Exam (elaborations)
NCC NNP exam part 2
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NCC NNP exam part 2 A+ GURANTEED
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NCC NNP exam part 2 A+ GURANTEEDmore neuro and less cardiac/systemic symptoms - - CORRECT ANSWERHow does late onset
sepsis present
staph epi, aureus, MRSA - - CORRECT ANSWERWhat is the most common noscomial cause
Seen in 3-7 day of birth - - CORRECT ANSWEREarly onset sepsis is
in utero- STORCH - - CORRECT ANSWEREarly onset sepsis is acquired
inhibits normal defenses to allow for other infections - - CORRECT ANSWERMeconium is not a
cause of infection but
Erythromycin - - CORRECT ANSWERTreatment for chlamydia
pneumonia - - CORRECT ANSWERwhat can chlamydia cause
intrapartum delivery - - CORRECT ANSWERMost common way for HIV to be acquired
IgM - - CORRECT ANSWERDX of inter uterine infection is detected by
Endotoxin
TNF
Interleuken-1 - - CORRECT ANSWERSeptic triad caused by a mediator
complement cascade and coagulation - - CORRECT ANSWEREndotoxin released from bacterial
cell wall activate
,worseing hypotension
systemic edema
DIC - - CORRECT ANSWEREndotoxins can cause
Liver
alveolar cells - - CORRECT ANSWERWhere is complement proteins produced
antibody/antigen mediated - - CORRECT ANSWERWhat is the classic pathway
endotoxin release - - CORRECT ANSWERWhat is alternative pathway
bradykinin formation and increases hypotension - - CORRECT ANSWERWhat does initiating the
clotting cascade result in
phagocytosis - - CORRECT ANSWERWhat is the most important function of neutrophils
from extension of ear or sinus infections - - CORRECT ANSWERHow can osteomyelitis occur
after endotoxin release - - CORRECT ANSWERWHen do TNF levels rise
clotting cascade
PAF
release of interleukin 1
prostaglandins
free oxygen radicals - - CORRECT ANSWERWhat does TNF stimulate
synergy to TNF
worsens hypotension
induces hyperdynamic cardiovascular function
, causes- fever, leukocytosis, metabolic changes - - CORRECT ANSWERwhat does IL-1 stimulation
cause
hypotension
gi ischemia
alveolar thickening
ATN - - CORRECT ANSWERConsequences to inflammatory mediators
Suprapubic aspiration - - CORRECT ANSWERGold standard of UTI
>0.2 - - CORRECT ANSWERWhat is considered a left shift on I/T
intermediate risk - - CORRECT ANSWERANC of 500-1000 is
increased risk of sepsis - - CORRECT ANSWERANC <500 is
acute phase protein - - CORRECT ANSWERWhat is CRP
within 24 hrs of infection
peak 2-3 days - - CORRECT ANSWERWhen does CRP rise and peak
increased WBC
high protein
low glucose - - CORRECT ANSWERLP results showing meningitis
GBS - - CORRECT ANSWERgram positive cocci in pairs or chains
Entercoccus- nosocomial - - CORRECT ANSWERgram negative, can be in EBM, passed rectal/oral
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