Inflammatory phase Vessels in area constrict – reduces bleeding Platelets, clotting factors, and WBCs seal the wound, clot the blood, and remove bacteria and debris Proliferation phase New tissue forms, closing off wound Phase can be sped up if edges of wound are approximated Maturation phase – formation of scar tissue
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Cardiac catheterization – catheter is threaded through a vein into the heart Obtain blood samples Measure pressure in the heart’s chambers View the heart’s motion Perform a balloon angioplasty Insert a stent
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Examining the well child Infants need seven well-baby examinations during their first year at these intervals 2 weeks 6 months 1 month 9 months 2 months 1 year 4 months
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Screening for visual acuity Snellen chart – distance Jaegar chart – near vision Ishihara book – color vision Special considerations Children Patients with dementia or Alzheimer’s disease Auditory acuity – audiometer
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Korotkoff sounds Phase 1 – tapping sound represents the systolic pressure Phase 2 – softer swishing sound Phase 3 – resumption of a crisp tapping sound Phase 4 – sound changes to muffled Phase 5 – sound disappears; represents the diastolic pressure Record results with systolic as the top number and diastolic as the bottom number (i.e., 120/76...
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Used for established patients Guidelines Reverse chronological order Entries initialed by author Types – prescription refills, follow-up visits, telephone calls, appointment cancellations/no-shows, referrals, and consultations Patient identification information Date
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Children Keep medication and dangerous items out of reach Toys should be washable and safe Be sure toys do not have any sharp surfaces Patients with disabilities Fall precautions Safe flooring and handrails
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Treatment guidelines Panel of Clinical Practices for Treatment of HIV Infections Initial and follow-up testing Drug resistance testing HAART – combination of drug treatment Initiating therapy Decision made by patient and physician AIDS diagnosis or CD4 T cell count is < 200cells/mm3
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Immunocompromised patients May experience minimal to dangerous effects Adjust dosage or delay administration Must also consider immunization status of family and caregivers Health-care workers Hepatitis B vaccinationoffered by employer at nocost to employee
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Microorganisms live all around us Pathogens Microorganisms capable of causing disease Evade host defenses People avoid infections most of the time Many microorganisms are beneficial or harmless Normal defenses resist infection Conditions are not favorable for pathogens to grow and be transmitted
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