Medical-Surgical Nursing, 10th Ed., Ignatavicius & Workman, 2020 | Registered Nurse (RN) School Study Aid
Innate Immunity Cellular Response
- Natural Killer Lymphocytes Attack Abnormal Cells
- Neutrophils in Blood
- Infected Cells Release Interferon
- Complement Proteins Lyse Pathogens/Infected Cells
- Dendritic Cells in Tissue
- Macrophages in Tissue
Humoral Adaptive Immunity
- B Cell Binds Free Floating Antigen
- B Cell Presents Antigen to Helper T Cell
- Helper T Cells Help B Cells Develop Antigen Specificity
- Plasma B Cells Secrete Antibodies
- Memory B Cells Cause Faster Secondary Response
Cell-mediated Adaptive Immune Response
- Macrophages and Dendritic Cells Present Antigens
- T Cell Develops Antigen Specificity
- Regulatory T Cells Suppress Response
- Memory T Cells Cause Faster Secondary Response
- Cytotoxic T Cells Lyse Infected Cells
- Infected Cells Present Antigen On Surface
Urinary Tract Infection Prevention and Treatment
- Shower after Sex
- Urinate after Sex
- Wipe front to Back
- I and Os with Daily Weights
- Increase Water Intake
- Antibiotics
- Avoid Caffeine
- Dr Appointment in 2 Weeks
- Void every 2 - 4 hours
Immune System Tissues
- Bone Marrow
- B Cells and T Cells Formed
- B Cells Mature
- Thymus
- T Cells Tested For Self-Response
- T Cells Mature
- Lymph Nodes
- Mature B Cells and T Cells Monitor Lymph For Pathogens
- Spleen
- Mature B Cells and T Cells Monitor Blood For Pathogens
Aseptic Technique
- Invasive Procedures
- Skin Integrity Broken
- Hands Up for Scrubbing
- Keep Objects in View
- Only Sterile Objects in Field
- Only Sterile Touches Sterile
- Edges of Sterile Field
- If Sterility Questioned
- If Wet or Prolonged Exposure to Air
- Never Leave Sterile Area
- PPE Order
Standard Precautions
- Hand Hygiene
- Wash In / Wash Out
- Alcohol-Based Hand Rub
- Hand Washing
- Personal Protective Equipment (PPE)
- Gown
- Face Mask
- Goggles/Face Shield
- Gloves
- Donning and Removing PPE
- Discard Sharps in Puncture-Resistant Container
- Cough Etiquette
Hypersensitivity Type I
- Previous Antigen Exposure
- Immediate Reaction
- IgE Cross-linking
- Presensitized Mast Cells
- Histamine Release
- Vasodilation
- Anaphylaxis
- Allergies
- Epinephrine
Droplet-Airborne Precautions
- Private Room
- Droplets Larger than 5 Microns
- Being Within 3 Feet of Patient
- Surgical Mask with Face Shield
- Type of Infection or Condition
- Airborne Infection Isolation Room (AIIR)
- Droplets Smaller than 5 Microns
- N95 Respirator
- Type of Infection or Condition
Contact Precautions
- Private Room
- Wash In / Wash Out
- Personal Protective Equipment (PPE)
- Gloves
- Gown
- Limit Time Patient Leaves Room
- Leave Equipment In Room
- Special Linen Handling
- Same Pathogen, Same Room
- History of Contact Isolation
- Preventative Education
Vancomycin Side Effects & Toxicity
- Thrombophlebitis
- Nephrotoxicity
- Ototoxicity
- Diffuse Flushing Called Red Man Syndrome
- Prevent with Antihistamine
- Prevent with Slow Infusion
Lymphatics
- Recycles 10% of Interstitial Fluid
- Transport Large Lipids from Lacteals
- Unidirectional Valves
- Lymph Nodes Filter Lymph
- WBCs Monitor Lymph for Pathogens
- Merge with Veins
Fever
- Flushed skin, warm to touch
- Chills
- Sweating
- Change in LOC
- Provide adequate fluids
- Monitor Electrolytes and Fluid
- Monitor vital signs, esp temperature
- Remove excess clothing and blankets
- Sponge bath with tepid water
Ebola Virus
- RNA Virus
- Filovirus
- Marburg Virus
- Linear
- Helical
- Enveloped
- Negative Sense
- Bat Reservoir
Ebola Virus Symptoms
- 10 Day Incubation
- Flu-like Symptoms
- Impaired Blood Clotting
- Hematemesis and Hemoptysis
- Mucous Membrane Bleeding
- Skin Bruising
- Internal Hemorrhage
Clostridium difficile (Clostridioides difficile) Treatments
- Oral Vancomycin
- Fidaxomicin
- Metronidazole
- Stool Transplant