Nursing 2230A/B Lecture Notes - Lecture 11: Pressure Ulcer, Asepsis, Sputum
25 Nov 2016
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Concept: inflammation, infection and healing part 2. Identify interventions that optimize or promote healing from infection: assessment, promotion. The drugs that have transformed like and longevity since penicillin (miracle drug) was discovered by alexander felming in 1928 now saturate every corner of out environment. Big one used to be mrsa, now big one is vancomycin. Tb is pretty serious infection and now we are having tb resistance. Mainstay medicines are falling in unprecedented numbers, secondary agents are nearly always more toxic, costly, and less effective. Causes 9,000 infections in hospitals/facilities each year. Drug-resistant gonorrhea (sti) now resists several abx that used to cure it. Cdc estimates 30% of the 800,000 us cases each year fit that description hospital patients who get cre bloodstream infections die from them. Clostridium difficule (c. diff) is not highly resistant to abx but does thrive. Nursing homes sometimes won"t accept people with c. diff. The bacteria cause 250,000 infections and 14,000 deaths each year.
