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Med Surge Finals
Integmentary disorders
| Question | Answer |
|---|---|
| Function of the Skin | Protection, Temp regulation, Vit.D synthesis |
| Epidermis | outter layer of skin |
| Dermis | True skin |
| Subcutaneous layer | Superficial fascia |
| appendages:sudoreferous gland | sweat |
| appendages:cerumonous gland | ear wax |
| appendages:sebaceous gland | oil |
| appendages | glands, hair, and nails |
| Pruritus | symptoms of itching |
| Chief complant:P | Provocative/palliative |
| Chief complant:Q | Quality/quantity |
| Chief complant:R | Regin |
| Chief complant:S | Security |
| Chief complant:T | Time |
| Skin Assessment to id malignancies:A | Asymmetrical |
| Skin Assessment to id malignancies:B | Boarders irregular |
| Skin Assessment to id malignancies:C | Color uneven or irregular |
| Skin Assessment to id malignancies:D | Diameter of growth |
| Skin Assessment to id malignancies:E | Surface area Elevated |
| Herpes Simples:Patho | Type 1 cold soarsType 2 genital (STD) contact |
| Herpes Simples:manifistation | ulcerated ;encrusted |
| Herpes Simples:assessment | Type 1 fituge & pruritusType 2 Flue liks symptoms |
| Herpes Simples:Diagnostic Test | Lab culture |
| Herpes Simples:medical management | No Cure Tx-(ZOVIRAX) Acyclovir <antiviral> |
| Herpes Simples:NI&Pt teaching | keep dry, no contact(to prevent spread), warm compress, |
| Herpes Zosters(Shingles):Patho | effect a single nerve |
| Herpes Zosters(Shingles):Manifestation | pain, body nurve rash |
| Herpes Zosters(Shingles):Assessment | Hx of chickenpocks, scratching, skin abreation |
| Herpes Zosters(Shingles):Dx Test | Virus Culture |
| Herpes Zosters(Shingles):Medical management | controll/prevent infection Steroids(kenalog, Lides)Oral (Zovirax)Good Prognosis |
| Herpes Zosters(Shingles):NI &Pt teaching | Med bath warm compress vit.C premotes healing |
| Rosea: | age 6 to 30 single pink/red face rash |
| Rosea:patho | Viral |
| Rosea:assessment | History/ rash |
| Rosea:medical management | sun bath 30 min/ hydrocortisone cream 1%resulves in frew wks |
| Rosea:NI & Pt teaching | Aveno bath and sun exposure |
| Cellututis:Patho | Bacteria enters body through brake in the skin (stepeticossic) |
| Cellututis:manifestation | tender warm edematus |
| Cellututis:assessment | tender, warm to touch, fituge, and edema |
| Cellututis:medical management | antibotic (cbc Review)Cure 7 to 10 days |
| Cellututis: NI & Pt | Prevent spread |
| Impetigo Contahiosa: patho | Staphyloccus infection |
| Impetigo Contahiosa:Manifestation | mucules- small flat blimish (pulstant) |
| Impetigo Contahiosa:Assessment | Face, hand, arms, leg, -spread by touchFever pt Stop spread |
| Impetigo Contahiosa:dx test | antibotec culture sinsitive test |
| Impetigo Contahiosa:Medical management | Antiboticsgood prognosis |
| Folliculitis boil: | folons where soft tissue is inflammed form inbeded hair |
| Fungal infection:Tinea Corporis | ring worm of the body |
| Fungal infection:Tinea cruris | Jock itch |
| Fungal infection:Tenea pedis | athletes foot |
| Fungal infection:Manifestation | round raised circle area |
| Fungal infection:Assessment | no hair/scratching |
| Fungal infection:Medical management | anti fungal treatmentkeep clean and dryPrognosis good |
| Contact Dermatitis:patho | Hypersensitives to chemicals and plants |
| Contact Dermatitis:Manifestation | Lesions, edema, and papules |
| Contact Dermatitis:Dx Test | Food/ alerhies test |
| Contact Dermatitis:Medical management | Benadyl, keep clean and dry, cut nailsfull recovery |
| Urticaria | wheals |
| Eczema:Patho | allerges |
| Eczema:Manifestation | dry cracked skin,fussy |
| Eczema: Medical Management | Loation |
| Acne:patho | bumps with inflimation;black head |
