Term
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Definition
| a wound consisting of superficial damage to the skin |
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Term
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Definition
Potent bactericidal antibiotics however reserved for life threatening or overwhelming infections, Inhibit protein synthesis of bacteria, Potential for ototoxicity and nephrotoxicity (dosage based on body weight & renal function monitored), 1940’s
Prototype Amikacin (Amikin) |
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Term
| Assessment of Inflammation: |
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Definition
Look for Color, Redness
Listen for Client’s perception pain & discomfort
Feel for Warmth |
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Term
| Assessment of Inflammation: |
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Definition
Look for Color, Redness
Listen for Client’s perception pain & discomfort
Feel for Warmth |
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Term
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Definition
| in general refers to a tearing away. |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| common skin infection caused by bacteria. |
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Term
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Definition
Inhibition of cell walls and bactericidal, 6-18% cross sensitivity with PCN
History In 1945, after penicillin had been introduced into medicine, an antibiotic-producing species of Cephalosporium was isolated from a sewage outfall in Sardinia. Four years later in Oxford, this organism was found to produce several antibiotics, one of which was penicillin with a new side-chain, penicillin N. Discovered in 1953, refined in 1959, mass production 1960’s. |
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Term
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Definition
| the medical removal of a patient's dead, damaged, or infected tissue to improve the healing potential of the remaining healthy tissue. |
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Term
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Definition
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Term
| Describe the stages of the localized inflammatory process |
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Definition
Stage I Vascular and cellular response stage Initial vasoconstriction then dilation with Histamine release
example trauma of dreaded PAPER CUT initially no bleeding then watch out
Stage II Exudate Inflammatory exudate (dead cells and clotting factors to produce barrier, cleared by Lymphatic system (sewer treatment system of circulation)
Stage III Reparative stage Regeneration or fibrous scar tissue forms |
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Term
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Definition
| the medical term for a subcutaneous purpura larger than 1 centimeter or a hematoma, commonly called a bruise. It can be located in the skin or in a mucous membrane. |
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Term
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Definition
A macrolide antibiotic that is bacteriostatic by inhibiting protein synthesis, but can be bactericidal in higher concentrations,
GI absorption compromised with food, concern with Liver function
Prototype Erythromycin
The other three are Azithromycin (Zithromax) Clarithromycin (Biaxin), troleandomycin (Tao) |
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Term
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Definition
| Abelardo Aguilar , a Filipino scientist, sent some soil samples to his employer Eli Lilly in 1949. Eli Lilly’s research team, led by J. M. McGuire, managed to isolate Erythromycin from the metabolic products of a strain of Streptomyces erythreus (designation changed to "Saccharopolyspora erythraea") found in the samples. |
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Term
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Definition
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Term
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Definition
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Term
| Explain major principles used in the application of bandages and binders. |
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Definition
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Term
| Factors in the development/treatment of decubitus ulcers |
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Definition
Pathophysiology
Stages of development
Risk factors
High risk areas bony prominences |
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Term
| Frequency of Assessment for DU; CRITICAL CARE |
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Definition
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Term
| Frequency of Assessment for DU; Home Care |
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Definition
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Term
| Frequency of Assessment for DU;ACUTE CARE |
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Definition
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Term
| Frequency of Assessment for DU;ECF |
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Definition
| every 48 hours during the first week, weekly for the first month and then monthly or quarterly unless status changes, |
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Term
| Grading of decubitus ulcer |
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Definition
1. damage to epidermis & dermis
2.epidermis & dermis destroyed
3.damage to subcutaneous layer
4.damage to bone |
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Term
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Definition
| the perfused, fibrous connective tissue that replaces a fibrin clot in healing wounds. Granulation tissue typically grows from the base of a wound and is able to fill wounds of almost any size it heals. |
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Term
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Definition
| a localized collection of blood outside the blood vessels,[1] usually in liquid form within the tissue. |
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Term
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Definition
| a process which causes bleeding to stop, meaning to keep blood within a damaged blood vessel (the opposite of hemostasis is hemorrhage). |
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Term
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Definition
| cut by sharp object, scalpel |
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Term
| Initial Emergency Treatment for wounds |
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Definition
Direct pressure
Elevation
Pressure points
Tourniquet
Stabilize extremities
Stabilize impaled object |
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Term
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Definition
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Term
| Issues for the tetracycline antibiotics group: |
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Definition
Can stain developing teeth
Inactivated by Ca2+ ion, not advised to be taken with milk or yogurt
Inactivated by aluminium, iron and zinc, not to be taken at the same time as indigestion remedies
Inactivated by common antacids and over the counter heart burn medicines.
