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inegument system
dewitt medsurg chptrs 41 42
| Question | Answer |
|---|---|
| mole assessments | A- assymetry, B-Borders same all around, C-color consistent, D- diameter ( how big is it?) |
| offloading | process of lifting up for about 15 minutes qh to relieve pressure on buttocks while in w/c |
| elderly are at risk for skin breakdown b/c | |
| use of supplements in skin care | |
| shave biopsy | shaves a small piece of lesion of the top with razor for biopsy |
| puncture biopsy | needle is used to puncture through and take central tiussue from lesion |
| types of dermatitis | atopic, contact,stasis, sebhorreaic |
| tx for tinea pedis | antifungal creams powders- keep feet dry- change socks daily- wash sock in HOT water |
| layers of the skin | epidermis, dermis subcutaneous sweat glands and sebaceous glands are in dermis |
| incontinence care is important in geriatrics | incontinence is #1 underlying factor in pressure ulcers of the buttocks |
| staph drainage | YELLOW and creamy |
| acne | |
| parkland formula for fluid resuscitation | 4mL X % of burns X wt in KG 1/2 of fluid in first 8h AFTER BURN, second half over next 16 h |
| contact dermatitis | from touchin irritant-m ie poison ivy |
| atopic derematitis | caused by mast cell response- heat makes it worse-10% of population , common in kids |
| stasis dermatitis | inflamation and rash r/t lack of VENOUS flow |
| Seborrheic dermatitis | overactive oil glands |
| acne vulgaris | plugged sebaceous glands- often caused by androgen level fluctuations (teens)-treated with mild soap and frequent washing, may also be treated w drugs |
| acne rosacea | redness papules and pustules, factors that casue facial flushing may precipitate worsening |
| pyelonyetil cyst | cyst common on gluteal fold of buttocks very commonly MRSA |
| cellulitis | |
| furuncles | |
| carbuncles | |
| triggers for HSV-1, HSV-2 outbreaks | exposure to UV lights, skin irritations, fever, fatigue, STRESS |
| genital herpes | possible to spread even if no lesiopns present |
| herpes varicella | chickenpox, replicates in preipheral nerve ganglia- predisposes to herpes zoster |
| herpes zoster | shingles- along single dermatome |
| Tx of herpes varicella-zoster | prophylactic antibiotics, systemic corticosteroids, symptomatic treatments Valcyclovir, acyclovir (valtrex) |
| onychomycosis | nail fungus |
| pediculosis | lice |
| scabies | |
| bacterioid drainage | brown with a fecal odor |
| proteus drainage | biege with a fishy odor |
| pseudomonas drainage | green blue- smells like juicy fruit |
| Payne Martin classification | SKIN TEARS- I- no tissue loss, II- partial tissue loss, III-skin flap and complete tissue loss |
| Braden scale- measured AFTER eschar debridement | pressure ulcers I-red,indurated,non blanching, II-BLISTERS, partial thick skin loss, III ulcerated, bacterial infection usual, IV- deep ulceration with necrosis and underlying tissue damage/loss |
| difference between a stasis ulcer and a pressure ulcer | PRESSURE ULCERS ARE ALWAYS OVER A BONY PROMINENCE |
| senile lentigenes | "age spots" |
| assessment documentation for any skin abnormality | 3 S's- SIZE, SITE, SHAPE |
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