Tissue Integrity Flashcards

1
Q

How do you acess for dermal ulcers?

A

Location, size, drainage, condition of surrounding skin and depth.

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2
Q

Exemplar

What is the name of the contagious skin infection that mainly affects children, is caused by the staphylococcus or streptococcus bacteria, and is charecterized by itchy blisters?

A

Impetigo

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3
Q

What is the name of the contagious fungal infection found in feet (athlete’s foot)? What is it treated with?

A

Tinea Pedis, antifungal sprays and creams.

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4
Q

Exemplar

What is the name of the yeast infection found in either skin, mouth or vagina? What are treatments?

A

Candida

Treated with medicated powders or creams for skin form. Nystatin liquid or oral form.

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5
Q

Exemplar

What is the medical term for infestations of human lice that is characterized primarily through pruritus?

A

Pediculosis

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6
Q

Exemplar

What do shampoos with pyrethrin and piperonyl butoxide treat?

A

Pediculosis Capitis

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7
Q

Exemplar

What is the name of the autoimmune dermal disorder characterized by scaling patches due to the overproduction of skin cells?

A

Psoriasis

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8
Q

Exemplar

What skin disorder is treated with topical emollients, keratolytic agents, anthralin, UV therapy or immonosuppresants?

A

Psoriasis

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9
Q

Pressure Ulcer Stages

What number is the stage characterized by pain, redness and warmth? The wound is not yet opened and affects surface of skin. How long does recovery last?

A

Stage 1, about 3 days.

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10
Q

Pressure Ulcer Stages

What stage is characterized by partial-thickness (loss of skin) and skin appears to be scraped and may present blisters? How long is recovery?

A

Stage 2, 3 days to 3 weeks.

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11
Q

Pressure Ulcer Stage

Describe a stage 3 pressure ulcer. How long is recovery?

A

Ulcer is much deeper within the skin affecting the fatty layer and a crater may form within the skin. Foul odor may be present with draining. 1-4 months

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12
Q

Pressure Ulcer Stage

What stage represents extreme wound depth by showing muscle and bone tissue? Eschar may be present. How long is recovery?

A

Stage 4, 3 months to 2 years.

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13
Q

Define slough in skin.

A

Debris that appears tan, yellow, green or brown in color.

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14
Q

Define eschar.

A

Hard plaque that’s tan, brown or black in color.

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15
Q

Pressure Ulcer Stage

What is the stage characterized by lack of visible wound bed? Usually necrosis is common in this stage.

A

Unstagable.

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16
Q

What are the phases of wound healing in order?

A

Hemostasis, Inflammatory, Proliferation, and Maturation.

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17
Q

What happends during Hemostasis phase of wound healing?

A

Happends immediately after injury

BV constricts, blood clotting begins, pain and edema are present.

18
Q

What phase of wound healing is characterized by BV constriction, formation of blood clots with pain and edema?

A

Hemostasis

19
Q

Describe the inflmmatory phase of wound healing? How long does it typically last?

A

White blood cells move to wound to destroy bacteria, acute inflammation (pain, heat, redness, swelling and mild temp). Lasts about 2-3 days.

20
Q

What wound healing phase is characterized by WBC moving toward the wound, acute inflammation that lasts 2-3 days?

A

Inflammatory phase

21
Q

Describe proliferation phase. How long does it last?

A

Building of new tissue and scar tissue. Lasts several weeks.

22
Q

What phase in wound healing is characterized by fomation of new tissue and scar tissue that lasts for several weeks?

A

Proliferation phase

23
Q

Describe maturation phase. How long does it last?

A

Collagen in wound is remodeled. Begins after 3 wks of injury, may last for years.

24
Q

What phase in wound healing is characterized by collagen formation that begins 3wks after injury and lasts for years ahead?

A

Maturation (Remodeling) Phase

25
Q

Stages of Wound Healing

What are the names for the three stages of wound healing?

A

Primary, Secondary and Tertiary Intentions.

26
Q

Stages of Wound Healing

Describe the Primary Intention stage of wound healing?

A

Minimal tissue loss, approximated edges, most rapid healing, minimal scarring, healing with sutures or staples.

27
Q

Stages of Wound Healing

What stage of wound healing is characterized by minimal tissue damage, approximated edges, most rapid healing, healed through staples or sutures.

Examples: lacerations or incisions

A

Primary intention healing.

28
Q

Stages of Wound Healing

Describe the secondary intention stage of wound healing?

A

Wound margins are not close together, large wound that requires granulation, scar tissue formation, can present signs of infection and drainage. Takes a little longer to heal.

29
Q

Stages of Wound Healing

What stage of wound healing is charecterized by: wound margins are not close together, large wound that requires granulation, scar tissue formation, can present signs of infection and drainage. Takes a little longer to heal.

A

Secondary intention

30
Q

Stages of Wound Healing

Describe the tertiary stage of wound healing.

A

Delayed closure, wounds left open to reduce edema and infection and then closed, large infected wound.

31
Q

Stages of Wound Healing

What stage of wound healing is charecterized by delayed closure, wounds left open to reduce edema and infection and then closed, large infected wound.

A

Tertiary wound healing.

32
Q

Define dessication in tissues.

A

Removal of moisture from the skin or wounds.

33
Q

Define maceration.

A

The softening and breaking down of skin resulting from prolonged exposure to moisture.

34
Q

Define necrosis.

A

Dead tissue in wound that appears dry, black and leathery. Healing will not take place without removal of dead tissue.

35
Q

Define evisceration.

A

Wound that is characterized by portrusion of organs (primarily with abdominal incisions).

36
Q

If a patient has low serum albumin levels that could cause what?

A

Delayed tissue repair.

37
Q

Define dehiscence.

A

Seperation of wound layers due to excess stress.

38
Q

Where is a sacral pressure ulcer located?

A

Lower back where sacrum bone sits.

39
Q

What are the three types of drainage liquids?

A

Serous, serosanguinous, and sanguineous.

40
Q

Describe serous fluid.

A

Clear, watery plasma.

Example: blister fluid

41
Q

Describe serosanginous fluid.

A

Mix between sanguineous and serous fluid. Usually pink in color. Thin watery drainage tinged with blood.

42
Q

Describe sanguineous fluid.

A

Bright red, indicates active bleeding. Fresh blood.