15] Skin Care Flashcards
Is skin acidic or basic
Level
Acidic (4-6.8)
PH of urine
4.5 - 8
Urine contains what which is what
Ammonia which is alkaline
PH of feces
7.8 - alkaline
Liquid feces are what
More alkaline
5 functions of skin cleansers
Emulsifies waste products Neutralizes drainage and odors Cleans bacteria from surface Removes surface debris Reduces periwound surface bacteria
Precautions of skin cleansers
Use around the wound, not in it.
Could have local irritation or allergic response
Protects from outside insults
Zinc oxide
Comes off with oil
Can apply to abdominal pad or telfa pad and leave on the skin
Zinc oxide
Soothes skin from urine burns and wound drainage
Repels moisture
Conditions skin
Aloe vesta barrier cream
Indications of aloe vesta barrier cream
Maceration
Excoriation
Antifungal cream is used when
Only when theres a fungus
If you have someone with a breakdown and urine and feces, which skin cleanser thing do you use
Zinc oxide
Incontinence associated dermatitis -diarrhea increases risk of pressure ulcers in that area how many times more
22x
Incontinence associated dermatitis treatment
Skin barrier cream or skin prep
Biggest issue with incontinence associated dermatitis
Consistency with applying
Flexiseal is treatment for
Fecal incontinence
How long can flexiseal stay for
Up to 29 days
Inflammation of the skin that occurs when urine or stool comes into contact with
perineal or perigenital skin
Incontinence associated dermatitis
Traumatic wounds caused by friction and/or shearing
Skin tears
How do you classify skin tears
Payne Martin classification system
Payne Martin I
Skin tear without tissue loss
Payne Martin II
Partial tissue loss
Payne Martin III
Skin tear with complete tissue loss (epidermal flap is gone)
Skin tears are what kind of wounds?
Partial thickness
What dressing would you NEVER put on a skin tear?
Hydrocolloid
Location of skin tears in mobile person
Legs
Location of skin tears in immobile patients
Elbows, hands, forearms
Skin tears may heal within?
1-3 weeks
If any flap left, how do you keep it in place?
Steri strip
A surgically created opening in the
abdomen through which the intestine is brought up to the surface of the skin
Ostomy
First choice for skin tears
Hydrogel or ?
New opening after ostomy is called?
Stoma
Through the colon
Colostomy
Through the ileum
Ileostomy
Through the ureter
Urostomy
Inflammation of the skin with itching, redness, skin lesions
Dermatitis
viral infection causing vesicular eruptions of the skin on the face or mouth; akacold sore or fever blister
Herpes I (herpes simplex)
Common cause ofvesicular genital
eruptions; spread
by sexual contact
Herpes II
(shingles)—caused by varicella zoster
virus (chickenpox)
Herpes zoster
Treatment for herpes zoster
Silvadine
Caused by and infestation of mites in outer layers of skin
Scabies
Ringworm is aka
Tinea
In scabies, note what?
Track-like burrowing
Characterized by relentless itching, pimple-like rash, scales or blisters, and track-like burrows in the skin
Scabies
Chronic recurrent inflammatory disease
Pathology: alteration of keratinocyte reproduction cycle
Psoriasis
People with sickle cell live with?
Low HgB
Cancerous lesion involving skin, which is open and draining
Fungating wounds
Most common site of fungating wounds
Breast
Signs and Sx of fungating wounds
Onset or change in pain
Odor
Change in appearance
May look like cauliflower or crater
Bleed easily
Foul odor
Large exudate
Fungating wounds
Treatment for fungating wounds
Autolytic or enzymatic debridement
Management of malignant wounds acronym:
HOPES
WHAT does hopes Stand for?
Hemorrhage Odor Pain Exudate Superficial infection