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Inflammation
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Phase one of acute inflammation is known as
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NURS 319 Exam 2

Chp 9 - Inflammation & Dysfunctional Wound Vocab

TermDefinition
Inflammation an essential process that coordinates the protection of the body from infection
Phase one of acute inflammation is known as Vascular Permeability
Vascular phase Increased vascular permeability; momentary vasoconstriction
Phase two of acute inflammation is known as Cellular Phase
Cellular phase Cellular chemotaxis
Chemical mediators substances that promote or inhibit inflammatory reactions
Rubor redness
Calor heat
Dolor pain
Function laesa loss of function
Fluid extravasation fluid invading tissue
Purulent exudate protein-rich pus, can be green or yellow
Abscess a localized, walled-off collection of purulent exudate
Transudate a watery, clear fluid with low protein (usually non-infectious)
Effusion the accumulation of fluid in a body cavity
Chemotaxis the movement of WBC's and platelets due to chemical signaling
Leukocytosis an increase in the number of WBCs
Margination WBC's lining up along the endothelium
Diapedesis WBCs squeezing through walls of capillaries and releasing inflammatory mediators
Cytokines small proteins secreted by WBCS that stop or promote inflammation
Tumor necrosis factor-alpha (TNF-alpha) a cytokine produced by macrophages that stimulates the liver to release acute-phase proteins and triggers WBC phagocytosis
Interleukins a cytokine produced by macrophages that also stimulates the liver to produce acute-phase proteins (APPs)
Chemokines proteins that attract leukocytes to the endothelium
Leukocytes WBCs
C-reactive protein (CRP) an acute-phase protein that marks foreign material for phagocytosis and activates the complement system
Fibrinogen an acute-phase protein that binds to red blood cells and fixes them into stacks that precipitate
Erythrocyte sedimentation rate (ESR) a lab test that looks for active inflammation in the body
Serum amyloid A an acute-phase protein that is associated with chronic inflammation
Amyloidosis a rare disorder in which serum amyloid A acute-phase proteins accumulate in the body and can lead to organ failure/damage
Hepcidin an acute-phase protein that indicates diminished iron storage in the body when elevated
Granulocytes A class of WBCs in which granules can be seen in the cytoplasm under a microscope
Agranulocytes A class of WBCs in which there are no visible granules
Types of granulocytes Neutrophils, Basophils, Eosinophils
Types of agranulocytes Monocytes and Lymphocytes
Neutrophils a WBCs that acts as an acute first responder, initiating immediate phagocytosis
Phagocytosis a respiratory burst that releases free radicals that destroy microbes
Neutropenia a condition where there is a very low amount of neutrophils in the blood, often due to a chronic condition like cancer, etc.
Leukocytosis an elevated number of leukocytes that occurs during cellular, chemotaxis phase
Leukemoid reaction a severe elevation in leukocytes
Systemic response the systemic symptoms as a result of inflammatory mediators
Lymphadenopathy enlargement of lymph nodes
Anorexia (non- ED) decreased appetite, a common systemic symptom of inflammation
Pyrogens any substance that causes fever by activating prostaglandins
Prostaglandins a type of inflammatory mediator that resets the hypothalamic temperature-regulating center and can be helpful or cause more inflammation
Histamine an inflammatory mediator that is released by basophils, platelets, and mast cells and causes inflammation (allergic reactions)
Mast cells a type of WBC that is located in tissues next to blood vessels and contains the richest source of histamine
Phospholipase an enzyme within the phospholipid membrane that is stimulated during inflammation and breaks down phospholipids into arachidonic acid (AA)
Leukotrienes an inflammatory chemical produced by WBCs that breaks arachidonic acid into good or bad prostaglandins
Cyclooxygenase-1 (cox-1) an enzyme that breaks down arachidonic acid into helpful prostaglandins that stimulate mucus production, increased renal perfusion, and clotting
Platelet aggregation congregation of platelets to form blood clots
Cyclooxygenase-2 (cox-2) an enzyme that breaks down arachidonic acid into inflammatory prostaglandins that cause pain, fever, and swelling
Lipoxygenase a type of enzyme that break down arachidonic acids into leukotrienes
Leukotrines an inflammatory chemical that promotes bronchospasm and bronchial edema (wheezing)
Cachexia wasting of lean body mass due to mobilization of lipids and proteins
Chronic inflammation constant inflammation for weeks or months with no resolution or healing
Hypersensitivity disorders a type of chronic inflammation that results from excessive activation of the immune system
Anthracosis also known as black lung, a lung condition resulting from exposure to toxic coal dust
Atherosclerosis a chronic disease that can damage endothelin cells overtime due to narrowing and hardening of arterial walls from fat buildup
Stage 1 of wound healing Hemostasis
Hemostasis the body's way of preventing bleeding (platelet aggregation)
Stage 2 of wound healing Inflammation
Stage 3 of wound healing Proliferation
Proliferation scar formation through fibroblasts forming collagen and granulation tissue, angiogenesis, and epithelialization
Epithelialization the migration of new epithelial cells to grow in area of proliferation to fill in the gap between eound edges
Stage 4 of wound healing scar tissue
Primary Intention a simple, rapid type of wound closure where the edges are clearly brought together with no gaps or missing tissues
Secondary Intention an extensive loss of tissue and inflammation resulting in contraction, scar formation, and a gap in tissue (wound tissue)
Tertiary Intention a type of wound that is missing large amounts of deep tissue, resulting in contamination and requiring a drain and may also require skin grafting due to scarring
Eschar dead tissue that sheds from healthy skin
Debridement the removal of necrotic tissue to promote healing
Reepithelialization the growth of new tissue
Created by: veerkabi
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