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Inflamatory
Answer | Question |
---|---|
What is a person with no neutrophils susceptible to ? | Neutropinia, it is when a person has no neutrophils. they cannot create an inflammatory response. |
Mechanisms of inflammation | follows the same steps no matter what |
what are found in patients with acute bacterial infection | bands |
what are bands? | immature neutralphils |
what happens in an acute infection? | neutrophils go up, they increase |
how long do 1st respsponder's Neutrophils last? | 24-72 hours |
what are the second responders? | Monocytes |
monocytes turn into | macrophages |
what do macrophages do | eat bacteria |
what is leukocytosis | elevated WBC count |
What does shift to the left mean | neutrophils increase |
when would you see increased eosonophils | with an allergic reaction or the host is attacked by a parasite |
in an acute infection, what do vitals do | blood pressure raises, heart rate raises, temperature raises, respiration rate raises |
if you notice a patient has redness and bruising and his labs say he has a deficiency of platelets what might he be suffering from? | ecchymosis |
If a patient has an area that is hot, irritated, red, and swelled up. what might this indicate? | a local infection |
what will you notice in a systemic manifestation of infection | inflammation, check for high vitals, raised WBC, nausea, anorexia, malaise |
chronic inflammation leads to what | decreased immunity |
what is the chain of infection | 1 an infections agent, 2 reservoire that's dark and moist 3 portal of exit 4 portal of entry, 5 host |
what is the #1 site of a nosocomial infection? | Urinary tract infection? |
what are 3 types of nosocomial infections | Lstrogenic (medical procedures) endogenous (inside) exogenous (outside) |
what are the 2 types of asepsis | medical and surgical |
surgical asepsis | completely eliminates microorganisms, spores |
medical | clean, reduces microorganisms |
what are the nursing plans to stop the chain of infection | Control/Eliminate infections agents -medical asepsis Control eliminate/ reservoir -Dressing Changes -Apply principles of wound care Control/Transmission -Consistent hand washing |
when do you not put hand sanitizer on | when it is visibly dirty, c diff |
when do you use standard precautions | everyone get's standard precautions |
who get's contact precautions | anyone who is in contact with bodily fluids |
vascular response | hypermia, redness, warmth |
name 4 sites for nosocomial infection in order of the biggest risk to the least | urinary tract, surgical wounds, respiratory tract (would require tracheostomy) blood stream (iv site) |
what is the normal white blood cell count? | 5,000-10,000 |
what is the percentage of Neutrophils in WBC's normally | 55-70% |
what is the percentage of Lymphocytes in WBC's normally | 20-40% |
Monocytes | 5-10% |
Eosinophils | 1-4% |
Basophils | 0-1% |