Derm Flashcards

1
Q

The layer of the skin that provides strength, support and oxygen and contains nerve endings and blood vessels

A

Dermis

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2
Q

Would stage that involves just the epidermis, no loss of skin layers

A

Stage I

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3
Q

Wound stage that may involve draining from the wound, pain, edema and erythema and may be prone to infection due to loss of barrier function

A

Stage II

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4
Q

Would stages that cannot be treated by self-care

A

Sages III and IV

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5
Q

Part of the wound healing process that is the body’s immediate response to injury and lasts 3-4 days

A

Inflammatory

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6
Q

Part of the wound healing process that lasts from 3 days out to 3 weeks

A

Proliferative

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7
Q

Part of the wound healing process that begins around 3 weeks and peaks at 60 days after the injury

A

Maturation/remodeling

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8
Q

Preferred irrigant for wounds that cleans the wound surface by removing dirt and debris

A

Sterile saline 0.9%

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9
Q

Minimum age for phenol-containing antiseptics

A

2 y/o

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10
Q

Antiseptic that can be used on the actual wound (all others should not be)

A

hydrogen peroxide

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11
Q

Topical peptide bacteriocidal (kills) antibiotic against gram positive organisms

A

Bacitracin

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12
Q

Topical aminoglycoside bacteriostatic (inhibits synthesis) antibiotic against gram neg. organisms and some species of staphylcoccus

A

Neomycin

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13
Q

Polypeptide bacteriocidal (kills) antibiotic against gram positive organisms

A

Polymixin B sulfate

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14
Q

Topical antibiotic preparation that is best for minor burns and wounds in which the skin is intact

A

Ointments

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15
Q

Topical antibiotic preparations that are best for broken skin

A

Creams and emulsions

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16
Q

Topical antibiotic preparations that are best when burn or wound area is large

A

Lotions

17
Q

Minimum age for Neosporin + pain relief ointment and cream that contain pramoxine (local anesthetic)

A

2 y/o

18
Q

When Td is needed if contaminated wound and 3 or more doses as a child

A

> 5 years ago

19
Q

When in every pregnancy that Td is needed

A

3rd trimester

20
Q

Time at which wound should be referred if no signs of healing

A

7 days

21
Q

Active ingredient in liquid adhesives

A

8-hydroxy-quinoline

22
Q

Best dressing for wounds with sig. exudate (wet wounds) that are early in the inflammation process

A

Alginates

23
Q

Length of time alginates can be left in wound

A

7 days

24
Q

Product that alginates are made from

A

Seaweed

25
Q

Type of specialty dressing that is preferred for dry wounds that are covered with dead tissue and needed to be rehydrated, typically in the transition from the inflammatory to the proliferative phase

A

Hydrogels

26
Q

Type of specialty dressing that maintains moisture and is best for wounds as healing moves to the proliferative phase, with the formation of new connective tissue

A

Hydrocolloids

27
Q

Ingrediants to make NS

A

1 gallon of water and 8 teaspoons of table salt

28
Q

General recommendation for when to change dressing

A

Every 3-5 days (generally only change if dirty or not intact)

29
Q

Types of burns that have OTC products available with evidence to their effectiveness

A

Hypertrophic and keloid scars

30
Q

Scars that stay within the boundary of the original wound

A

Hypertrophic scars

31
Q

Scars that grow outside the boundary of the original wound

A

Keloid scars

32
Q

How often to change silicone gel and duration of use

A

wear for 12-24 hours for 2-3 months, wash sheet and reapply daily, each sheet can be used for ~4 days

33
Q

Popular product that claims to be softer, smoother and less noticeable but does not actually reduce the visibility of scars

A

Mederma

34
Q

Main ingredient in Mederma

A

Allium cepa (onion) bulb extract

35
Q

2 causes of burns that should always be refered

A

Electrical and chemical

36
Q

Areas of the body that are 4.5% SA

A

Face or back of head

Front of arm or back of arm

37
Q

Areas of the body that are 9% SA

A

Front or back of leg

38
Q

Areas of the body that are 18% SA

A

Front of torso or back of torso

39
Q

The outermost layer of the skin that is avascular and has a barrier function

A

Epidermis