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Nursing IV > Integumentary System Gas #21 > Flashcards

Integumentary System Gas #21 Flashcards

1
Q

Keratin

A

In epidermis layer, forms outer barrier of the skin and can repel pathogens and prevent excessive fluid loss from the body

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2
Q

Layers of the dermis

A

Papillary & reticular

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3
Q

Dermis:papillary function

A

Produces collagen, contains capillaries and receptors for pain and touch

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4
Q

Dermis:reticular function

A

Blood vessels, sweat, collagen fibers

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5
Q

Subcutaneous layer function

A

Contains adipose tissue which permits skin mobility, molds body contours, insulates the body

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6
Q

Eccrine &apocrine glands

A

Produce sweat

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7
Q

Ceruminous glands

A

Secrete yellow brown waxy cerumen (ear wax)

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8
Q

Epidermis function

A

Protects tissues, prevents water loss, water repellant layer, contains keratin

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9
Q

Difference between pruritis, xerosis, psoriasis

A

Pruritis-itching, xerosis-dry skin, psoriasis-build up of keratin

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10
Q

Where is xerosis usually found

A

Older adult due to decreased skin lubrication and moisture

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11
Q

Pruitis/causes

A

Unpleasant sensation of skin itching, prickly, burning; animals plants fabrics meds can cause this

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12
Q

Pruritis treatments

A

Avoid hot water, use mild soap and warm water, cool compresses, avoid alcohol, use humidifiers, apply bland emollients daily

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13
Q

Pruritis treatment medications

A

Creams-nutraderm, ointments-Vaseline, lotions-calamine, antibiotics-bacitracin, corticosteroids, antihistamines-Benadryl

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14
Q

Psoriasis

A

Chronic noninfectious, inflammatory disease, increased epidermal cells (overproduction of keratin), raised red round plaques covered c thick silvery scales

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15
Q

Causes of psoriasis

A

Stress anxiety trauma can aggravate it, unknown cause

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16
Q

Psoriasis treatment

A

Topical, systemic, photo chemotherapy

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17
Q

Psoriasis topical treatment/made out of

A

Tar products, tazarotene is made from vit A, TIM’s, corticosteroids & you wrap with plastic film after it is applied

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18
Q

Psoriasis systemic therapy

A

Methotrexate, cyclosporine

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19
Q

Psoriasis photochemotherapy /risks

A

PUVA, pt takes a photo sensitivity med exposing themselves to a long wave of ultraviolet light, risks: skin ca, cataracts, premature skin aging

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20
Q

MRSA s/s

A

Small red bumps, boils or “spider bites”, they become deep painful abscesses

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21
Q

MRSA causes

A

Unnecessary antibiotic use, antibiotics in food & water, germ mutation

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22
Q

MRSA risk factors

A

Current or recent hospitalization, long term care, invasive devices, recent antibiotic use (cipro, cephalosporin)

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23
Q

Risk factors for CA-MRSA

A

Young age, contact sports, sharing towels/athletic equipment, weakened immune system, crowded unsanitary conditions, health care workers

24
Q

Folliculitis/ how do you get it

A

A bacterial infection of a hair follicle, shaving, stye, poor hygiene

25
Q

Folliculotis turns into what

A

Furuncles

26
Q

Furuncles

A

Boils, inflammation of one or more hair follicles that spreads to surrounding dermis, usually staph. aureus

27
Q

Furuncles can turn into what

A

Carbuncle

28
Q

Carbuncle

A

An abscess of the skin and sq tissue, an extension of a furuncle. Appears where skin is thick and inelastic

29
Q

Systemic symptoms of a carbuncle

A

Fever, malaise, chills

30
Q

Carbuncle treatment

A

Systemic antibiotics:cloxacillin, dicloxacillin, flucloxacillin

31
Q

Carbuncle teaching

A

Don’t squeeze boil contact precaution if drainage

32
Q

Cellulitis is an infection of what skin layers

A

Dermis and sq tissue

33
Q

Cellulitis s/s and systemic s/s

A

Red, swollen, painful systemic s/s:fever, swollen lymph glands, malaise

34
Q

Impetigo/what is it cause by

A

Contagious superficial infection of the skin caused by staph strep, or multiple bacteria

35
Q

Impetigo s/s

A

Honey colored serous liquid that hardens into a crust

36
Q

Impetigo incubation period

A

4-10 days

37
Q

How long do kids with impetigo have to stay out of school?

A

Keep out of school until they have treatment with antibiotics

38
Q

What will spread the infection with impetigo

A

Itching

39
Q

Fungal infection medication/how long until it works/ what do you take it with

A

Griseofulvin, takes 3-4 wks to work, take with fatty foods

40
Q

Do you treat partner with candidiasis?

A

Yes

41
Q

Capitis

A

Head

42
Q

Corporis

A

Body

43
Q

Pubis

A

Groin

44
Q

Live hatch in how many days and mature in how many wks

A

10 days; 2 wks

45
Q

Lice treatment

A

1% permethrin

46
Q

How long after lice treatment do you repeat?

A

7-10 days

47
Q

Scabies s/s

A

Intense pruritis, papular rash, excoriations

48
Q

How long does it take for symptoms to appear with scabies

A

4 weeks

49
Q

Scabies treatment

A

Warm, soapy bath, dry and cool skin before application of lindane, crotamiton, permethrin which is left on for 24 hours then washed off then reapplied for 24 hours

50
Q

Shingles (herpes zoster) s/s

A

Painful, vesicular eruption along nerve path

51
Q

Shingles treatment

A

Acyclovir (Zovirax) is administered 24 hrs of initial eruption. IV administration reduces pain. Lyrica/neurontin can be give for spasmodic pain

52
Q

Scabies treatment

A

Warm, soapy bath, dry and cool skin before application of lindane, crotamiton, permethrin which is left on for 24 hours then washed off then reapplied for 24 hours

53
Q

Seborrheic

A

Atopic dermatitis. Common in the skin and scalp, eyebrows, ear canals, axillae and trunk

54
Q

Exfoliative

A

Atopic dermatitis. Excessive peeling or shedding of skin, cause is unknown

55
Q

Where do malignant melanomas metastasis first

A

Regional lymph nodes

Nursing IV (20 decks)

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