Skin Flashcards by Kensia Saintluc

What are the step for caring for skin tear

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

If bleeding continues apply pressure I’m dress with Alginate and secondary dressing

And the flap should not be disturbed for about five days to allow the skin flab to adhere

Assess and measure the size of the skin tear document assessment and treatment

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What are the 1 step for caring for skin tear

Gently cleanse the skin tear with saline

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What are the 1&2step for caring skin tear

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

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What are the 1&2&3 step for caring skin tear

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

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What are the 1&2&3&4 step for caring skin tear

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

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What are the 1&2&3&4&5 step for caring skin tear

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

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What are the 1&2&3&4&5&6 step for caring skin tear

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

If bleeding continues apply pressure I’m dress with Alginate and secondary dressing

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What are the 1&2&3&4&5&6&7 step for caring skin tear

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

If bleeding continues apply pressure I’m dress with Alginate and secondary dressing

And the flap should not be disturbed for about five days to allow the skin flab to adhere

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What are the 1&2&3&4&5&6&7&8 step for caring skin tear

Gently cleanse the skin tear with saline

Allow the area to air dry or pat dry gently and carefully

If the skin tear flap has dried remove using scissors and sterile technique

If the skin tap is viable gently roll the flap back into place using a moisten cotton tip applicator

If bleeding has stopped silicone coating net dressing or petroleum based protective ointment

If bleeding continues apply pressure I’m dress with Alginate and secondary dressing

And the flap should not be disturbed for about five days to allow the skin flab to adhere

Assess and measure the size of the skin tear document assessment and treatment

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Different way of skin biopsy

P.e.s

Shave
punch
excisional

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Removing a sample tissue(biopsy)from a skin lesion usually is performed with local anesthetic

Skin biopsy

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By removing a core From the center of the lesion

Punch biopsy

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By excising The entire lesion

Excisional biopsy

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By shaving the top layer of a lesion that rises above the skin line

Shave biopsy

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Skin biopsy is used to the differentiate from

It also helps identify

Malignant lesion and benign

The causative organism and bacteria and fungal infection

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After how many hours can you remove a skin biopsy bandage

And how many times is it clean in a day

12 to 24 hours

Twice a day

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Sutures from excisional biopsy will need to be removed and how many days in the face

3 to 5 days

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Sutures from excisional biopsy will need to be removed from the

scalp chest abdomen and arms
Within how many days

7 to 10 days

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Sutures from in excisional biopsy will be need to remove from the

back and legs

w/in how many days

12 to 20

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Drainage is

Exudate

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How is wound culture obtained

A sample of EXUDAte is taken from the lesion and sent to the laboratory for culturing

Once the organism has been cultured colonies can be tested for sensitivity to create anti-infective agent

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Various things and solution are used to repair the skin, hair, scales, or nails material for study

Microscopic test

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This test identifies fungal, bacterial, and viral organism

Microscopic test

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Inspection of the skin is one of the principal means by which the skin lesion are diagnose

To facilitate the diagnosis of the certain kind of skin disorder special light may be used by the examiner

Special light inspection

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Is one of the lights in which the light is transmitted through quartz or plastic structure to dissipate the heat Can be applied directly on the skin(malignant changes)

Cold light

Specially designed UV light useful to diagnose fungal infection of the scalp and chronic bacteria infection of the major folds of the skin fungal lesions and ERYTHRASM are fluorescent

WOOD light

Uses glass slide or lens press down over the area to be examined blanching the skin and thereby reducing erythema arrhythmia caused by increasing blood flow to the area the shape of underlying lesion is then revealed

Diascope

What are the three methods to suspect an allergic nature

Prick testing patch testing and intradermal injection

Test chemicals or substance are introduced to unaffected skin usually on the forearm or the back superficial scratches

Prick

The allergen is applied to the skin in the form of an adhesive patch and left for two days

Patch testing

The allergen can also be introduced by__injection if localized reaction produces a WHEAL occurs the test is positive

I intradermal injection

Is used to detect allergic contact dermatitis type IV hyper sensitivity reaction this includes allergy to hair dye shoes active ingredient fragrance and sunscreen cosmetic

Patch testing

Smooth slightly elevated area that is pale or reddened

Wheal

Does a biopsy need a consent form

Yes

Are common in older adults They appear as wartlike greasy lesions on the trunk arm, scalp , and sometimes the face They are not a cause for concern

Seborrheic keratoses

When the skin of a darkly pigmented person is damaged, scar tissue may be hyper trophy forming a____

