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| Question | Answer |
|---|---|
| Penetrating wounds | A wound that enters the interior of an organ or cavity |
| Arterial Insufficiency Ulcers recommendations | Avoid unnecessary leg elevation, avoid using heating pad or soaking feet in hot water |
| Venous insufficiency Ulcers recommendations | Compression to control edema Elevate legs above the heart Attempt active exercise include ROM |
| Neuropathic Ulcers description | Areas of the foot, well-defined callused rim, cracked periwound tissue, good granulation, low to mod exudate, no pain, absent pulse, normal edema, decreased skin temp., dry inelastic, shiny skin, loss of protective sensation |
| Arterial Insufficiency description | lower one-third of leg, toes Smooth well defined edges, deep minimal exudate Severe pain normal edema decreased skin temperature Thin and shiny, hair loss, yellow nails, Leg elevation increases pain |
| Venous insufficiency ulcers description | Proximal to medial malleolus, irregular shape, shallow, moderate/heavy exudate, normal pulses, mild to moderate pain, increased edema, flaky, dry skin, brownish discoloration, leg elevation lessens pain |
| Partial-thickness wound | Extends through the epidermis and possible into, but not through the dermis |
| Full-thickness wound | Extends through the dermis into deeper structures such as subcutaneous fat |
| Subcutaneous Wound | Subcutaneous wounds extend through integumentary tissues and involve deeper structures such as subcutaneous fat, muscle, tendon, or bone |
| Seropurulent | Presents as cloudy or opaque, with a yellow or tan color and a thin, water consistency |
| Purulent | Presents with a yellow or green and a thick, viscous consistency. |
| Hyperkeratosis | Referred to as a callus, is typically white/gray in color and can vary in texture from firm to soggy |
| Ecchymosis | The discoloration occurring below intact skin resulting from traum to underlying blood vessels and blood seeping into tissues. Referred to as a bruise |
| Normotrophic Scar | A scar characterized by the organized formation of collagen fiber that align in a parallel fashion |
| Turgor | The relative speed with which the skin resumes its normal appearance after being pinched |
| Superficial partial-thickness Burn | Involves the epidermis, and the upper portion of the dermis, may be extremely painful and exhibit blisters |
| Deep partial-thickness Burns | Involves complete destruction of the epidermis and the majority of the dermis. Discolored with broken blisters and edema. Damage to nerve ending result in moderate pain |
| Full-thickness Burn | Involves complete destruction of the epidermis and dermis along with partial damage to the subcutaneous fat layer. Eschar formation and minimal pain |
| Subdermal Burns | The complete destruction of the epidermis, dermis, and subcutaneous tissue. May involve muscle and bone tissue |
| Rules of nines - head and neck | 9 |
| Rules of nines - anterior trunk? Posterior trunk? | 18 and 18 |
| Rules of nines - Bilateral anterior arm, forearm, and hand? Posterior? | 9 and 9 |
| Genital region | 1 |
| Rules of nines - Bilateral anterior leg and foot? posterior? | 18 and 18 |
| How much pressure is needed to create an environemt that facilaties the balance of collagen synthesis and lysis | 15-35 mm Hg |
| Cellulitis | Results from a bacterial infection -localized redness, warm or hot skin, local abscess or ulceration, tenderness to palpation, chills, fever, malaise |
| Contact Dermatitis | A superficial irritation of the skin from localized irritation -intense itching, burning, red skin, local edema |
| Eczema | known as dermatitis, chronic skin inflammation typically due to an immune system ambnormality, allergic rxn or external irritant -Red or brown-gray, itchy, lichenified skin plaques |
| Gangrene (Dry) | When there is a loss of vascular supply resulting in local tissue death. -Dark brown or black nonviable tissue that becomes hardened, cold or numb skin, maybe pain |
| Gangrene (Wet) | Associated with a bacterial infection -swelling and pain at the site of infection, change is skin color from red to brown to black, blisters, pus, fever and malaise |
| Plaque Psoriasis | Chronic autoimmune disease -raised red blotches that present in a bilateral fashion. Itchy and flaky |
| Metabolic Alkalosis | An increase bicarbonate or loss of acid Nausea, diarrhea, confusion, muscle fasciculations, cramping, convulsions, and hypoventilation |
| Metabolic Acidosis | Accumulation of acids; assoc. renal failure, diabetic or alcoholic ketoacidosis -hyperventilation, vomiting, diarrhea, headache, weakness, and malaise, cardiac arrhythmias |
| Addison's Disease | Hypofunction of the adrenal Cortex -Hypotension, weakness, anorexia, weight loss, altered pigmentation |
| Cushing's Syndrome | Hyperfunction of the adrenal gland -hyperglycemia, growth failure, obesity, moon shaped face, buffalo hump on the neck, weakness, acne, hypertension, and male gynecomastia |
| Hypothyroidism | fatigue, weakness, decreased heart rate, weight gain, constipation, delayed puberty, and retarded growth and development |
| Hyperthyroidism | Increased nervousness, excessive sweating, weight loss, increase in blood pressure, exophthalmos, myopathy, chronic periarthritis, and an enlarged thyroid gland -Graves disease |
Created by:
ckdabne
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