Integumentary Flashcards
1
Q
Herpes zoster (shingles)
A
- pain, tingling, and red papules along dermatomal or nerve distribution
- fever, chills, malaise, GI disturbances
2
Q
Psoriasis
A
- silvery scaly plaques
- common on ears, head, knees elbows
- itching and pain
- may be assosciated with psoriatic arthritis
3
Q
Lupus
A
-red rash with raised red scaly plaques
4
Q
Sclerosis
A
-skin is taut and firmly bound to subcutaneous tissues
5
Q
Polymyositis
A
- edema, inflammation, and degeneration of muscles
- usually proximal muscles, can be fatal
6
Q
ABC’s of malignant melanoma
A
- asymmetry
- border
- color
- diameter
- elevation
7
Q
Arterial ulcer
A
- irregular smooth edges
- distal leg, lateral malleolus, feet/toes
- decreased/absent pulses
- painful w/ no drainage
- trophic changes, pallor, possible gangrene
8
Q
Venous ulcer
A
- irregular dark pigmentation
- distal leg, medial malleolus
- present pulses
- little pain
- moderate-high exudate
9
Q
Types of wound drainage
A
- serous (watery)
- purulent (pus)
- sanguineous (contains blood)
10
Q
Transparent films positives
A
- stage 1, 2 pressure ulcers
- can be secondary dressing
- visual inspection of wound
- impermeable
11
Q
Transparent film negatives
A
- nonabsorptive
- not for wounds w/ fragile surrounding tissues
- not for infected, high drainage, or wounds w/ tracts
12
Q
Hydrocolloids positives
A
- protection of partial thick wounds
- wounds w/ mild exudate
- maintains moist environment
- minimal-moderate absorption
13
Q
Hydrocolloid negatives
A
- not for heavy exudate, tracts, infections, or bone exposure
- odor when removed is normal
- change ever 3-7 days
14
Q
Hydrogel positives
A
- partial/full thick wounds
- necrosis/slough
- fill dead space, rehydrate wound beds
- minimal/moderate absorption
15
Q
Hydrogel disadvantages/considerations
A
- require secondary dressing
- not for heavy exudate
- may dry out
- change every 8-48 hours
16
Q
Foams positives
A
partial/full thickness wounds w/ min-mod exudate
-secondary dressing for wounds w/ packing for additional absorption
17
Q
Foams negatives
A
-not for dry eschar wounds/ no exudate
18
Q
Alginate (seaweed) positives
A
- wounds w/ mod-high exudate
- wounds w/ exudate and necrosis
- wounds that require packing/absorption
- absorb up to 20x
19
Q
Alginate negatives
A
- requires secondary dressing
- not for dry/ light exudate wounds
- can use dry gauze or transparent film as secondary dressing
20
Q
Gauze dressing positives
A
- exudative wounds
- can be used w/ gels or others
- can be used on infected wounds
21
Q
Gauze dressing negatives
A
- delay healing if used improperly
- require secondary dressing
- avoid contact w/ granulating tissue
