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VN 144Integ Disorder
| Question | Answer |
|---|---|
| *Decubitus ulcer: stage 4 | most serious of all wounds. If it is extended to the bone. These wounds extends through the skin and involve underlying muscle, tendons and bone. Very serious and can produce life threatening infections. Aggressive treatment is absolutely necessary |
| *factors affecting healing | PAIN AND SLEEP; emotional stress, rest, diet, pruritis |
| *2 types of sweat glands | apocrine and eccrine |
| *APOCRINE | axilla and genitals; works under stress and or with emotion |
| *ECCRINE | all over body; more prominent on forehead, upper lip, palms and soles, feet |
| *SKIN FUNCTION: protects body chemically | acidic secretions inhibit multiplication of bacteria (cryosurgery is an example of chemical debridement) |
| *What is the function of the KETATINIZED cells of the epidermis, hair and nails? | provide a barrier to invading organisms (keratin is an extremely tough protein substance that covers the skin) |
| *WHEAL | intradermal response to an allergy testing. A red blotch of skin that becomes inflated and rises may get bigger and red. Ie PPD or TB testing |
| *EDEMA AND VESICLES | positive patch response to an allergy testing. Small amount of allergen is placed on skin under an airtight dressing. |
| *EDEMA 2+ | would go away in 10 -15 seconds after you apply pressure |
| *PHYSICAL Exam FYI | when examining skin and it is tight and shiny; it means possible fluid retention |
| *Physical condition to nails when they have respiratory issue | Clubbing of finger nails |
| *PAPULE | a small, solid, red elevation on the skin, a pimple |
| *MACULE | a flat, discolored area on the skin, a frekle or measles rash |
| *EPIDERMIS | outermost layer of living epithilial cells. |
| *DERMIS | true skin; it contains blood, lymph nodes, nerves. |
| *KERATIN | produced by keratinocytes; waterproofing substance |
| *SUBCUTANEOUS | the innermost layer |
| *CRYOSURGERY | application of extreme cold to destroy abnormal or diseased tissue |
| *INCISION | a clean separation of skin and tissue in which the edges are even and smooth, ie a surgical wound |
| *BIOPSY | identify premalignant, malignant tissue for microscopic exam of a small amount of tissue. |
| CYST | a sac or capsule containing fluid or semisolid material; a closed sac or pouch |
| ERYTHEMA | reddened areas of the skin, usually due to heat, sun, cold and radiation |
| *EXCORIATION | an abrasion of the outer skin layer, a scratch |
| FISSURE | a groove, crack or slit in the skin, ie athlete's foot |
| JAUNDICE/ICTERUS | yellow tinge to the skin or sclera; excessive bilirubin in the blood |
| *LACERATION | a separation of the skin and tissue in which the edges are torn and irregular or jagged; ie a stab wound |
| VESICLE | a small sac on the skin that contains serous, bloody or seropurulent fluid, a blister |
| *benadryl | used for antihistamine (sleep) to relieve itching |
| *KWELL (LINDANE) | medication used for scabies and lice |
| *what medications should we put to improve wound healing? | zinc and vitamin C |
| *an antifungal medication | TINACTIN |
| *what do thick fingernail normally mean | patient has fungal infection |
| *edema types: 1+ | less than 1/4 inch |
| *edema types: 2+ | 1/4 to 1/2 inch |
| *edema types: 3+ | 1/2 to 1 inch |
| *edema types: 4+ | more than 1 inch |
| KERATOLYTIC | theraphy that is treatment to remove warts and other lesions in w/c the epidermis produces excess skin. It thins the skin on and around the lesion. The medicine causes the outer layer skin to get loose and shed |
| ASTRINGENT | chemical substance that tends to shrink/ constrict body tissues, usually locally after topical medicinal application. Cause shrinkage of mucous membranes/exposed tissues & are often used internally to check discharge of blood/serum or mucous secretions. |
| ANTIPRURITIC | a drug w/c reduces pruritis or itching. Most drugs are antihistamines or mint-like substances such as menthol or camphor. |
| EXCEMA | atopic dermititis |
| PSORIASIS | the apperance of bright red lesions that may be covered with silvery scales. May affect a limited body area or may be extensive. |
| TINEA PEDIS | athlete's foot |
| TINEA MANUS | hand |
| TINEA CRURIS | groin |
| TINEA CAPITIS | scalp |
| TINEA CORPORIS | body |
| HERPES SIMPLEX | this virus causes an infection that begins with itching and burning and progresses to the development of vesicles that rupture and form crusts. Sites most often infected are nose, lips, cheeks, ears, and genitalia. |
| HERPES SIMPLEX treatment | acyclovir (Zovirax) |
| *Decubitus ulcer: stage 1 | beginning of bed sore characterized by reddening of the surface of skin. Wound remains superficial and the skin is INTACT. Easy to heal if recognized and dealt with promptly |
| *Decubitus ulcer: stage 2 | often characterized by a blister. Blister can be broken or unbroken. No longer is the wound superficial as a partial layer of the skin in now injured. Ie skin tear surrounded by small blisters |
| *Decubitus ulcer: stage 3 | involves subcutaneous tissues with purulent discharge- no pain. This wound extends through all of the layers of the skin. |
Created by:
jekjes
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