Chapter 34, Pressure Ulcers Flashcards

0
Q

What are signs and symptoms of an infection?

A
Red apparel
Edema
Discharge
Warm skin
Pale skin
Flushed
Cryptic
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1
Q

What does the skin do for our body?

A

Keeps us together
Keeps bacteria out
Temp regulation-sweat, goose bumps, shiver
Stores vitamins

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2
Q

What happens to the skin as one ages?

A
Increase in dry skin
Decrease in glands
Decrease in temp regulation
Decrease in elasticity of skin
Increase in skin tabs
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3
Q

What is ecchymosis?

A

A bruise

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4
Q

What is a hematoma?

A

Swelling under the skin, blood vessel breaks

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5
Q

What are signs and symptoms of melanoma?

A

Irregular coloring and shape

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6
Q

How are pressure sores caused?

A
Poor nutrition
Elderly
Over weight
Immobile
Poor circulation
Hard surface
Fragile skin
Very thin person
Incontinent 
Dehydrated
Edema
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7
Q

What can you do as a CNA to prevent pressure sores?

A
Check skin every 2 hours
Change and position every two hours
Wash and dry in between changing
Apply lotion
Increase protein
Force fluids
Notify nurse
Tell next shift during change in shift
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8
Q

What is shearing?

A

When layers of the skin rub against each other, skin rips, top layer comes off

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9
Q

How do you as a CNA take care of a skin tear?

A

Tell nurse, stop bleeding, clean with soap and water, file an incident report

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10
Q

What are thermal burns?

A

Burns from the water

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11
Q

What are electrical burns?

A

Burns from an outlet, or electrical wire

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12
Q

What is a chemical burn?

A

Ate/drank something bad

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13
Q

What is a 1st degree burn?

A

Red, hurting skin, treated with cold water

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14
Q

What is a 2nd degree burn?

A

Red, blister, more pain that 1st degree

Treated with lotion, cold water, if size of pal, must go to ER

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15
Q

What is a 3rd degree burn?

A

Burn through all skin layers
Black skin
Must got to ER

16
Q

What is a stage one pressure sore?

A

Reddened area on skin

17
Q

What is a stage two pressure ulcer?

A

Partial skin loss, open sore, red around sore, blister

18
Q

What is a stage 3 pressure ulcer?

A

Looks like a crater
Tissue damage below the skin
Some fat. Aye be exposed

19
Q

What is a stage 4 pressure ulcer?

A

Sore so deep, causes damage to muscle, bone, sometimes tendons and joints
Dead skin around sore may be loose