Term
|
Definition
1. defensive (inflammatory)
2. proliferative (collagen)
3. maturation (scar) |
|
|
Term
| defensive stage of wound healing lasts _-_days and includes: |
|
Definition
| 3-4d and includes hemostasis and inflammation |
|
|
Term
| proliferative phase of healing beins around ___ and lasts for ___ |
|
Definition
| begins aroudn 3-4days and lasts up to 3wks |
|
|
Term
| what happens in proliferative phase of healing? |
|
Definition
| fibroblasts form a scaffold; can be felt as a helaing edge under the suture |
|
|
Term
| whaich phase of wound healing contains new granulation tissue? |
|
Definition
|
|
Term
| when does maturation phase of wound healing begin |
|
Definition
|
|
Term
| when does dehiscence of a wound usually occur? |
|
Definition
| day 4-5d after a wound; sensation that something let go |
|
|
Term
| describe stage I decubitus ulcer: |
|
Definition
| nonblanchable erythema of intact skin |
|
|
Term
| describe stage II decub ulcer: |
|
Definition
| partial thickness loss presenting as abrasion, blister or shallow crater |
|
|
Term
| describe stage III decub ulcer: |
|
Definition
| full thickness loss down to fascia |
|
|
Term
| describe stage IV decub ulcer: |
|
Definition
| full thickness loss through fascia; could be into bone |
|
|
Term
|
Definition
| drain/tube that provides a sinus tract |
|
|
Term
|
Definition
|
|
Term
| albumin role in wound healing |
|
Definition
| protein critical for wound healing normal range 3.5-5.0 |
|
|
Term
| WBC monitored for wound healing |
|
Definition
|
|
Term
| prevention of decub ulcers |
|
Definition
|
|
Term
| most common cleaning agent used for wounds |
|
Definition
|
|
Term
| most common chronic wounds in adults |
|
Definition
|
|
Term
| arterial insufficiency ulcers tx: |
|
Definition
wet to dry gause or abx ointment
angioplasty, stent, bypass |
|
|
Term
|
Definition
|
|
Term
| common causes of fever post-op: |
|
Definition
| WWWWW - 1Wind(pneumo), 3Water(UTI), 5Walk(DVT), 7Wound(infection), Wonder drugs(xfusion or drug rxn) |
|
|
Term
| 3 causes for post op pulmonary infection |
|
Definition
1. atelectasis
2. respirator
3. aspiration |
|
|
Term
| positive UA does not necessarily indicate a cause for post op fever; explain: |
|
Definition
| bacteriuria doesn't indicate invasive UT sepsis, remove cath flush with volume diuresis, recheck UA and consider other sources of fever |
|
|
Term
| which is more common post op, peritonitis or intraabdominal abcess |
|
Definition
|
|
Term
| pleural empyema most likely seen after:" |
|
Definition
|
|
Term
| anesthesia: metabolized by serum cholinesterases and cause more allergies: |
|
Definition
|
|
Term
| epinepherine seems to be most effective when used with which 2 amide anesthesias |
|
Definition
|
|
Term
| use of vasoconstrictor adjuvants with anesthetics, has what affect? |
|
Definition
| shortens onset and extends duration of action |
|
|
Term
|
Definition
|
|
Term
| which class of anesthesia is cleared by the liver |
|
Definition
|
|
Term
| which class of anesthesia is avoided in renal disease? |
|
Definition
|
|
Term
| which class of anesthetics are assoc w TRUE allergic reactions? |
|
Definition
|
|
Term
| functions of inhaled anesthesia |
|
Definition
1. unconsciousness
2. analgesic
3. muscle relax |
|
|
Term
| functions of IV anesthesia |
|
Definition
|
|
Term
| function of neuromuscular blocking agent |
|
Definition
|
|
Term
| these are added to optimize the anesthetic |
|
Definition
1. Opiods
2. Neuromuscular blockers |
|
|
Term
| bariatric surgery is considered with pts who are morbidly obese; BMI = ? |
|
Definition
| >40 or >35 w comorbid condition |
|
|
Term
| size of thyromental distance that may be difficult to intubate |
|
Definition
|
|
Term
| what fraction of the TBW is intracellular? |
|
Definition
|
|
Term
| what fraction of TBW is extracellular? |
|
Definition
| 1/3; 15% intersitial and 5% intravascular |
|
|
Term
| rule of 10's for fluid requirements |
|
Definition
first 10kg = 100ml/kg/d
second 10kg = 50ml/kg/d
weight >20kg = 20ml/kg/d |
|
|
Term
| To calculate BSA for child use: |
|
Definition
| rule of sixes; weight in lbs (3,6,12,18) correlates to BSA (0.1,0.2,0.3,0.4)... add 0.1q10#>60 |
|
|
Term
| hypertonic saline is reserved for: |
|
Definition
| severe hyponatremia and coma |
|
|
Term
| IV K+ has a risk of what local reaction? |
|
Definition
| phlebitis; IV K+ is irritating to the vein |
|
|
Term
| hypophosphatemia in the critical care setting can result in acute respiratory failure |
|
Definition
|
|
Term
|
Definition
| normal saline and furosimide. if cardiac irritability = calcium gluconate |
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