Shared Flashcard Set

Details

GMPS
Acute Care Setting
44
Other
Graduate
02/09/2015

Additional Other Flashcards

 


 

Cards

Term
falls
Definition
event which results in a person coming to reset inadvertently on the ground or floor or other lower level
Term
medication reconciliation
Definition
process of comparing a pt.'s list of medications the pt. is taking to medications ordered..
Term
latex allergy
Definition
hypersensitivity to proteins in natural rubber latex
Term
latex allergy immediate
Definition
IgE- mediated with systemic symptoms resulting from histamine release
Term
latex allergy reaction delayed (48-96 hrs)
Definition
T-cell mediated with symptoms at area of contact & is related to chemicals used in production of natural rubber latex
Term
signs/symptoms of allergic reaction (latex)
Definition
urticaria (hives)
contact dermatitis
rhinitis
asthma
anaphylaxis
Term
latex-fruit syndrome
Definition
association exists between latex and food allergy

most strongly linked to banana, avocado, kiwi & chestnuts
Term
detraining
Definition
loss of physiologic and performance adaptations, occurrring rapidly when a person terminates participations in regular ADLs and exercise
Term
1-2 weeks of detraining
Definition
significantly reduces both metabolic and exercise capacity, many training improvements will be completely lost within several months
Term
results of immobility
Definition
reductions in physical work capacity associated with impairments of cardiovascular, pulmonary, hematologic, musculoskeletal, metabolic, thermoregulatory, immune, neuroendocrine, and psychological functions
Term
aerobic capacity (VO2Max)
Definition
the boy's ability to deliver and use oxygen (maximum rate of oxygen consumption) to support the energy needs of demanding physical activity
Term
VO2 Max
Definition
provides an indication of the maximum amount of work that can be supported
Term
aerobic capacity (VO2Max)
Definition
maximum amount of work that can be supported is equal to how much oxygen rich blood can be delivered from the heart to the peripheral tissues times how well the oxygen is extracted from the blood
Term
aerobic capacity (VO2Max)
Definition
the product of how much oxygen rich blood is delivered and how well the oxygen is extracted by the blood will determine the maximum amount of work that can be done
Term
CO
Definition
HR X SV
Term
heart rate (HR)
Definition
number of times the heart contracts per minute
Term
stroke volume (SV)
Definition
amount of blood pumped from the left ventricle with each beat
Term
delivery of oxygen to the body tissues to be used to produce energy for work
Definition
is a function of the central components of the cardiopulmonary system
Term
extraction of oxygen from the blood to be used to produce energy for the work of the active tissues
Definition
is a function of the peripheral components of the cardiopulmonary system
Term
decreased CO & decreased VO2Max
Definition
due to limited SV resulting from reduced blood volume, limited ventricular filing & limited end-diastolic volume due to bed rest//immobility
Term
amount of muscle atrophy
Definition
depends on usage before bed rest and the muscle function (good case for strengthening prior to oath surgeries)
Term
magnitude of loss of muscle strength and decrement in bone mineral density (BMD)
Definition
is roughly proportional to duration of immobilization period
Term
pulmonary complications
Definition
are a leading cause of hospital morbidity resulting in prolonged hospitalization and admission into the ICU
Term
primary source of heat gain
Definition
is internal heat generated by energy metabolism
Term
delirium
Definition
disturbance in consciousness, origination, memory, thought, perception, behavior

abrupt onset, hyperactive or hypoactive or mixed
Term
hyperactive delirium
Definition
agitation, diaphoresis, tachycardia, tremor
Term
hypoactive delirium
Definition
passive, risk of dehydration, pressure sores, nutritional abnormalities
Term
anxiety
Definition
apprehension, increased motor activity, autonomic arousal: physiological hyperactivity, tremor, shaking, avoidance behaviors
Term
agitation
Definition
excessive motor activity- leads to inappropriate verbal behavior and physical aggression (driven by internal factors like pain, disease, anxiety, delirium)- these people may remove tubes etc. and cause harm to self
Term
depression
Definition
persistence of low mood or loss of interest in most activities for at least 2 wks.- weight change, altered sleep patterns, lack of energy, agitation, poor self-esteem, suicidal ideations.
these patients are more likely to be dependent and require more assistance with ADLs and IADLs (regardless of other comorbidities)
Term
cachexia
Definition
dramatic weight loss and muscle atrophy seen in patients with chronic illness including type I diabetes, multiple sclerosis, HIV, cancer, and in individuals with age-associated "failure to thrive" syndrome
Term
malnutrition
Definition
results from hyper metabolism (increased energy expenditure) and hyper catabolism (increased tissue destruction)

leads to muscle wasting, poor respiratory and peripheral muscle strength and endurance, increased rates for infection, reduced pulmonary function and increased mortality
Term
critical illness polyneuropathy CIP
Definition
axonal neuropathy associated with intense inflammatory responses associated with sepsis and multigrain failure

flaccid tetralegia, hyporeflexia, muscle atrophy, & DISTAL SENSROY DISTRURBANCES
Term
acute myopathy syndrome AMS
Definition
associated with neuromuscular blocking agents, intravenous corticosteroids or both and ahminoglycosides
other predisposing conditions: liver and lung transplantation, hepatic failure, and acidosis

preferential derangement of type II muscle fibers (profound weakness and atrophy)

sensation spared
Term
may best maintain aerobic capacity, strength, and endurance during prolonged bed rest by
Definition
exercise regimens requiring development of maximal muscular tension intermittently
Term
sleep pattern disturbances
Definition
manifest as:
awake with fatigue
drowsy during the day
decreased overall functioning
inability to concentrate
mood alteration
Term
alcohol withdrawal syndrome (AWS)
Definition
acute toxic state resulting from sudden cessation of alcohol intake after prolonged consumption
Term
signs & symptoms of AWS
Definition
increased CNS neuronal activity that is attempting to compensate for the inhibition of neurotransmitters with chronic alcohol use
Term
server signs/symptoms of AWS
Definition
formerly knows as DT's (delirium tremors)
uncontrollable shaking
hallucinations
hypothermia
seizre
Term
interventions for AWS
Definition
hydration
electrolyte replacement
adequate nutrition
thiamine
glucose
reality orientation
benzodiazepines
Term
steroid- induced myopathy
Definition
risk is dose dependent
muscle protein catabolism & myocyte apoptosis leading to preferential atrophy of type II muscle fibers
weakness proximal
LE>UE
cranial nerve innervated muscles & sphincters spared
myalgia & electrolyte abnormalities
Term
rhambdomyolysis
Definition
muscle necrosis
disruption of sarcolemma
influx of extracellular calcium
pigmentation due to renal filtration of myoglobin
increased serum creatine kinase (CK) levels
muscle weakness associated with severity of muscle damage
Term
dermatomyositis (DM)
Definition
cause unknown
inflammation & skin rash (rash on extremities & trunk)
symmetrical proximal muscle weakness including trunk muscles
Term
inclusion body myositis (IBM)
Definition
chronic, progressive muscle inflammation
accompanied by muscle weakness
gradual onset of muscle weakness (proximal & distal muscles)
1. maybe only 1 side of body (asymmetrical weakness)
2. falling & tripping- 1st sign
3. begin with weakness in wrist & fingers (difficulty pinching, buttoning, gripping)
associated with connective tissue diseases (scleroderma)
Supporting users have an ad free experience!