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Inflammation/Infection (week 3)
Inflammation and infection
22
Nursing
Undergraduate 2
02/05/2013

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Cards

Term
Body's first line of defense to infection
Definition
Barriers: stop pathogens before they enter environment
- Skin
- Mucus
- Saliva
- Gastric secretion
- Flushing action of tears/urine
Term
Body's second line of defense to infection
Definition
Inflammatory response: kill pathogens after they enter body
- Vasodilation
- Increased capillary permeability
- WBCs
Term
Cell and vascular responses leading to S/S of inflammation
Definition
- Vasodilation in affected area
- Increased capillary permeability
- Fluid goes from intravascular space to extracellular space
- WBCs (esp neutrophils) increase in #
- Inflammatory exudate (purulent drainage)
- Tissue repair
Term
Signs and symptoms of localized inflammation
Definition
Redness
Swelling (edema)
Warmth
Pain
Term
Sighs and symptoms of systemic infection
Definition
Fever (above 100.4)
Elevated heart rate (>90)
Elevated resp rate (>20)
WBC <4000, >12000
Term
SIRS (Systemic Inflammatory Response Syndrome)
Definition
When infectious microbes enter bloodstream and increase in number. Occurs as result of escaping local control
2 or more signs = SIRS
Term
Infection
Definition
Invasion and multiplication of microbs in body tissue that causes local cellular injury
Term
The 3 divisions of immune response
Definition
Inflammation
Antibody mediated
Cell mediated
All 3 are necessary for complete immunity
Term
Inflammation vs. infection
Definition
Infection is usually accompanied by inflammation, but inflammation can occur without infection
Term
WBC lab test
Definition
Shift to the left (or elevation) indicates infection
Term
Most common MRDOs
Definition
MRSA
VRE
MDR-TB/XDR-TB
Acinetobacter
C. diff
Term
The 6 links of infection
Definition
Infectious agent
Reservoir
Portal of exit
Mode of transmission
Portal of entry
Susceptible host
Term
Contagious (communicable) vs. infectious
Definition
Every contagious disease is infectious, but all infectious diseases are not contagious
Term
Colonization vs. infection
Definition
Colonization: presence and growth of microbes with a host but without causing symptomatic disease
Term
Most common HAIs
Definition
CAUTI: catheter-acquired UTIs
CLABSI: central line associated blood stream infection
VAP: ventilator-associated pneumonia
SSI: surgical site infection
Term
Risk factors for HAI
Definition
- Invasive diagnostic or therapeutic procedures
- Invasive medical devices
- Decreased immune response
- Exposure to pathogen (poor hand hygiene)
- Age: very old, very young
Term
Contact precautions
Definition
- For diseases spread by contact with blood/body fluids or via contaminated equipment or surfaces
- Gloves and gowns
- Dedicated equipment
Term
C. diff precautions
Definition
Must wash hands with soap and water (spores not killed by alcohol)
Term
Droplet precautions
Definition
- Infection spread by close respiratory secretions
- Mask, gown and goggles for suctioning
- Private room if possible
- Pt wears mask
- Influenza, meningitis, pertussis, rhinovirus
Term
Airborne precautions
Definition
- Infection can be spread over long distances bc particles remain suspended in air
- N95 mark or respirator, stand 3 feet away
- Negative pressure room
- TB, chickenpox, measles
Term
Neutropenic precautions
Definition
- Pt is at high risk of getting disease from others
- Educate visitors
- No plants or cut flowers in room
- Keep room very clean
- No rectal temp or meds
- Dedicated equipment
- Pt wears mask outside of room
Term
Asepsis
Definition
- Technique to keep pt free from exposure to infection-causing pathogens to minimize onset and spread of disease
- Hand hygiene, barrier technique, environmental cleaning
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