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Integumentary Disorders 2
Integumentary Disorders 2
42
Nursing
Undergraduate 2
04/29/2012

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Cards

Term
Infection that begins with itching and burning and progresses to vesicles that rupture and form crusts?
Definition
Herpes Simplex
Term
Herpes simplex that is around the mouth?
Definition
type 1
Term
Herpes simplex that is around the gentiles?
Definition
type 2
Term
Treatment for herpes simplex?
Definition
antiviral meds
Term
Infection of deep fascial structures under the skin?
Definition
Necrotizing Fascilitis
Term
S/S of necrotizing fascilitis?
Definition
- starts with redness and swelling in the middle of a wound
- starts to turn purple and starts to spread and turning black
- happens very quickly
Term
Treatment for necrotizing fascilitis?
Definition
- debridement
- IV and topical antibiotics
- external skin graphs
Term
After initial treatment of lice when should you treat again?
Definition
7-10 days
Term
Nonmelanoma skin cancer?
Definition
- basal cell carcinoma
- squamous cell carcinoma
Term
What is nonmelanoma ?
Definition
occurs in cells besides melanin cells
Term
What is melanoma mean?
Definition
occurs in melanin cells
Term
Painless modular lesions with pearly appearance that grows slowly and rarely metastasizes?
Definition
Basal Cell Carcinoma
Term
Treatment for basal cell carcinoma?
Definition
- surgical excision
- cryotherapy
- radiation
- or drugs that are applied topically or injected into the lesion
Term
Scaly ulcers or raised lesions that are developed from sun-exposed areas including the lips, and the mouth. They grow rapidly and metastasize.
Definition
Squamous Cell Carcinoma
Term
Treatment for squamous cell carcinoma?
Definition
- surgical excision
- cryotherapy
- radiation
Term
Arises from pigment producing cells in the skin. Most serious form of skin cancer and is fatal if it metastasizes. Has irregular borders and uneven coloration.
Definition
Melanoma
Term
What is the leading cause of accidental deaths?
Definition
burns
Term
Add up each area burned to figure total body % affected?
Definition
Rules of Nines
Term
A more accurate scale to figure out % of body burned because it considers age?
Definition
Lung and Browder Method
Term
A burn that affects only the epidermis and causes pain, redness, and swelling?
Definition
Superficial burn (1st degree)
Term
A burn that affects the epidermis and dermis that produces blisters?
Definition
Superficial or deep partial- thickness burn (2nd degree)
Term
A burn that extends into the even deeper tissue layers causing brown blackened skin and no sensation?
Definition
Full thickness burn (3rd or 4th degree)
Term
How is burn severity determined?
Definition
- size
- depth
- location
- age
- health status
- mechanism of injury
Term
American Burn Association criteria for major burns?
Definition
- burn size: 25% or more body surface for under 40, 20% over 40
- disfiguring or disabling injuries to the face, eyes, ear, hands, feet, or perineum
- high voltage electrical burn injury
- inhalation injury
- major trauma in addition to the burn
Term
Local effects of burns?
Definition
- fluid goes from cells into the tissue
- edema
- fluid and electrolyte imbalance
* major concern is fluid status
Term
Systemic effects of burns?
Definition
- generalized edema
- urine output decreases
- risk for burn shock
- greater risk for ulcers
- risk for infection
- pulmonary edema
- CHF causes by fluid shifts and decrease CO
- temp regulation (hypothermia)
Term
Burn injury stage that begins with the injury and ends when fluid shifts have stabilized?
Definition
Emergent
Term
Burn injury stage that begins with fluid stabilization and ends when all but 10% of burns are closed or when all wounds are closed?
Definition
Acute
Term
Burn injury stage that last as long as efforts continue to promote improvement?
Definition
Rehabilitation
Term
Medical treatment for emergent stage?
Definition
- assess airways, breathing, circulation (ABC)
- if inhalation injury, oxygen therapy is started
- IV started for fluids and emergency access
- indwelling urinary cath
- NG tube
- blood drawn for baseline
- Tetanus prophylaxis my be administered
- pain assessment and analgesics
- wound is cleaned, debrided, and inspected
- antibiotics
Term
A topical antimicrobial is placed on the wound but no dressing is applied?
Definition
Open method

* less painful but greater risk for infection, fluid loss, and head loss
Term
A topical medication is applied and covered by dressing?
Definition
Closed mothod
Term
What can be done for scares?
Definition
pressure dressing: can be worn for 3-4 years
Term
Topical meds for wound healing?
Definition
- Silvadene
- Sulfamylon: causing skin cell growth
Term
What vitals might you see with a burn pt?
Definition
- low BP
- low HR
Term
When sound ROM be started on a burn pt?
Definition
after stabilization
Term
When is the Hep B vaccination given and how?
Definition
- birth
- 2 months
- 6 months
- IM
Term
When is the DTap vaccination given and how?
Definition
- 2 months
- 4 months
- 6 months
- 15-18 months
- 4-6 years
- 12 years
- IM and is irritating
Term
When is the Hib vaccination given and how?
Definition
- 2 months
- 4 months
- 6 months
- 12-15 months
- IM
* helps with pneumonia and meningitis
Term
When is the IPV (Poilio) vaccination given and how?
Definition
- 2 months
- 4 months
- 6-18 months
- 4-6 years
- IM
Term
When is the MMR vaccination given and how?
Definition
- 12-15 months
- 4-6 years
- SQ
Term
When is the Varicella vaccination given and how?
Definition
- 12-18 months
- SQ
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