Lesson 7- Tissue Integrity Flashcards

1
Q

What are the protective functions of the skin?

A

Provide a barrier to water, microbes, and damaging UV rays

Protects against infection

Intact skin reduces injury to underlying tissue/ organs

Prevents loss of moisture from surface and structure s

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2
Q

How does the skin regulate body temperature?

A

Evaporation of perspiration draws heat from skin

Blood vessels in skin dilate/ constrict to regulate heat loss

In cold, pilomotor muscles cause hairs to stand on end

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3
Q

How does the skin relate to the psychosocial?

A

External appearance is a major contributor to self-esteem

Skin plays an important role in identification and communication

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4
Q

What role does skin play in sensation?

A

Millions of nerve endings in skin provide sense of touch, pain, pressure, and temperature

Sensory impulses from skin allow the body to adjust to the environment in conjunction with the brain and spinal cord

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5
Q

What vitamin does the skin produce?

A

Vitamin D

A precursor for Vitamin D is present in the skin, once skin is exposed to UV light from sun it creates Vitamin D

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6
Q

What does a break in the surface of the skin trigger?

A

immunologic responses in skin

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7
Q

How does the skin function in absorption?

A

Substances such as medications can be absorbed through the skin for local and systemic effects

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8
Q

How does the skin function in elimination?

A

Water, electrolytes, and nitrogenous wastes are excreted in small amounts in sweat

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9
Q

What are non-modifiable factors affecting the skin?

A

Genetics

Gender and Age

Skin Color

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10
Q

What are modifiable factors affecting the skin?

A

Proper skincare and maintenance

Avoidance of irritants or allergens

Keeping skin clean and moisturized

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11
Q

What are unintentional wounds?

A

Accidental

Occur from unexpected trauma

Occur in an unsterile environment, contamination is likely

Wound edges are usually jagged, multiple traumas common and bleeding uncontrolled

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12
Q

What are intentional wounds?

A

Surgical- intended, planned, done in a controlled sterile environment

Bleeding is usually controlled and incisions are approximated

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13
Q

What is a partial thickness wound?

A

Confined to the skin (dermis and epidermis)

Healed by regeneration

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14
Q

What is a full-thickness wound?

A

Involves dermis, epidermis, subcutaneous tissue, and possibly bone and muscle

Requires connective tissue repair

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15
Q

What is a complex wound?

A

Superficial, partial, or full-thickness skin loss wounds healing by secondary intention

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16
Q

What is the body’s first line of defense against microorganisms?

A

Skin

17
Q

What are the stages of wound healing in order?

A
  1. Hemostasis
  2. Inflammatory Stage
  3. Proliferative Stage
  4. Remodeling Stage
18
Q

What happens in hemostasis?

A

The platelet plug and stable fibrin clot form (involved blood vessels constrict and clotting begins)

“stop the leak”

Occurs right after injury

Exudate is formed = swelling and pain

Increased perfusion = redness, and heat

Platelets stimulate other cells to migrate to the injury to participate in phases of healing

19
Q

What happens in the inflammatory stage?

A

Bacteria and cellular debris are removed

Chemotaxis

“clean up debris”

Lasts about 4-6 days

WBCs move to wound

Macrophages enter wound and remain for an extended time, ingesting debris and releasing growth factors that attract fibroblasts to fill in wound (phagocytosis)

20
Q

What happens in the proliferative stage?

A

Angiogenesis

Reepitheliatization

“rebuild”

Begins within 2-3 days and lasts up to 2-3 weeks

New tissue is built to fill wound space through fibroblasts which build collagen

Capillaries grow across wound

Granulation tissue forms a foundation for scar tissue development

21
Q

What happens in the remodeling stage?

A

Type 1 collagen pr

“improve”

Begins at about 3w - 6m after injury. Can be years

Collagen is remodeled and new collagen tissue is deposited

Scar becomes flat, thin, white line

22
Q

What is the body response in the inflammatory phase?

A

Mild elevated temp

Leukocytosis

General Malaise

At injury” pain, heat, redness, swelling

23
Q

What is essential for wound healing?

A

Adequate blood flow, circulation, and oxygenation