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Ch13- inflam & wound
Nurs 1280, Exam 2
| Question | Answer |
|---|---|
| What is always present with infection, but infection is not always present with it? | Inflammation |
| What two cells move from the circulation to the site of injury? | Neutrophils and monocytes |
| What is the directional migration of WBC's to the site of injury called? | Chemotaxis |
| What are the first leukocytes to arrive at the injury site? (usually within 6-12 hours) | Neutrophils |
| What phagocytize bacteria, other foreign material, and damaged cells? | Neutrophils |
| Dead neutrophils, digested bacteria, other cell debris accumulate in a creamy substance called what? | Pus |
| To keep up with the demand for neutrophils, what releases more neutrophils into circulation? | Bone marrow |
| Immature forms of neutrophils are called what? (Hint: Immature teenage boys start these in hopes to become rich and famous and score a lot of chicks, obviously this hint will help you in the future, you're welcome) | Bands |
| Mature neutrophils are called what? | Segmented |
| Commonly found in patients with acute bacterial infections, increased numbers of band neutrophils in circulation is called what? | Shift to the left |
| How many days after the onset of inflammation do the monocytes arrive to the site? | 3-7 days |
| Monocytes transform into what upon entering the tissue spaces? | Macrophages |
| What cells are important in the healing process and can stay in the damaged tissue for weeks? | Macrophages |
| When particles are too large for a single macrophage, they can accumulate and fuse together to form what? | Multinucleated giant cell |
| What are you supposed to do with a wound before getting a culture? | Irrigate with sterile solution |
| What are you supposed to do/get before you give an antibiotic? (hint: it tells you what type of antibiotic to give the patient) | Culture |
| What type of antibiotic do you give to the patient after the culture when you're still waiting for the results to come back? | Broad spectrum antibiotic |
| What types of procedures/technique are you and the patient supposed to follow for keeping the wound free from infection? | Asceptic |
| What kind of test should be done to determine the organism causing an infection? | Culture and sensitivity test |
| What can be obtained by needle aspiration, tissue culture, or swab technique? | Culture |
| Swab specimens are obtained from wounds using what 3 techniques? | 1) Wound exudates 2) Z technique 3) Levine's technique |
| What swab specimen technique samples visible wound exudates from the wound bed before cleansing? | Wound exudates |
| What swab specimen technique involves rotating a culture swab over the cleansed wound bed surface in a 10 point Z track fashion? | Z technique |
| What swab specimen technique involves rotating a culture swab over a cleansed 1 cm squared area near the center of the wound using sufficient pressure to extract wound fluid from deep tissue layers? | Levine's technique |
| When collecting samples, you aren't supposed to take the specimen from exudate (though this contradicts the "wound exudates" technique but whatever) or eschar, and are not supposed to use what swabs? | Cotton tipped swabs |
| What type of cell arrive later at the site of injury? | Lymphocytes |
| What are released in large quantities during an allergic reaction and contain highly caustic chemicals that are capable of destroying a parasite’s cell surfaces? | Eosinophils |
| What type of cells carry histamine and heparin which are released during inflammation? | Basophils |
Created by:
holypotatoes
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