Inflammation and Infection (ppt based)

  1. What is an inflammatory response?
    • a pathophysiologic response
    • a systemic response 
    • a protective response 
    • a natural response

    to any insult or injury
  2. The inflammatory response is a defensive reaction intended to ____, ____, or ____ the offending agent. And to prepare the site for repair.
    • neutralize
    • control 
    • eliminate
  3. What are the most common cause of inflammatory response?
    • 1.Physical trauma
    • 2.Infection from microorganisms
    • 3.Chemical, irradiation, &thermal injury (causing direct irritation to the tissue)
    • 4.Immune reactions (Allergies)
  4. Inflammation is not the same as infection.

    True or False
    True. Infection often (triggers) leads to inflammation, inflammation can occur without infection.
  5. What are the general sequence of events that occurs in the local inflammatory response.
    • 1.Changes in the microcirculation (vasoconstriction then vasodilation)
    • 2.Increased vascular permeability 
    • 3.Leukocytic cellular infiltration
  6. What are the 5 cardinal signs of inflammation. In chronological order.
    • Redness (Rubor)
    • Heat (Calor)
    • Swelling (Tumor)
    • Pain (Dolor)
    • Loss of function (Functio Laesa)
  7. Pathophysio

    Dsitruption of tissue kntegrity can be due to (3). This then triggers the inflammatory response.
    • 1. Injury
    • 2. Ischemic damage
    • 3. Immune response
  8. Pathophysio (Vascular changes)
    • 1.Vasodilation
    • 2. +capillary permeability 
    • 3. +blood flow
    • 4. Local tissue congestion (swelling)
  9. Pathophysio (Cellular changes)
    • 1. Phagocytosis
    • 2. +Leukocytes (granulocytes: neutrophil, eosinophil, basophil, agranulocytes: lymphocytes and monocytes)
    • 3. Release of chemical mediators (mast cells and macrophage
  10. Pathophysio (Body response)

    Local effect
    (Cardinal signs of inflammation)

    • Erythema - abnormal redness of the skin
    • Warmth
    • Edema
    • Pain
    • Impaired function
  11. Pathophysio (Body response)

    Systemic effect
    • Fever
    • Leukocytosis (abnormal increase in the number of WBC in the blood as a result of infection)
    • Malaise
    • Anorexia 
    • Sepsis
  12. The chemical mediator concentrated in the mast cells.
    Histamine
  13. Histamine is responsible for _____ and ____.
    vasodilation and increased capillary permeability
  14. This chemical mediator also increases vascular dilation and permeability;  but attract neutrophils.
    Kinins
  15. It is large while cells that can swallow and digest microbes and other foreign particles.





    B. phagocytes
  16. it is acellular process of engulfing solid particles; to devour.





    B. phagocytosis
  17. A phagocyte that circulates in the blood.





    A. monocytes
  18. Are mature and developed monocytes; are scavengers which rid the body of worn out cells and other debris.





    E. macrophages
  19. Are category of WBC which contains granules filled with potent chemical.





    E. granulocytes
  20. One type of granulocytes; a phagocyte.

    a. chemical mediator
    b. exudates
    c. eosinophil 
    d. basophil
    e. neutrophil
    e.neutrophil
  21. Are granulocytes that degranulate by spraying their chemical into harmful cells or microbes nearby.

    a. chemical mediator
    b. exudates
    c. eosinophil 
    d. basophil
    e. neutrophil
    • c. eosinophils
    • d. basophils
  22. Fluid with a high content of protein and cellular debris which has been deposited in tissue or on tissue surfaces, usually as a result of inflammation.





    C. exudates
  23. Are substances which act on blood vessels, nerves, inflammatory cells or other cells as messengers to contribute to inflammatory response.





    C. chemical mediator
  24. Are resident cell of several type of tissue.
    Mast cells
  25. Released by mast cells which can dilate small venules and constrict large vessels.
    Histamine
  26. Histamine ____ small venules.

    dilate/ constrict
    dilate
  27. Histamine _____ large vessels.

    dilate/constrict
    constrict
  28. What are the types of inflammation?
    chronic and acute
  29. chronic or acute

    Caused by pathogen, substance, materials that causes injury.
    acute
  30. chronic or acute

    persistent acute inflammation due to non degradable foreign bodies
    chronic
  31. acute or chronic

    major cells involved are neutrophils, eosinophils, basophils, monocytes, macrophages
    (granulocytes)
    acute
  32. acute or chronic 

    major cells involved includes mononuclear cells, lymphocytes, plasma cells and fibroblasts
    chronic
  33. acute of chronic

    onsets is immediate
    acute
  34. acute of chronic

    onsets is delayed
    chronic
  35. acute of chronic

    duration is less than 2 weeks
    acute
  36. acute of chronic

    duration is up to many months  or years
    chronic
  37. acute or chronic

    outcomes- resolution, abscess formation, chronic inflammation
    acute
  38. acute or chronic

    outcomes - tissue destruction, fibrosis, tissue necrosis
    chronic
  39. What are the pattern of migration of WBC to the site of injury? (3)
    • Diapedesis
    • Ameboid motion
    • Chemotaxis
  40. Squeezing through the vessel's vessel wall.
    Diapedesis
  41. Slithering through the tissue spaces
    ameboid motion
  42. A force that attracts the cell to the site of injury. A mechanism for ensuring accumulation of neutrophils and monocytes at the focus of injury.
    Chemotaxis
  43. Characteristics of exudate

    Clear in appearance and can easily be reabsorbed.




    D. serous
  44. It is a result from bacterial invasion and may lead to tissue scarring if cellular necrosis is extensive.




    B. purulent
  45. contains large amount of blood from extensive damage




    D. sanguinous
  46. shows exudate mixed with small amount of  blood from injured capillaries 

    a. serous
    b. serosanguinous 
    c. sanguinous
    d. purulent
    b. serosanguinous 
  47. Refers to the replacement of dead cells by nee and healthy cells derived either dorm the parenchymal or connective tissue stroma.
    Cell repair or healing
  48. Processes involved in cell repair are : (2)
    • Regeneration 
    • Replacement
  49. Occurs when the injured cells and tissues are replaced  by new cells and tissues that are identical in nature and function to the damaged cells.

    replacement/ regeneration
    regeneration
  50. There is a scar formation, or a collagenous scar in the healing of tendons, fascia, connective tissue and collagenous structure.

    regeneration/ replacement
    replacement
  51. What are the factors affecting repair process?
    • age
    • adequate blood supplies
    • good general health and stamina
    • adequate nutritional intake
  52. Nursing management for inflammation
    • 1.provision rest
    • 2.maintenance of adequate circulation of blood and from injured tissue
    • 3.provision of adequate nutrition
    • 4.increase fluid intake to replace fluid loss through fluid exudate 
    • 5.administration of medications to weaken or kill microorganisms 
    • 6.removal of inflammatory debris, foreign bodies, blood clots and necrotic tissue by debridement or wound irrigation.
Author
greenlantern
ID
365719
Card Set
Inflammation and Infection (ppt based)
Description
Updated