Integumentary Flashcards

1
Q

Herpes zoster (shingles)

A
  • pain, tingling, and red papules along dermatomal or nerve distribution
  • fever, chills, malaise, GI disturbances
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2
Q

Psoriasis

A
  • silvery scaly plaques
  • common on ears, head, knees elbows
  • itching and pain
  • may be assosciated with psoriatic arthritis
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3
Q

Lupus

A

-red rash with raised red scaly plaques

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4
Q

Sclerosis

A

-skin is taut and firmly bound to subcutaneous tissues

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5
Q

Polymyositis

A
  • edema, inflammation, and degeneration of muscles

- usually proximal muscles, can be fatal

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6
Q

ABC’s of malignant melanoma

A
  • asymmetry
  • border
  • color
  • diameter
  • elevation
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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
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8
Q

Venous ulcer

A
  • irregular dark pigmentation
  • distal leg, medial malleolus
  • present pulses
  • little pain
  • moderate-high exudate
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9
Q

Types of wound drainage

A
  • serous (watery)
  • purulent (pus)
  • sanguineous (contains blood)
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10
Q

Transparent films positives

A
  • stage 1, 2 pressure ulcers
  • can be secondary dressing
  • visual inspection of wound
  • impermeable
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11
Q

Transparent film negatives

A
  • nonabsorptive
  • not for wounds w/ fragile surrounding tissues
  • not for infected, high drainage, or wounds w/ tracts
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12
Q

Hydrocolloids positives

A
  • protection of partial thick wounds
  • wounds w/ mild exudate
  • maintains moist environment
  • minimal-moderate absorption
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13
Q

Hydrocolloid negatives

A
  • not for heavy exudate, tracts, infections, or bone exposure
  • odor when removed is normal
  • change ever 3-7 days
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14
Q

Hydrogel positives

A
  • partial/full thick wounds
  • necrosis/slough
  • fill dead space, rehydrate wound beds
  • minimal/moderate absorption
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15
Q

Hydrogel disadvantages/considerations

A
  • require secondary dressing
  • not for heavy exudate
  • may dry out
  • change every 8-48 hours
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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