Skin/Hair/Nails Flashcards
Skin Assessment
Color, moisture, temperature, texture, turgor, vascularity, edema, lesions
pallor
Pale color of the skin indicating hypoxia
Jaundice
Yellow color of the skin indicating liver disease or breaking down of RBC
Cyanosis
Blueness of the skin resulting from cold or respiratory failure
Erythema
Sign of inflammation. Redness of the skin
Hydration
Skin is dry and oily
Dryness of skin
r/t dehydration, smoking, stress, sun exposure
Diaphoresis
Sweating
Braden Skin Scale
6-23 range scale that determines likelihood of pressure injury. Anything 18 or below is concerning.
Indurated
Bumpy skin
Turgor
Checks for elasticity in the skin
Tenting
A check to see if the skin is hydrated
Petechiae
Little red dots resulting from popped blood vessels under stress. Could also be related to blood clotting disorder or liver disease
Edema
Swelling of skin
Swelling Edema
Edema that will pit when you press it. In order to assess the severity, judge hoe many mm the edema pits. 2mm=+1, 4mm=+2, etc.
Melanoma
Deadliest form of skin cancer
ABCDE
Method for assessing a mole for melanoma.
Asymmetrical
Border Irregularity
Color
Diameter (6+mm)
Evolving
Hirsutism
Women with excessive hair growth on face
Yellow Nails
Indicate liver disease of lock of calcium
Clubbing
Huge fingernails that are swelling as a result of low oxygen. Indicate hypoxia.
Capillary Refill
Pressing the capillaries to see how quickly they return to their normal color. They should refill in three seconds. If they do not, there is concern for PVD, Heart Failure, Blood Clot, or shock
Alopecia
Hairloss
Boney Prominences
Higher risk for pressure injury
