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MedSurgCh 64-66 NRTC
| Term | Definition |
|---|---|
| 2 layers of skin | epidermis dermis |
| Epidermis layers | stratum corneum (top) stratum germinativum (bottom) |
| Dermis contents | blood vessels, nerves, glands, hair follicles |
| Subcutaneous contents | connective tissue & fat cells attaches skin to muscles and bones |
| Skin color | melanin produced by pituitary gland |
| Functions of Skin | protect, temperature regulate, sensory processing, chemical synthesis (Vit D) |
| Radiation | warm skin in cool air |
| Conduction | cool cloth on warm skin |
| Evaporation | water on skin is warmed, then evaporated |
| Convection | cool breeze blows across body surface |
| Hair follicles originate where | dermis |
| Sweat Glands | eccrine & apocrine |
| Sebaceous Glands | oily sebum |
| Macule | freckle |
| Papule | wart |
| Vesicle | blister |
| Pustule | boil |
| Nodule | enlarged lymph nodes |
| Cyst | tissue growth |
| Senile Lentigens | liver spots |
| Pressure injury stage 1 | non blanchable erythema |
| Pressure injury stage 2 | blister or shallow break of skin |
| Pressure injury stage 3 | opening extends to subQ tissue (white/yellow drainage) |
| Pressure injury stage 4 | exposure muscle/bone (life threatening, sepsis) |
| Braden Scale | risk for pressure injury, 6-23 6 high risk, 19 or up is not risk |
| 6 areas using braden scale | sensory, moisture, activity, mobility, nutrition, friction/shear |
| Treating stage 1 pressure injury | protect skin, maintain integrity |
| Treating stage 2 pressure injury | prevent infection, keep clean, foam dressings used |
| Treating stage 3 pressure injury | filler for deep wounds |
| Treating stage 4 pressure injury | filler and silver if infected |
| Ways to prevent pressure injuries | turn/reposition q 2 hours, skin clean/dry, massage bony parts, pressure relieving devices |
| Tattoo risks | allergic reaction, blood-borne infection, granuloma, keloids |
| Skin care for tattoos | prevent infection, support tissue regeneration, protect skin from further trauma |
| Tattoo removal | laser, dermabrasion, salabrasion, scarification, plastic surgery |
| Body Piercing risks | tissue trauma, infection, allergies, complications during procedure |
| Site of piercing care | oral/personal hygiene, avoid cosmetics/skin drying agents, wear loose clothing |
| Dermatitis etiology | allergic contact/primary irritant |
| Dermatitis assessment findings | history, erythema, edema, pruritis, vesiculation (blisters) |
| Dermatitis medical management | remove substance causing |
| Acne Vulgaris med/surg management | facial cleansing, drying agents (benzoyl peroxide), topical, oral, antibiotics, removal with instruments, dermabrasion |
| Topical ointments for acne | tretinoin (Retin-A) sun sensitivity, tetracycline and erythromycin |
| Oral meds for acne | isotretinoin (Accutane) contraindicated in pregnancy |
| Rosacea | unkown cause, incurable, blushing, papules, pustules, facial swelling, rhinophyma |
| Rosacea med/surg management | oral antibiotics, topical meds, light treatment |
| Rosacea nursing management | diary of trigger events, sunscreen, cover during cold weather, avoid heat, manage stress, wash face w/ luke warm water, pat face dry |
Created by:
malpal24
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