Abnormal findings: attachment? Lifting, slipping, seperation
Abnormal findings: colour? Pale, dusky, bluish
Abnormal findings: drainage? Purulent, excessive
Abnormal findings: odor? Foul Smell
Abnormal findings: pain? Sudden or severe increase
Abnormal findings: Temp? Cool or cold
- Adherence
- Infection prevention
- Nutrition
Abx pt education? - When to seek help
- Emotional support
TB
Measles
Airborne precautions examples? Chicken pox
Shingles (disseminated)
Airborne precautions: how it spreads? Tiny particles that stay in the air
N95 mask
Gloves
Airborne Precautions PPE? Gown if needed
Negative pressure room
Cadaver skin
- 3 days to 2 wks
Allograft or homograft? TEMPORARY
,Are infections usually viral or bacterial? Usually bacterial
- Contains silver
- Very good for antimicrobial (prevents scarring)
Aticoat dressing? - Sterile water activates the silver particles which act on a wound to kill broad spectrum bacteria
Autograft? Graft of own skin
Artificial skin
Biobrane? TEMPORARY
- Wait for demarcate (2weeks to 5months) then debride
- Possible amputation
Care for deep frost bite? - Gangrene may evolve after days to weeks after injury
- Painful when rewarming
- Narcotics for analgesia
Care for frost bite? - Slowly re warm in salt water bath
Cultured epithelial autograft
CEA graft? - Takes long time
Cellular response Sends help
- Cleaning agents
- Acids
Chemical burns caused by? - Chemicals
Closed method dressing? Sterile gauze and dressing (antimicrobials)
Steroids + abx
Hemodynamic monitoring
Oxygenation
Collaborative care for SHOCK? Cultures, crystalloids, colloids
Keep BGL stable and lactate <2mmol/l
- UTI
- Wound
Common sites for sepsis to start? - Indwelling lines
, Compensatory stage BP? Normal or slightly low
Compensatory stage cap refill? Normal or brisk
Compensatory stage HR? Tachycardia
Compensatory stage lactate levels? Slightly elevated or normal
- Restless
- Anxious
Compensatory stage LOC? - Alert
Compensatory stage mental status? Alert and anxious
Warm
The body is working hard to maintain homeostasis and trying to combat anaerobic metabolism
Compensatory stage of shock?
Compensatory stage oxygenation/ABGs? Respiratory alkalosis (early)
Compensatory stage peripheral pulses? Bounding
Tachypnea
Compensatory stage RR? (early compensation)
- Warm
Compensatory stage skin appearance? - Flushed
Compensatory stage temp? Fever or Hypothermia
Compensatory stage UO? Normal or slightly low
MRSA
C DIff
Contact precautions examples? RSV
Scabies
Contact precautions: how it spreads? Touching pt or contaminated surfaces