Lisa Shared "NUR 224 Week 11" - 14 Picmonics
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NUR 224 Week 11
Sickle Cell Anemia Assessment
- Cause/Mechanism
- Hemoglobin S (Genetic Defect)
- Sickle Shaped RBCs
- Assessment
- Jaundice
- Vaso Occlusive Crisis
- Fever
- Priapism
- Severe Pain
- Considerations
- Prominent in African Americans
- May be Asymptomatic
- Increased Risk of Infection
2 mins
Sickle Cell Anemia Interventions
- Interventions
- Increase Hydration
- Analgesics
- Oxygen
- Warm Compress
- Bone Marrow Transplant
- Hydroxyurea
- Considerations
- Avoid High Altitudes
- Prophylactic Antibiotics
- Avoid Strenuous Exercise
- Vaccines
3 mins
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
2 mins
Droplet-Airborne Precautions
- Private Room
- Droplet
- Droplets Larger than 5 Microns
- Being Within 3 Feet of Patient
- Surgical Mask with Face Shield
- Type of Infection or Condition
- Airborne
- Airborne Infection Isolation Room (AIIR)
- Droplets Smaller than 5 Microns
- N95 Respirator
- Type of Infection or Condition
2 mins
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
2 mins
Innate Immunity Cellular Response
- Characteristics
- 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
2 mins
Humoral Adaptive Immunity
- Characteristics
- 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
2 mins
Rubeola (Measles)
- Mechanism
- Virus
- Signs and Symptoms
- Fever
- Red Maculopapular Rash
- 3 C's
- Photophobia
- Koplik Spots
- Considerations
- MMR Vaccination
- Antipyretics
- Vitamin A Supplementation
2 mins
Mumps (Parotitis)
- Mechanism
- Paramyxovirus
- Signs and Symptoms
- Fever
- Headache
- Earache
- Orchitis
- Pain and Swelling of Parotid Glands
- Considerations
- MMR Vaccination
1 min
Rubella
- Mechanism
- Rubella Virus
- Signs and Symptoms
- Swollen Glands
- Cold-like Symptoms
- Pinkish-red Maculopapular Rash
- Low Grade Fever
- Considerations
- Rubella Titer
- Avoid Contact with Pregnant Women
- MMR Vaccination
2 mins
Varicella (Chickenpox)
- Mechanism
- Varicella Zoster Virus (VZV)
- Signs and Symptoms
- Red Maculopapular Rash
- Vesicles Ooze and Crust
- Pruritus
- Centripetal
- Considerations
- Varicella Immunization
- Skin Care to Minimize Itching
- Isolate until Vesicles Crust
2 mins
Influenza
- Assessment
- High Fever
- Cough
- Headache
- Muscle Aches
- Chills
- Intervention
- Vaccination
- Drug Therapy
- Zanamivir (Relenza)
- Oseltamivir (Tamiflu)
2 mins
Erythema Infectiosum (Fifths Disease)
- Mechanism
- Human Parvovirus B19
- Signs and Symptoms
- Cold-like Symptoms
- Three Stage Rash
- Slapped Face
- Maculopapular Red Spots on Trunk
- Rash Reappears
- Considerations
- Aplastic Crisis
- Joint Pain and Swelling
2 mins
Meperidine (Demerol)
- Mechanism
- Opioid Receptor Agonist
- Indications
- Moderate to Severe Pain
- Post Anesthesia Shivering
- Side Effects
- Tremors
- Constipation
- CNS Depression
- Sedation
- Considerations
- Short Term Administration
- Increased Risk Serotonin Syndrome
- Does NOT cause Miosis
- Renal Failure Increases Toxicity Risk
2 mins
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