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Integ disorder final
| Question | Answer |
|---|---|
| EPIDERMIS | outermost layer of living epithilial cells. |
| DERMIS | true skin; it contains blood, lymph nodes, nerves. |
| skin functions | protection, temp regulation, secretions, sensation, synthesis of vit D, blood reservoir |
| liver spots | LENTIGINES |
| SENILE PURPURA | large purple like bruises |
| Q's to ask when doing skin assessment | ask if they have discomfort, pruritis, lessions, color changes, hair loss, abnormal skin growth, when did it start?; ASK IF THEY WERE EXPOSED TO CHEMICAL OR MAKE UP CHANGE |
| COLOR SHOULD RETURN BETWEEN 3 TO 5 SECONDS | NORMAL CAPILLARY REFILL |
| PHOTOTHERAPY | ultraviolet light in combination with photosensitive drugs to promote shedding of the epidermis |
| PHOTOTHERAPY | may be used in the treatment of psoriasis, vitiligo, and chronic eczema |
| PHOTOTHERAPY- contraindicated | history of herpes simplex infection, skin cancer, cataracts and lupus |
| EXCEMA | atopic dermititis |
| SEBORRHEIC DERMATITIS | chronic inflammatory disease of the skin. It usually affects the scalp, eyebrows, eyelids, lips, ears, etc |
| PSORIASIS | abnormal proliferation of skin cells. Classic sign: bright red lessions that may be covered with silvery scales |
| PSORIASIS drug | methotrexate (chemo med); tell pt that they are getting blood drawing to make sure they are not toxic. Every 3 months |
| fungal infection | candida cabicans ( fungus under breast fold) |
| herpex simplex | viral infection with itching and burning and progresses to vesicles that rupture and form crusts. When you get it, it is dormant but lways present |
| herpex simplex | can cause shingles later in life |
| herpes zoster | commonly called shingles. |
| tzanck smear | smear to check/diagnose herpes zoster |
| NECROTIZING FASCIITIS | infection of deep fascial structures under the skin. Aerobic and anaerobic organisms. Streptococcus staphylococcus; organisms excrete enzymes that destroy blood vessels that supply affected area |
| cutaneous Tcell lymphoma is different from | squamous cell or basal cell carcinoma |
| nonmeloma skin cancer | is unrelated to sun exposure |
| melanoma | arises from pigment producing cells in the skin. Most serious form of skin cancer. Irregular border and uneven coloration; |
| PATHOPHYSIOLOGY OF BURN INJURY | injury to celll membranes permits excess sodium to enter cell and potassium to escape into the extracellular compartment |
| sooty sputum: lung issue = respiratory issue | 1st thing to do is to get pulse oximeter and oxygen |
| urine output needs to be | more than 20 ml per hour |
| why do you check capillary refill for eschar finger | to make sure there is blood supply/flow |
Created by:
jekjes
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