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MedSurgCh 64-66 NRTC

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