Skin photosensitivity, not advised to be exposed to the Sun or intense light
Drug-induced lupus, and hepatitis
Tinnitus |
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Term
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Definition
| is a type of scar, which depending on its maturity, is composed mainly of either type III (early) or type I (late) collagen. It is a result of an overgrowth of granulation tissue (collagen type 3) at the site of a healed skin injury which is then slowly replaced by collagen type 1. |
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Term
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Definition
| irregular tear-like wounds caused by some blunt trauma. |
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Term
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Definition
| Clean from clean to dirty, slightly more vigorous |
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Term
| Measures to promote wound healing |
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Definition
| Cleaning the wound Preoperative skin preparation & Irrigations |
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Term
| Nursing Interventions Pharmacology/Allergies |
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Definition
| Systemic reaction potentially anaphylaxis |
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Term
| Nursing Interventions Pharmacology/RESISTANCE: |
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Definition
| microorganism able to resist the effects of a specific antibiotic |
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Term
| Nursing Interventions Pharmacology/Sensitivity |
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Definition
| localized response such as diarrhea |
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Term
| Nursing Interventions Pharmacology/Tolerance |
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Definition
Receptor site tolerance the clinical effect is reduced As the duration of exposure continues
Metabolic (pharmacologic) tolerance prolonged exposure to the drug changes the body’s metabolic response to the drug, increasing the drug clearance, Example with barbiturates unable to maintain blood concentration over time |
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Term
| Nursing Interventions/Measures to promote wound healing/Initial Emergency Treatment for wounds |
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Definition
Controlling bleeding after A, B, C’s,
Direct pressure to limb, elevation, pressure points, tourniquet(bleeding), stabilize impaled object |
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Term
| Nursing Issues which relate to tissue healing. |
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Definition
Risk for infection,
Risk for infection transmission,
Risk for altered peripheral tissue perfusion,
Impaired skin integrity, Knowledge deficit |
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Term
Nursing Management of Antibiotic Therapy/
Subjective Assessment |
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Definition
| Fatigue, Anorexia, General Health |
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Term
| Nursing Management of Antibiotic Therapy/Analysis, Issues |
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Definition
| Evaluation of presentation |
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Term
| Nursing Management of Antibiotic Therapy/Evaluation |
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Definition
| Evaluation of collaborative plan, Complications Allergic Reaction, Super-infection |
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Term
| Nursing Management of Antibiotic Therapy/Intervention;Nursing |
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Definition
| Consistent safe administration of meds, evaluation and collection of drainage specimens, evaluation and collection of drainage specimens. |
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Term
| Nursing Management of Antibiotic Therapy/Objective Assessment |
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Definition
| Labs C&S (PRIOR TO STARTING ANTIBIODICS), CBC (WBCs), Provider’s assessment & Plan Presentation of Infection – chills, temperature over time, Weight changes, drainage characteristics |
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Term
| Nursing Management of Antibiotic Therapy/Plan |
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Definition
Collaborative plan for treatment
Education; Client & Significant others aware of plan, i.e. duration of medication, expected improvement |
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Term
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Definition
| A wound is a break in the continuity of a tissue of the body, either internal or external. Wounds are classified as open or closed. An open wound is a break in the skin or in a mucous membrane. A closed wound involves underlying tissues without a break in the skin or a mucous membrane. |
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Term
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Definition
| an infection of the bone or bone marrow.[ |
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Term
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Definition
Inhibition of cell wall synthesis, Prototype Amoxicillin,
Common sensitivity,
History 1896, 1928, 1940’s post WWII, |
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Term
| Phases of Healing Process |
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Definition
Inflammatory first 3-4 days increased circulation and nutrients to site
Proliferative 3-4 to 21days raised healing
Maturation 21 days to 1-2 years scar becomes thinner & whiter |
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Term
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Definition
| press to stop bleeding, pulse points |
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Term
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Definition
When wound edges are brought together so that they are adjacent to each other (re-approximated)
Minimizes scarring
Most surgical wounds heal by primary intention healing
Wound closure is performed with sutures (stitches), staples, or adhesive tape
Examples: well-repaired lacerations, well reduced bone fractures, healing after flap surgery |
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Term
| Purpura (from Latin: purpura, meaning "purple") |
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Definition
| is the appearance of red or purple discolorations on the skin that do not blanch on applying pressure. |
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Term
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Definition
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Term
| Quinolones, (or fluoroquinolones) |
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Definition
broad spectrum synthetic bactericidal
(gram negative & gram positive) The Bayer Company produces Ciprofloxacin (Cipro®). Its discovery stemmed from researchers in the 1960s looking for an alternative treatment to malaria.
