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Trends Test 5
Organ Transplantation, Emerging Infections, and Bioterrorism
52
Nursing
Undergraduate 2
04/27/2011

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Cards

Term
one- at UAB
Definition
how many transplant centers does Alabama have?
Term
notify the local organ center to report a death
Definition
what must the nurse do every time a patient dies?
Term
none
Definition
how many published reports has there been of neurologic recovery once brain death has been diagnosed by using the 1995 criteria?
Term
closed head injuries (from traumatic injury)
Definition
what is the number one cause of brain death?
Term
confirmatory tests and 2 doctors have to declare the patient brain dead independently 
Definition
in order for a patient to be declared as brain dead, what must occur?
Term
no alcohol/sedative drugs, test ability to breathe, and blood flow studies to the brain
Definition
what do the confirmatory tests test for?
Term
the patient is taken off the ventilator and sent to the morgue
Definition
once brain dead, what happens to the patient? (what steps are taken)
Term
no
Definition
has there ever been an incorrect declaration of brain death?
Term
the OPO staff should approach the family together with the health care team
Definition
who should talk to the families about organ transplantation?
Term
eyes, bones, tendons, heart valves, sometimes skin
Definition
what can be donated if the heart has stopped?
Term
heart, lungs, kidneys, pancreas, liver, sometimes intestines
Definition
what can be donated if the patient is brain dead and the heart is still beating?
Term
depends on the blood group and size (to fit in thoracic cavity), age limit of 45, and they can never have had CPR done
Definition
what are the requirements for a possible heart (the new one) to be transplanted?
Term
islet cell transportation
Definition
what is more promising than transplanting a pancreas?
Term

longest- kidneys (hardest to match because of blood group and at least 4 out of 6 antigens have to match)

shortest- heart (about 9  months)

