2.2 - Integumentary - PPT Integumentary System Flashcards
Describe the following etiologies for integumentary injuries
Burns
Pressure Ulcers
Vascular Ulcers
Neuropathic Ulcers
Stomas
Lacerations
Abrasions
Describe the primary functions of the integumentary system
Describe the layers of the skin
Describe the properties of the dermis layer
What does the high vascularity of the dermis layer allow for?
Describe the nerve endings that detect each of the following somatosensations
Pain / itch
Touch / pressure
Temperature
Vibration
What is skin turgor?
What does skin turgor assess?
Describe how to assess this
Describe the 3 stages of normal wound healing
Describe the typical timeframe for each phase
Describe partial-thickness vs full-thickness wounds
Describe epithelialization vs granulation
Describe the ABCDE’s for identifying melanoma skin cancer
What is a benign nevus?
Common mole
Papule
Elevated nevus
Wheal
irregular, transient superficial area of localized skin
ex: mosquito bite, hive, etc.
Stoma
surgical opening (ex: colostomy)
Describe the three broad types of debridement
Autolytic - seal it & let the body heal the wound
Mechanical - utilizing tools / instruments
Enzymatic - placement of external enzyme to break up eschar
Describe the two types of mechanical debridement & examples of each
Selective - “some type of sharp is being used”
ex: scalpel, scissors, sharp
Non-Selective - can damage healthy, viable tissue
ex: whirlpool, lavage, wet-to-dry dressing, & scrubbing
What is Panafil used for?
What is unique about the color when applying this?
Enzymatic debridement
May have a small green tinge. This is expected as necrotic tissue is discarded, as long as odor is not present
Describe the characteristics of an infected vs inflamed wound
Infected Wound:
Splotchy, expansive redness
Systemic fever
Strong odor
Moderate to maximal exudate
Purulent exudate
persistent pain
Inflamed Wound:
Well defined borders
localized temperature increase
Weak odor
Minimal exudate
Senguineous exudate
Variable pain
Describe the following dressing material:
Transparent film
No absorption
Easily monitor wounds
Seal & protect wounds
Best for superficial wounds w/ minimal exudate
Describe the following dressing material:
Hydrogel
Used for dryer wounds (arterial)
Helps keep wound moist
Describe the following dressing material:
Hydrocolloid dressing
Helps retain moisture
Used for dryer wounds (arterial wounds)
Describe the following dressing material:
Impregnated Gauze
Often impregnated w/ petrolatum or iodine
Often used for packing wounds
Describe the following dressing material:
Foam dressing
Absorptive
Used for moist wounds (venous)
