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Integumentary Med Surg > 43 care with pt with integumentary disorders and burns > Flashcards

43 care with pt with integumentary disorders and burns Flashcards

1
Q

what are the four types of dermatitis

A

contact
atopic
stasis
seborrheic

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2
Q

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

A

Dermatitis

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3
Q

is delayed allergic response involving cell-mediated immunity

A

contact

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4
Q

S/S of contact dermatitis

A

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

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5
Q

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

A

contact

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6
Q

what can cause a contact dermatitis to become irritated

A

cosmetic
soap
latex
and poison ivy

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7
Q

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

A

Atopic Dermatitis aka eczema

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8
Q

S/S of atopic dermatitis

A

Release of histamine so like hives, irritation, bumps

lymphokines

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9
Q

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

A

Atopic Dermatitis: (eczema)

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10
Q

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

A

Stasis Dermatitis

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11
Q

when dealing w/ STASIS DERMATITIS what occurs first

A

Erythema and pruritus comes first

then scaling development of petechiae and hyperpigmentation

lesion may occur around the ankle and tibia

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12
Q

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

they are most common on the scalp

A

Seborrheic Dermatitis:

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13
Q

The cause is unknown

lesion appear as white or yellowish plaque w/ mild pruritus

A

Seborrheic Dermatitis:

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14
Q

how are dermatitis dx

A

by inspection and compiling a complete history

looking for possible exposure to causative substance

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15
Q

Treatment for dermatitis are

and what can you use

A

avoiding contact irritant or allergen

good lubrications
and moisture
Topical agents

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16
Q

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

A

Acne

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17
Q

the two major acne are

A

rosacea and vulgaris

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18
Q

usually begins between ages 30 and 50.

A

acne rosacea

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19
Q

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

A

acne rosacea

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20
Q

acne rosacea s/s

A

erythema (redness),

papules

pustules

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

21
Q

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

A

telangiectases

22
Q

where do rosacea occur

A

on the face over the cheeks and bridge of the nose

23
Q

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

A

comedos

24
Q

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

A

Vulgaris more common

25
Q

increase production of sebum triggers:

formation of blackheads

and whiteheads;

A

Vulgaris

26
Q

vulgaris contribution

A

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

27
Q

treatment for acne rosacea are

A

topical antibiotic

metro gel and retinoids

28
Q

treatment for acne vulgaris and rosacea the best agent

A

papular and pustular

29
Q

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

A

Isotretinoiin

30
Q

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

A

psoriasis

31
Q

s/s of psoriasis

A

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

32
Q

treat for psoriasis

A

steroid creams.

sunlight

Calcipotriene (Donvonex),

vitamin D

Tar preparations- shampoos, baths,

topical applications.

Antimetabolites.

33
Q

steroid creams.

sunlight

Calcipotriene (Donvonex),

vitamin D

Tar preparations- shampoos, baths,

topical applications.

Antimetabolites.

A

are treatment for psoriasis

34
Q

how should the skin be kept for a pt w psoriasis

A

moist and piable

humidifiers to increase moisture in the environment

35
Q

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

A

sjs

36
Q

treatment for sjs

A

d/c drug,

provide supportive care with fluids and nutrition,

analgesia for lesions, sedatives if necessary

37
Q

carbamazepine (teg)
phenytoin (dil)
antimalarial s.p.(fan)

ANTIBIOTIC sulfamethoxazole (bacterim)

A

are medication that can cause sjs

38
Q

what medication that can cause sjs

A

carbamazepine (teg)
phenytoin (dil)
antimalarial s.p.(fan)

ANTIBIOTIC sulfamethoxazole (bacterim)

39
Q
  • an infection of the dermis and subcutaneous tissue and is generally caused by staphylococcus
A

Cellulitis

40
Q

how would the area will look if you have cellulitis

A

erythematous
swollen
and painful

41
Q

how do you treat a pt w cellulitis

A

antibiotic, and burrows soak

42
Q

is an astringent and topical antiseptic also called

A

burrow solution and aluminum acetate solution

43
Q

boils or skin abscesses are inflammations of hair follicles.

organism usually responsible is staphylococcus aureus

A

furuncles

44
Q

how would a furuncles look

A

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

45
Q

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

A

carbuncles

46
Q

carbuncles

A

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

47
Q

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

A

carbuncles

48
Q

what are the characteristic of carbuncles

A

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

Integumentary Med Surg (19 decks)

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