Infection Control_fall10

Infection Control_fall10 - Kimberly Glenn MN RN CPN Nurs...

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Kimberly Glenn MN, RN, CPN Nurs 312-Foundations Fall 10
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S AFETY -  System Specific  Physiology : Primary defenses Skin: first barrier Normal flora: protect body. Found in mouth, saliva, GI and GU tract Maintains balance, if disturbed leads to infections. Overuse of antibiotics can leads to removal of the normal flora (C-diff)
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S AFETY -  System Specific  Physiology : Vascular/cellular  responses Inflammation: begins with release of histamine which causes vasodilation and permeability. WBC’s go to area. Warmth, edema, resulting in pain Fever: metabolic rate, organism multiplication. Often not treated under 101°F Phagocytosis : eating of bacteria (done by neutrophils, monocytes, & eosinophils)
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S A FETY -  System Specific  Assessment : Risk Factors Need to assess client for factors that would increase their risk for infection Age: decreasing immune system Break in skin/injury/illness Smoking: chemicals in tobacco paralyze cilia Substance abuse: possible poor nutrition Chronic illness: decreased defenses over time Medications: i.e. steroids (prednisone) Immunizations: **flu and pneumovax
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S A FETY -  System Specific Assessment : Lab Procedures WBC: 5-10,000/mm3 CBC Differential Lymphocytes Neutrophils ESR: w/ infections Culture/gram stain of urine, wound drainage 5
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S AFETY -  System Specific  Physiology:  Chain of infection Infectious Agent: bacteria, virus, fungus Reservoir where it grows: must be ideal for specific organism to live: Temperature, pH, moisture, nutrients, oxygen Exit Portal: i.e.: skin (drainage), respiratory (sneeze), GI (stool) Mode of transmission Droplet, contact w/ person or item Portal of Entry: directly related to exit skin, respiratory, GI
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S A FETY-  System Specific  Assessment Mode of Transmission Contact: most frequent (direct or indirect) MRSA, VRE, RSV, Clostridium difficile, draining wounds Droplet: travel short distance (3 feet). Not suspended in the air (inhaled or enter eye) Meningitis; influenza; rubella
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S A FETY -  System Specific  Assessment Mode of Transmission Airborne: travel longer distances. Travel thru heaters and air ducts TB; Varicella (chicken pox), measles Vector: organism that carries a pathogen Lyme disease; malaria
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SA F ETY-  First/Priority  Nursing Interventions : Basic  Care Handwashing: @ least 15 sec when soiled Alcohol-based waterless antiseptic: rub hands together until dry Medical Asepsis: clean technique
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This note was uploaded on 02/16/2011 for the course NURS 312 taught by Professor Glenn during the Fall '10 term at South Carolina.

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Infection Control_fall10 - Kimberly Glenn MN RN CPN Nurs...

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