Definition
what has the longest average wait time for transplantation? and the shortest average?
Term
4-6 hours (they are a regional issue)
Definition
thoracic organs such as the heart and lungs can only survive outside the body for how long?
Term
12-24 hours
Definition
livers can stay healthy outside of the body for how long?
Term
2-3 days
Definition
how long can kidneys stay healthy outside of the body?
Term
12-24 hours
Definition
how long can a pancreas remain healthy outside of the body?
Term
$500,000
Definition
what is a common cost for transplant surgery and the following hospitalization?
Term
the anti-rejection medicine to suppress immune system for rest of life
Definition
what is the most expensive part of organ transplantation? (typically exceeds $30,000 a year)
Term
30
Definition
how many new infections have emerged in the past 25 years?
Term
monkey pox
Definition
viral, rare in U.S., common in Africa, came to U.S. in 2003 because of a pet prairie dog. it is just like small pox, flu-like symptoms- fever, tired. 3 days after fever- rash on palms of hands and soles of feet. lasts 2-4 weeks. 10% of people died in Africa. there is not treatment.
Term
campylobacter
Definition
usually transmitted in contaminated food or water. infects the GI tract causing diarrhea, fever, and cramps. WASH your food and hands. most common food-borne illness in the country, treat with antibiotics and hydration.
Term
cryptospordidium
Definition
water-borne illness caused by water, produce, or surfaces infected with raw sewage, animal or human feces. most common cause of water-borne illnesses in the U.S. resistant to chlorine due to it's hard outer shell. wash everything you eat even if you are going to peel the shell.
Term
Legionnaires
Definition
lives in standing water. a type of pneumonia caused a bacteria. the bacteria got its name in 1976, when many people who went to a Philadelphia convention suffered from an outbreak of this disease. it is more common in the summer and early fall. older people are more at risk. it is not spread person to person. don't get in hot tubs!!
Term
ebola
Definition
a deadly virus found mostly in Central Africa- causes hemorrhagic fever. recent outbreaks have been in places where medical supplies and care are inadequate. fever--> shock--> die. 
Term
HTLV1 (human t-lymphotropic virus)
Definition
a retrovirus that infects WBCs. it is most common in Japan and the carribean. it is a leukemia-like disease. spread through sharing needles, mother to child, and through sex
Term
toxic shock syndrome
Definition
either from staph or strep- was initially linked to use of tampons and contraceptive sponges. anyone who has staph or strep is at risk for this. worry about emboli, renal failure.  suddenly develop high fever and get really sick. "sunburn" look on palms of hands and soles of feet.
Term
Lyme Disease
Definition
transmitted to humans by the bite of infected blacklegged tics. it is an epidemic in some parts of the country. flu-like symptoms-->joints ache--> cardiac problems. if not diagnosed, it can become chronic. 
Term
HIV
Definition
a retrovirus originating in West African monkeys. virus is very fragile and cannot live for long outside of the body- cannot be transmitted by hand shakes, hugs, casual kisses, toilet seats, water fountains, mosquitoes. can be transmitted during oral, anal, or vaginal sex, sharing needs or syringes, and birth.
Term
BSE
Definition
mad cow disease- a chronic degenerative disorder of the nervous system in infected cattle. was first observed in great britain- strong association with Creutzfeldt-Jakob disease. "infectious agent" is thought to be a normal prion protein that for unknown reason changes into a harmful one and attacks brains
Term
Hepatitis C
Definition
IV drug abusers, prostitutes, dialysis patients. it is chronic- no vaccine, no cure. the worst thing you can get from blood. liver failure--> death. spread by contact with infected blood. 
Term
Hepatitis E
Definition
fecal/oral waterborne transmission. resolves on own.
Term
Hantavirus
Definition
carried by rodents. by inhaling contaminated dust. spread by contact with infected droppings, urine, or saliva. flu-like illness--> shortness of breath--> fluid in lungs.
Term
avian flu "bird flu"
Definition
rare in humans- 400 cases reported since 2003. found in birds- transmission to humans is by direct contact with saliva, nasal secretions, or feces of infected birds.
Term
west nile virus
Definition
epidemic in summer/fall. comes from birds- mosquitoes eat the dead birds-then become the carriers. flu-like symptoms. seizures and temporary blindness can occur.
Term
SARS
Definition
Japan- started in subway in 2003. flu-likes symptoms. if not recognized --> very quick respiratory deterioration. spread through droplets.
Term
MRSA
Definition
acquired in a health care setting- wash hands! older, younger, and chronically ill patients have increased risks, found on the skin and in nasal passages of about 1/3 of population (colonization). bacteria are resistant to antibiotics normally used to treat staph.
Term
VRE- vancomycin resistant enterococci
Definition
common in health care settings. spread through contaminated hands. resistant to antibiotics normally used to treat enterococci. type of bacteria normally found in GI tract. 
Term
seasonal flu
Definition
occurs yearly, virus is similar to previous viruses. does not affect you if you've been exposed to the same kind once. ends in complete recovery for most people. effective antiviral drugs are usually available- limit symptoms.
Term
pandemic flu (ex. H1N1)
Definition
different virus that was not expected. no one has immunity. vaccines may be limited or unavailable. can cause life-threatening complications in anyone. severity index category 1-5 (5 being worse)
Term
whooping cough
Definition
highly contagious. rapid rise in number of cases. vaccinations- infant and children need vaccinations, teens and adults need boosters. signs and symptoms are mild at first but worsen after 2 weeks, can be fatal.
Term
salmonella
Definition
both inside and outside eggs- always store them in the fridge, thoroughly cook them, and eat them quickly. elderly and infants are at high risk. fever, cramps, and diarrhea. v
Term
education, resources, diagnosis and treatment, planning
Definition
what is a nurses role in bioterrorism and emergency preparedness?
Term
radiation
Definition
what is an effect of nuclear explosions?
Term

nerve- sarin

blood- cyanide

choking/vomiting- phosgene

blister/vesicant- mustard

Definition

name the chemical agents that go with each word below:

nerve, blood, choking/vomiting, blister/vesicant

Term

A- anthrax, botulism, smallpox, plague

B- salmonella, E. coli, ricin (subway in Tokyo)

C- yellow fever, tic-borne, nipah

Definition
what are the three categories of bioterrorism?
Term
anthrax
Definition
category A agent
Term
ricin
Definition
category B agent
Term
nipah virus
Definition
category C agent
Term
ricin
Definition
a poison found naturally in castor beans
Term
nipah virus
Definition
causes severe illness characterized by inflammation of the brain (encephalitis) or respiratory diseases
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