Keloid

A thick ridge scar tissue that stands out from the surrounding skin

Keloid

Shine a light if the Lesion has no shadow it is Circumscribed, flat area with a change in skin color freckles PETECHiAE measles flat maple

Macule

Examples of MACULE

Freckles PETECHIAE measles and flat mole

Shiner light if the Legion has a shadow it is Wart elevated moles lipoma basal cell carcinoma

Papule

Example of Papule

Wart Elevated moles Lipoma Basal cell carcinoma

When checking temperature of the skin what side of the hand should you use

The back of the hand

Bleaching indicates

That the redness is temporary and will resolve one pressure on the area is relieved

Circumscribed superficial collection of serous fluid Varicella Herpes zoster Second-degree burn

Vesicles

Example of vesicles

Varicella Herpes zoster Second-degree burn

circumscribed elevated superficial solid lesions Psoriasis Seborrrheic Actinic Keratoses

Plaque

Example of plaque

Psoriasis Seborrrheic Actinic Keratoses

Firm edematous irregularly shaped area diameter variable Insect bite Urticaria

Wheal

Example of wheal

Insect bites | Urticaria

Elevated superficial Legion filled with purulent Acne Impetigo

Pustule

Example of pustules

Acne | Impetigo

Dry itchiness

Pruritus

Patches of ___ | Deep red areas, may occur even from minor injuries so be gently when test for skin turgor

Senile purpura

When caring for a patient with skin disease bathing with soap is usually

Contraindicated in all inflammatory condition of the skin

When caring for a patient with skin disease dressing covering the skin lesion have been applied by Can it be removed

Healthcare provider Should not be removed when the patient is admitted unless there is specific orders tto do so

When caring with the patient with skin disease you should not remove any and when can you

Scales Crust or other Exudate Until the provider has an opportunity to examine the patient

When caring for a patient with skin disease Observed the skin very carefully at the time of and how would you document it

Admission record the observation on the chart or report them to the charge nurse

When caring for a patient with skin disease can you use lotion are others skin product

No it’s should not be used unless the provider have approved

What are some agents added to water for medicated bath What is the purpose It also helps with

Sodium bicarbonate sodium chloride corn starch oatmeal pre-manganate For soothing of the skin It helps relieve itching and burning commonly associated skin disease

What are the two general wet dressing used

Open and close dressing

Must be changed repeatedly and I never allowed to dry they are usually really moist every 20 to 30 minutes Dissolution should be used at room temperature or warmer

Open

This type of dressing is used when the dermatologist wishes to have air circulating to the skin lesion

Open

Are thoroughly soaked with the prescribe solution and wrapped with an airtight, waterproof material

When changing a wet dressing expect a skin adjacent to the wound for signs of

Maceration from the moisture this condition can cause the wound to enlarge

Mini skin lesions are treated by directly apply medication to the surface of the affected area this is called

Topical therapy

Dry the area thoroughly before applying powder to prevent caking Do not apply to raw denuded area Cornstarch can you serve as culture media for a growth of bacteria

Powder

Only use small amount and gently massage into the skin until a thin film covers the area Tent to leave a greasy feeling to the skin best for chronic lesions Avoid putting on areas where the skin is crease and overlap

Ointment

Semi solid make sure that tends to liquefy when applied on skin dries quickly leaving thin non-occlusive film It applies to abraded or sensitive area alcohol in the base can cause burning or stinging sensation

Gels

Are Powder suspended and water they will leave a residue once liquid evaporates from the skin this residue should be washed off before fresh Dose is applied Are you sure that powder is uniformly dispersed And the solution before applying then use firm strokes to distribute the medication evenly do not dab is it irritate the skin

Lotion

Always apply topical medication sparingly in a thin film that extends beyond the affected area about 1/4 inch So much of some topical medication can chemically irritate the skin and delay healing thicker layers also tend to soften the skin so much If the skin condition appears to be getting worse after a topical agent is applied of the patient developed eczema suspect allergic reaction contact dermatitis

All type

What are the 2 skin layers?

The epidermis and dermis

consist of squamous epithelium and contains no blood vessel

epidermis

also called the corium is thicker than the epidermis and consist of dense connective tissue

dermis

Where does skin cell growth occur?

From the bottom of the epidermis and pushes cells above the surface

What are melanocytes?

Contribute to the color of the skin

What is contained inside the dermis layer of the skin?

both elastic and collagenous fibers that give it strength and elasticity blood vessels, nerves, nails

What types of glands are located in the skin?

Sebaceous ( sweat producing) or Ceruminous (wax producing)

What is the importance of vitamin D?

Helps prevent osteoporosis in older adults, because of absorption of calcium