skin Flashcards
RN care for aging skin-5
- don’t rely on degree of redness/swelling to correlate w degree of injury/infection
- increase risk for sunburn
- pigmented lesions (s/s malignancy)
- multivitamin or Ca w vit D
- reposition q 2 hrs
primary lesions
initial reaction
secondary lesion
change in primary lesion
lichenfield
thickened-caused by scratching
ABCDE
Assymmetry, Border, Color, Diameter, Evolving
petechiae
1-3mm, don’t blanche
-capillary fragility
ecchymosis
greater than 3mm
annular
ringlike w raised borders around flat clear center of skin
circinate
circular
circumscribed
well defined w sharp borders
coalesced
lesions that merge w one another and appear confluent
diffuse
widespread involving most of body
universal
all areas of body involved w no normal skin
macules
flat, less than 1cm
-freckles, flat moles, rubella
nodules
elevated marble-like more than 1cm
-lipomas
patches
macules greater than 1cm, may have scales/wrinkles
-vitiligo, cafe au lait
cysts
nodules filled w matter that can be expressed
papules
small firm elevated less than 1 cm
-warts, elevated moles
vesicles/bullae
blisters
v-less than 1cm
b-more than 1cm
pustules
vesicles w purulent fluid
-acne, acute impetigo
wheals
elevated irregular shape transient
-insect bites, urticaria
erosions
wider than fissures, only epidermis
-varicella
secondary lesions-6
- scales
- ulcers
- crust/ooze
- lichenifications
- fissures
- atrophy
paronychia
inflammation of skin around the nai
dark skin w thrombocytopenia
petechia may be present on oral mucosa or conjuctiva
