Integument review Word Scramble
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Question | Answer |
Layers of superficial burn | epidermis only |
Appearance of superficial burn | red, dry tender |
Healing of superficial burn | 2-3 days, no scars |
superficial partial thickness layers | epidermis into papillary layer of dermis |
superficial partial thickness appearance | blisters intact, red |
superficial partial thickness healing | 7-21 days w/ minimal scarring |
Deep partial thickness layers | epidermis, dermis (including hair, sweat glands) |
Deep partial thickness appearance | Marked edema, mixed red w/ waxy white, broken blisters, |
Deep partial thickness healing | spontaneous, 3-5 wks excessive scarring |
Full thickness layers | epidermis, dermis, subcutaneous, possible into muscle |
full thickness appearance | white, gray, black, escar, leathery |
full thickness healing | heals w/ graft |
subdermal layers | all into muscle and bone |
subdermal appearance | charred |
subdermal healing | grafting, tissue defects |
hand position to prevent deformities after burn | wrist ext, MCP flex, PIP and DIP ext, thumb abd |
hip position to prevent deformities after burn | neutral roation w/ slight abd |
redness w/ lesions, itchy, weeping crusted skin | dermatitis |
inflamation, pus filled vessicles, itching | Impetigo |
pus, hot, red edematous, fever common | cellulitis |
contraindications of shingles | US, heat |
erythematous plaques covered w/ silvery scale | psoriasis |
red rash w/ raised scaly plaques | lupus |
skin is taut, firm, edematous, firmly bound | scleroderma |
scleroderma precaution | sensitive to pressure, acute HTN can occur |
round, irregular, dry, flat on sun exposed skin | actinic keratosis (pre-cancerous) |
raised lesion on trunk usu in elders | seborrheic keratosis |
ivory raised w/ indented center in fair skinned | basal cell (malignant, rarely mets) |
poorly defined borders, red, flat, sun exposed skin | squamous cell (can met) |
asymmetric irregular border, color variation | malignant (from melanocytes) |
red or purple/blue, usu. LE | kaposi's sarcoma |
Transparent film indications | autolytic debridement, secondary dressing, Stage I and II, |
transparent film considerations | avoid w/ infection, non-absorptive |
hydrocolloids indications | mild exudate, maintains moist, supports autolytic |
hydrocolloids considerations | odor w/ yellow exudate is normal when dressing is removed avoid in infections or with heavy exudate |
hydrogel indications | necrosis, burns, rehydrates, autolytic |
hydrogel considerations | comes in many types and absorptive capacity varies, don't use sheet w/ infection dressing must be changed every 8-48 hours |
Foams indications | min-mod exudate |
Foams considerations | do not use w/ dry escar or wounds w/ no exudate |
Alginates indications | mod to large amount of exudate infected and non-infected |
Alginates considerations | car dry wound bed |
Gauze dressing indications | mechanical debridement, infected wounds, several types |
Autolytic type and contraindications | (Natural) infection, immunosuppressed, dry gangrene, dry ischemic |
Enzymatic type and contraindications | (enzyme to necrotic tissue) ischemia, dry gangrene, clean granulated wounds |
Mechanical type and contraindications | (nonselective) clean granulated |
Sharp type and contraindications | (selective w/o anesthesia) clean, advanced cellulitis w/ sepsis, infection threatens life, pt on anticoagulants |
Surgical type and contraindications | (non-selective, wide excision) cardio-pulm disease, DM, severe spasticity, pt cant tolerate, short life expectancy, QOL won't be improved. |
Created by:
carter28
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