Skin Flashcards
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
What are the 1 step for caring for skin tear
Gently cleanse the skin tear with saline
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
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
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
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
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
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
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
Different way of skin biopsy
P.e.s
Shave
punch
excisional
Removing a sample tissue(biopsy)from a skin lesion usually is performed with local anesthetic
Skin biopsy
By removing a core From the center of the lesion
Punch biopsy
By excising The entire lesion
Excisional biopsy
By shaving the top layer of a lesion that rises above the skin line
Shave biopsy
Skin biopsy is used to the differentiate from
It also helps identify
Malignant lesion and benign
The causative organism and bacteria and fungal infection
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
Sutures from excisional biopsy will need to be removed and how many days in the face
3 to 5 days
Sutures from excisional biopsy will need to be removed from the
scalp chest abdomen and arms
Within how many days
7 to 10 days
Sutures from in excisional biopsy will be need to remove from the
back and legs
w/in how many days
12 to 20
Drainage is
Exudate
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
Various things and solution are used to repair the skin, hair, scales, or nails material for study
Microscopic test
This test identifies fungal, bacterial, and viral organism
Microscopic test
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
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
Close
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
