Integumentary Flashcards
What is Nociceptive:
response to injury of tissues, skin and muscles.
What is neuropathic
nerve pain resulting from nervous system damage
how to ensure good wound healing
protect the wound and keep it clean, good alignment, no infection, correct structure material, good hydration and nutrition
Treatment of burns
o ABC
o apply water to area for at least 20 minutes
o analgesia
o antibiotics
o scar management.
WHat is Escharotomies:
emergency surgical procedure involving incising through areas of burnt skin
What type of Fluid Resuscitation would be used for burns and how often
o Parkland formula (most common) – 50% given in first 8 hours, 50% given in next 16 hours.
What are included in Crystalloid solutions:
includes mineral salts and electrolytes
Types of crystalloid solutions and when are they used
- saline = isotonic, extracellular fluid replacement
- dextrose = hypoglycemic or hypernatremia pt
- hartman’s solution = hemorrhage, trauma, surgery, burns
types of colloid solutions
o Blood products– start transfusion slowly, monitor first 15 minutes to ensure nil reaction
o dextran
What are pressure injuries
breakdown of skin integrity due to unrelieved pressure of some type.
Risks of developing pressuring injuries
o poor nutrition
o immobile
o diabetes
o incontinence
stages of pressure injuries
- Skin completely intact, area is red but does not blanch (turn white when pressed on).
- Skin is visibly damaged and not intact with atrial loss of the dermis, nil fatty tissue visible.
- Skin visibly damaged, full loss of skin tissue. Fatty tissue may be seen, wound edges may be rolled away.
- Skin visibly damaged with full loss of tissue, exposed bone, muscle, tendons, ligaments.
treatment of pressure injuries
o Braden scale
o keep dry
o minimize pressure by turning
o air mattress, wound care.
What are shingles
A reactivation of the chickenpox virus in the body, causing a painful rash.
Risks for developing shingles
previous chicken pox
