities, CNS Damage)

Sensory Overload

so much sensory stimuli that brain can not respond to or must ignore (hospitalization)

Sensory Defecit

impaired or abscent functioning in one or more of the senses (blindness, hearing impaired, paralysis)

Asphyxiation

suffocation (drowning, choking, blocking airway, gas poisoning)

Sentinel event

unexpected occurance involving death or serious physical or psychological injury or the risk of death or injury

Stages of Infection (4)





Incubation Period - Pathogen's invasion and appearance of symptoms



Prodromal stage - early, vague signs/symptoms (most infectious stage)



Full stage of illness - localized or systemic symptoms



Convalescent period - recovery period - signs/symptoms disappear

Infection



Disease state that results from the presence of pathogens (disease producing microorganisms) in or on the body

Body's Defense against infection

Intact Skin



Normal Flora



Inflammatory Response



Immune Response

Antigen

foreign material that causes the problem

Antibody

produced in response to antigen

Infection Cycle (6)

1. Infectious agent


2. reservoir


3. portal of exit


4. means of transmission


5. portal of entry


6. susceptible host

Factor Affecting risk for infection

Integrity of skin/mucous membranes


ph Levels of GI, GU, skin


Integrity and number of WBC


Age, sex, race, hereditary factors


Immunizations - natural or acquired


Level of fatigue, nutritional, preexisting illness, previous/current treatments, medications


Stress levels


Use of Invasive/indwelling devices


Dangerous practices

Asepsis

a condition free of microorganisms



practicing asepsis prevents the spread of infection

Medical Asepsis

clean technique, keeping area clean, cleaning bedside table, reduces number of pathogens, routine hand washing, non-sterile gloves

Surgical Asepsis

"sterile technique", keeping objects/areas free from microorganisms


Disinfecting

destroys all pathogens except spores, can be used on skin and equipment

Sterilizing

destroys all pathogens including spores



used on equipment that enters a sterile body part

Types of hand hygiene

plain soap and water, antiseptic handrubs, surgical hand asepsis

Why use alcohol based hand rub

decreases the incidence of dry skin from frequent washing, increased access, faster, increased compliance of staff leading to less nosocomial infection

Exogenous



Endogenous



Iatrogenic

Exogenous - acquired from other people



Endogenous - from microbial life in person



Iatrogenic - infection results from a treatment or diagnostic procedure