Prototype Ciprofloxacin (Cipro) |
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Term
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Definition
Subjective
Objective
Analyze
Intervention
Evaluation |
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Term
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Definition
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Term
| Scale for Assessment of Risk for Developing Pressure Sores |
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Definition
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Term
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Definition
healing with granulation tissue
Surgeon may pack the wound with a gauze or use a drainage system
Granulation results in a broader scar
Healing process can be slow due to presence of drainage from infection
Wound care must be performed daily to encourage wound debris removal to allow for granulation tissue formation
Examples: gingivectomy, gingivoplasty, tooth extraction sockets, poorly reduced fractures. |
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Term
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Definition
| containing serum and blood |
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Term
| Specific data which should be obtained when assessing any wound |
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Definition
| Appearance, Drainage, pain, Signs of Infection, & Collecting culture from wound |
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Term
| Specific data which should be obtained when assessing any wound/Analysis |
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Definition
Healing
Progressing
Deteriorating Infection Local
Systemic |
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Term
| Specific data which should be obtained when assessing any wound/Evaluation |
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Definition
| Based on earlier findings |
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Term
| Specific data which should be obtained when assessing any wound/Implementation |
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Definition
| Based on earlier findings |
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Term
| Specific data which should be obtained when assessing any wound/Objective |
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Definition
Assessment of location,
Potential cause
Size
Shape
Tunneling
Undermining
Color
Exudate Color
Consistency
Amount
Oder
Surrounding skin
Margins/boarders
Temperature |
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Term
| Specific data which should be obtained when assessing any wound/Plan |
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Definition
Implementation Obtain Culture & Sensitivity
Evaluate Medications
Education |
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Term
| Specific data which should be obtained when assessing any wound/Subjective: |
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Definition
| Assessment of pain and discomfort |
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Term
| Stages of the Inflammatory Process/ 1 |
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Definition
Vascular and cellular response stage
Initial vasoconstriction then dilation with Histamine release
example trauma of dreaded PAPER CUT initially no bleeding then watch out |
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Term
| Stages of the Inflammatory Process/ 2 |
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Definition
| Exudate; Inflammatory exudate (dead cells and clotting factors to produce barrier, cleared by Lymphatic system (sewer treatment system of circulation) |
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Term
| Stages of the Inflammatory Process/3 |
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Definition
| Reparative stage Regeneration or fibrous scar tissue forms |
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Term
| State two purposes of cleaning a wound. |
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Definition
Irrigations & Manual cleaning
Wound drains |
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Term
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Definition
| the first broad spectrum antibiotic released in the United States. This inhibits the bacteria’s protein synthesis by blocking amino acid transfer and is bacteriostatic for gram negative and gram negative organisms. Oral dose on an empty stomach with full glass of water. |
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Term
| Wound Drainage/ Sanguineous |
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Definition
| Bright Red Blood (Red Merlot) |
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Term
| Wound Drainage/ Sero-sanguineous |
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Definition
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Term
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Definition
| Yellow Clear "White Chardonnay" |
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Term
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Definition
Dry
Wet to Dry
VAC (Vacuum Assisted Closure) |
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Term
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Definition
| Allow for internal approximation of surgical wound |
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