| Acne:manifestation | face,nedk, sholdre, back (affects self image) |
| Acne:medical management | o2 on face, stress reduction, hygine |
| Acne:Dx test | blood samples |
| Psoriasis:Patho | non infectious skin disorder ; rapid cell devision 7-28 days |
| Psoriasis:Manifestation | lesions on knees scalp elbows |
| Psoriasis:medical management | Calicylic (sylieylic acid)Vasolin |
| Lupus: patho | Autoimmun system inflamatory disorder affecting every body part (genetic)mostly affect wemon No cure |
| Lupus: manifestation | butterfly rash |
| Lupus: Dx test | hemotologic positive ANA, Immunologic, Neuro, Renal |
| Pediculosis | Lice Tx(Kwell) |
| Tumors of the skin: Keloids | an overgrowth of collogen tossue at the sight of a wound; becomes raised and hard |
| Tumors of the skin: Keloids Tx | remove, steroid, readation |
| Tumors of the skin: Angiomas | When a group ao blood vessels dilate and form a tumor like mass( birth mark) |
| Tumors of the skin: Angiomas Tx | eletrolysia/ readation |
| Tumors of the skin: Verruca | Wart skin lesions |
| Tumors of the skin: Verruca Tx | carbondoxide, liquid nitrogen, salicylic acid |
| Tumors of the skin: Neve (molds)birthmarks | Congential skin blemish that is usually begining but not becoming cancerious (non vascular tumors) |
| Tumors of the skin: Basal Cell Carcinoma | Skin Cancer |
| Tumors of the skin: Basal Cell CarcinomaRelated factors | Chemical contactSun exposurereadation treatment |
| Tumors of the skin: Basal Cell Carcinomaapperance | Scaly; on face and upper trunk |
| Tumors of the skin: Basal Cell CarcinomaMedical Management | Remove (50%) reacurrence rate |
| Tumors of the skin: Squamous cell carcinoma | arise on epidermis, cancerious, neoplasim, firm, nodular w/ crust, metastisize quicklu via lymp syst |
| Tumors of the skin: Malignant Melanoma | cancerious neoplasm in wich pigment cells invade the epidermis, dermis, subcutanious. (can metastisize any organ ) MOST DEADLY SKIN CANCER |
| Alopecia | loss of hair |
| Hypertrichosis | Excessive growth of hair in masculin distribution |
| Hypotrichlsis | absince of hair |
| Paronychia | Nail disorder:nails become soft, brittle, and change shapes |
| Burns: result from | Electricity, chemical, radiation |
| Burns: Stage 1 | Most critical houres 12 to 24 up to 48 hrs. when third spacing(fluid shift from capuleries to surrounding tissue causing edema and blistering) cells become dehydreated |
| Burns: Stage 1 (third spacing s/s) | blood pressure decreases, flow to kidneys decrease, increase chance of renal faluer |
| Burns: Stage 2 | Diuretic stage :48 to 72 hrs after injuery, circulation overload, may result from the shift back |
| Burns: Stage 3 | Longterm rehabilation, normal status, free from wound infections |
| Burns: assessment | depth, caustive agent, temperature/duration of contact, skin thickness (age and other disease |
| Burns:Rule of 9%:arm | arm sholder to tip(9%) head to neck (18%) anteria trunk (18%) Posteria trunk (18%)leg grown to toe (14%) grown (1%) |
| ABC's of nursing Interventions for burn pt | Resp, vital, circulation, I/O, ambulation, bowel sounds, inspect wound, mental status |
| Escnar | black leathery crust (slough) |
| Debredement | removal of dead tissue |
| dressing change medication | give 30 min befor dressing change |
| autograft | surgical transplant from tissue of one part of the body to another |
| Hemograft | Skin transfer between dissimular species of the same type. another person |
| Hecterograpoh | tissue from another specues |
| When are Grafts dressing to be changed | when ordered |
| Nutritional for burn pt | increase calorie 2000 to 6000(depending on the burn) & protin requirement |
Created by:
kharrell
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