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Infection and Wound
Fundamentals of Nursing
25
Nursing
Undergraduate 1
10/17/2009

Additional Nursing Flashcards

 


 

Cards

Term

 

What are the 4 factors required for infection to spread?

Definition

* The number of organsim.

 

*The virulence of the organism its strength or ability to cause disease.

 

*The person's immune systems.

 

*Length and intimacy of the contact, how long on the body and how close.

 


Term

 

What are the 7 ways to resist infection?

Definition

*Intact skin and mucous membrane.

 

*Normal PH lvl of the gastric secretion of the GI tract.

 

*WBC

 

*Immunization

 

*Good general health

 

* Minimize stress

Term

 

What are the 7 ways to resist infection?

(cont'd)

Definition

*susceptiablity

 

*Elderly weak immune system

 

*Babies-immature systems.

Term

 

Stage 1of the Inflammatory Process

Description

Definition

 

 

* Initial injury precipitates release of the chemical.

 

*Release of chemicals

 

*Histamine bradykin,serotinin,prostaglandin, and lymphokines

Term

 

Stage 1of the Inflammatory Process

Result

Definition

Activation of the inflammtory response.

Term

 

Stage 2 of the Inflammatory Process

(Description)

Definition

Increased blood flow to the inflamed area (erythema)

Term

Stage 2 of the Inflammatory Process

(Result)

Definition

Redden and warm around the area

Term

 

Stage 3 of the Inflammtory Process

(description)

Definition

Increased capillary permeability with leakage of large quantities of plasma out of the capillaries into the damaged tissue.

 

Tissue spaces and lymphatics blocked by fibrinogen

Term

 

Stage 3 of the Inflammtory Process

(Result)

Definition
Walling of the infection bumped up
Term

 

Stage 4 of the inflammatory process

(description)

Definition

damaged tissues infiltrated by leukocytes, which engulf the bacteria and necrotic tissue.

 

After several days, these leukocytes eventually die and form a cavity of necrotic tissue amd dead leukocytes.

Term

 

Stage 4 of the inflammatory process

(results)

Definition
Purulent pus
Term

 

Stage 5 of the inflammatory Process

(description)

Definition
Destroyed tissue cells are repalced with identical or similar strurctural and fucntioning cells and/or fibronous tissue
Term

 

Stage 5 of the inflammatory Process

(results)

Definition
Healing process see a scar/scab
Term

 

Systemic responses to Inflammation are

Definition

*Fever

 

*invreased WBC's

 

*malaise

 

*lethargy


Term

 

Cardinal Sysmptoms of Local Inflammation are

Definition

* redness

 

*warmth

 

*swelling

 

*pain

 

*decreased function just in the injured area

Term

 

Reason for Cold Application

Definition

* Control bleeding-slows flow, increase viscosity.

 

*Prevent swelling-decreased capillary permeablilty.

 

*cools the body-sponge bath to decrease temperature

 

*Releives superficial pain-slows down conduction rate.

 

*Muscles spasm-increase muscle relaxation by contractility

Term

 

Indications for Heat Application

Definition

* Inflammation-increased blood flow yielding phagocytosis. More nutrients for healing soften and exudates.

 

*Contraction-allows greater distention of muscles and connective tissue decreased contracture and increase joint ROM.

 

*Joint stiffness-decreased viscoisty of synovial fluid.


 


Term

 

Indications for Heat Application

(cont'd)

Definition

* rewarm body parts

 

*Hasten healing suppuration

 

*pain-promoting muscle relxation increase circulation


*Muscle spasm-relaxes muscle increases contractiltiy.

 

 

Term

 

Body response to cold and heat

Definition

cold                                            heat

 

down                blood flow                up


down         capillary permeability      up

 

down                  metabolism               up

 

down             inflammatory response     up

 

up               blood viscoisty                down

Term

 

 

What is the rebound phenomenon?

Definition

 

 

Occurs at time maximum therapeutic effect of application is acheived and the opposite effect begins.

Term

 

What are some legal implications?

Definition

* Not protecting the skin.

 

*Too hot or cold.

 

*Not chekcing frequently

 

* Using treatment without order.

Term

 

First Intention of Healing

Definition

* Wound made aseptically

 

*Wound is clean in a straight line with little loss of tissue

 

*all wound-edges are well approxiamted

 

*Usually rapid healing with minimal scarring.

 

example: surgical incision

Term

 

 

Secondary Intention of Healing

Definition

* Large wound with condsiderable tissue loss

 

*Natural healing by formation of granulation tissue

 

*Helaing takes longer and results in more scarring.

 

example: pack wound and use dressing, heals inside and out

 

example: Stage IV decubitis ulcer

Term

 

 

Tertiary intention of healing

Definition

* Time dealy before wound is sutured

 

*greater garnulation, greter risk of infetion greater inflammotry reaction than primary intention.

 

*late suturing and mroe scarring.

 

example: Large injurious laceration

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