skin integrity (3) Flashcards
what are the 3 types of dermatitis
- contact
- diaper
- seborrheic
what kind of dermatitis is an allergic rxn, is tchy, red, has vescicles that burst
contact dermatitis
what kind of dermatitis has raw, moist, weeping macules/papules, can cause yeast inf
diaper dermatitis
how is diaper dermatitis managed?
cream, gauze no diaper
what kind of dermatitis is from overactive sebaceous glands
seborrheic dermatitis
how is seborrheic dermaitits treated?
daily shampoo
what is an epidermal infection caused by group a beta hemolytic streptococcus/staphylococcus infection
impetigo
what are common sites of impetigo
face, mouth, hands, neck, extremities
what condition will have…
* bumps on face
* red-watery bumps with yellow fluid
impetigo
which of the following are used to treat impetigo?
* Remove crusts with warm water and antiseptic soap
* Topical bactericidal ointment for 5 days
* If no improvement with topical ointments, call PCP as Tim may need p.o. antibiotics
all of them
which of the following advice is given for impetigo?
* It’s okay to share towels with siblings
* There is no need to change Tim’s bed linens since he is on antibiotics
* Keep Tim’s fingernails short and clean
only fingernails
what fungal infection is characteried by white patches on oral mucosa
thrush
how is thrush caused?
delivery of baby, corticosteroid use
how is thrush treated?
oral nystatin
what does ring worm effect
skin/hair/nails
what are ring worm infections called
“tinnea”
how is ring worm spread?
person-person
how is ring worm treated?
antifungals (oral/topical)
what is atopic dermatitis also called?
eczema
what is the occurence of eczema
chronic/relapsing
manifestations of eczema
- red, dry, patchy skin
- vascicles
- exudates
- crusts
- intense pruritis
- dark/thick skin
which of the following is included in home care for eczema regarding skin care?
a) Hydrate and lubricate the skin to reduce itching
b) Thoroughly dry Sam’s skin after his bath
c) Apply moisturizers once a day
d) Use lotions rather than ointments on Sam’s skin
A
what is lice also called
pediculosis capitis
do lice jump
no
where does itching from lice come from
snesitization to lice saliva
which of the following is a symptom of lice?
a) Mild itching
b) “Dandruff” that sticks to hair
c) Located all over the scalp
d) The lice jump from person to person
B
what is the general thing that treats lice?
pediculocytes (NIX, RID)
What is NIX?
gets rid of lice, permethrin 1% cream!
when ages can nix (permethrin 1% cream) be used in?
older than 2 m.o.
what is RID
pyrethrin shampoo used to treat lice
which of the following are measures included in the treatment of lice?
a) Shampooing is sufficient
b) Wash clothing and linens in cold water and air dry
c) Bicycle helmet, batting helmets and headphones should be washed or sealed for two weeks
d) Vacuum carpets and furniture
C and D
what burns are exposure to flames or scalds, or contact with hot object
thermal burn
what burn is from touching or ingesting caustic agents
chemical
what burn is from exosure to current in electrical wires, appliances, or high-voltage wires
electrical
what kind of burn is from sunlight or radioactive substances
radioactive
what tissues are effected by a partial thickness burn?
epidermis and upper dermis
what degrees of burns are patial thickness
1st and 2nd
can tissues heal in partial thicknes sburns
yes
what degree burn is full thickness
3rd
can tissues regenerate in full thickness burns
no
what are the priorities during burns
circulation, airway, breathing
what needs to happen with a burn from lightning
resusscitate immeidately
what is done for decreased fluid loss from burns
fluid replacement
what is done for burn pain control
IV opioids, pain control very important
what infections can come from burns
pneumonia, sepsis, renal failure
what is done to promote nutrition after a burn
continuous enteral feedings, vitamin supplements
what should be done to any open burn blisters
debridement and topical antibiotic
how often should burn dressing eb changed?
daily