43 care with pt with integumentary disorders and burns

Question 1

what are the four types of dermatitis

Answer 1

contact
atopic
stasis
seborrheic

Question 2

is not contagious unless a secondary infection has occurred in the lesion

Answer 2

Dermatitis

Question 3

is delayed allergic response involving cell-mediated immunity

Answer 3

contact

Question 4

S/S of contact dermatitis

Answer 4

Erythema, and swelling, pruritus, and appearance of vesicular lesions

Question 5

Local skin irritation is evident w/on a few hours or days after exposure to the antigen

Answer 5

contact

Question 6

what can cause a contact dermatitis to become irritated

Answer 6

cosmetic
soap
latex
and poison ivy

Question 7

(eczema) affects about 10% of the population and is more common in infancy and childhood but does affect some adults.

Answer 7

Atopic Dermatitis aka eczema

Question 8

S/S of atopic dermatitis

Answer 8

Release of histamine so like hives, irritation, bumps

lymphokines

Question 9

complex activation that involves mast cells, T cells, lymphocytes, Langerhans cells, monocytes, B cells that produce immunoglobulin E & other inflammatory release of histamine

Answer 9

Atopic Dermatitis: (eczema)

Question 10

generally occurs on the legs as a result of venous stasis and edema and is seen in conjunction with varicosities, phlebitis, and vascular trauma.

Answer 10

Stasis Dermatitis

Question 11

when dealing w/ STASIS DERMATITIS what occurs first

Answer 11

Erythema and pruritus comes first

then scaling development of petechiae and hyperpigmentation

lesion may occur around the ankle and tibia

Question 12

is a common inflammation involving the scalp, eyebrows, eyelids, ear canals, nasolabial folds, axillae, chest and back.

they are most common on the scalp

Answer 12

Seborrheic Dermatitis:

Question 13

The cause is unknown

lesion appear as white or yellowish plaque w/ mild pruritus

Answer 13

Seborrheic Dermatitis:

Question 14

how are dermatitis dx

Answer 14

by inspection and compiling a complete history

looking for possible exposure to causative substance

Question 15

Treatment for dermatitis are

and what can you use

Answer 15

avoiding contact irritant or allergen

good lubrications
and moisture
Topical agents

Question 16

is a disorder of the skin characterized by papules and pustules over the face, back, and shoulder

Answer 16

Acne

Question 17

the two major acne are

Answer 17

rosacea and vulgaris

Question 18

usually begins between ages 30 and 50.

Answer 18

acne rosacea

Question 19

Characterized by erythema (redness), papules, pustules, and telangiectases (dilation of capillaries causing small red purple clusters called spider veins

Answer 19

acne rosacea

Question 20

acne rosacea s/s

Answer 20

erythema (redness),

papules

pustules

telangiectases (dilation of capillaries causing small red purple clusters called spider veins

Question 21

(dilation of capillaries causing small red purple clusters called spider veins

Answer 21

telangiectases

Question 22

where do rosacea occur

Answer 22

on the face over the cheeks and bridge of the nose

Question 23

dilated hair follicles filled with skin debris, bacteria, and sebum

Answer 23

comedos

Question 24

contributory factors: hereditary disposition,

increased androgen levels,

premenstrual hormonal fluctuations,

use of heavy creams, certain drugs,

exposure to increase heat;

typically begins in early puberty,

continues through teen years, then begins to subside

Answer 24

Vulgaris more common

Question 25

increase production of sebum triggers: formation of blackheads and whiteheads;

Answer 25

Vulgaris

Question 26

vulgaris contribution

Answer 26

contributory factors: hereditary disposition, increased androgen levels, premenstrual hormonal fluctuations, use of heavy creams, certain drugs, exposure to increase heat; typically begins in early puberty, continues through teen years, then begins to subside

Question 27

treatment for acne rosacea are

Answer 27

topical antibiotic | metro gel and retinoids

Question 28

treatment for acne vulgaris and rosacea the best agent

Answer 28

papular and pustular

Question 29

is used only for severe cystic acne that is resistant to all other treatment

Answer 29

Isotretinoiin

Question 30

is a non contagious, chronic, recurring skin disorder. Also, a result of abnormally rapid rate of proliferation of skin cells.

Answer 30

psoriasis

Question 31

s/s of psoriasis

Answer 31

typically appears as inflamed. Edematous skin lesion covered with adherent silvery-white scales. Most often appears on the elbows, knees, base of spine and sometimes the scalp. Pitting on the surface of the fingernails

Question 32

treat for psoriasis

Answer 32

steroid creams. sunlight Calcipotriene (Donvonex), vitamin D Tar preparations- shampoos, baths, topical applications. Antimetabolites.

Question 33

steroid creams. sunlight Calcipotriene (Donvonex), vitamin D Tar preparations- shampoos, baths, topical applications. Antimetabolites.

Answer 33

are treatment for psoriasis

Question 34

how should the skin be kept for a pt w psoriasis

Answer 34

moist and piable | humidifiers to increase moisture in the environment

Question 35

Is an allergic reaction with skin manifestations. It can be caused by an infection, malignancy or medication or be categorized as idiopathic.

Answer 35

sjs

Question 36

treatment for sjs

Answer 36

d/c drug, provide supportive care with fluids and nutrition, analgesia for lesions, sedatives if necessary

Question 37

carbamazepine (teg) phenytoin (dil) antimalarial s.p.(fan) ANTIBIOTIC sulfamethoxazole (bacterim)

Answer 37

are medication that can cause sjs

Question 38

what medication that can cause sjs

Answer 38

carbamazepine (teg) phenytoin (dil) antimalarial s.p.(fan) ANTIBIOTIC sulfamethoxazole (bacterim)

Question 39

- an infection of the dermis and subcutaneous tissue and is generally caused by staphylococcus

Answer 39

Cellulitis

Question 40

how would the area will look if you have cellulitis

Answer 40

erythematous swollen and painful

Question 41

how do you treat a pt w cellulitis

Answer 41

antibiotic, and burrows soak

Question 42

is an astringent and topical antiseptic also called

Answer 42

burrow solution and aluminum acetate solution

Question 43

boils or skin abscesses are inflammations of hair follicles. organism usually responsible is staphylococcus aureus

Answer 43

furuncles

Question 44

how would a furuncles look

Answer 44

deep, firm, red, painful, nodule 1 to 5cm diameter large amount of pus and necrotic tissue

Question 45

collection of boils that have multiple pus heads most commonly occur on the back of the neck, upper back and lateral thighs

Answer 45

carbuncles

Question 46

carbuncles

Answer 46

collection of boils that have multiple pus heads most commonly occur on the back of the neck, upper back and lateral thighs

Question 47

it begins as a firm mass and evolves into erythematous, painful, swollen mass. it may drain through many opening in the mass abscesses may develop w fever, chills, and malaise

Answer 47

carbuncles

Question 48

what are the characteristic of carbuncles

Answer 48

it begins as a firm mass and evolves into erythematous, painful, swollen mass. it may drain through many opening in the mass abscesses may develop w fever, chills, and malaise