Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MedSurg 2 > Week 5 > Flashcards

Week 5 Flashcards

1
Q

What is the wood light examination?

A

UV light produces specific colors to reveal a skin infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

why is a wood light used?

A

to detect lesions; fungal (that are not completely visible to the naked eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the purpose of a biopsy?

A

confirms or rules out malignancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a punch biopsy?

A

what comes from fat (looks like a hole puncher)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is a shave biopsy?

A

when you need to take portions of skin off to autograft and put it on an area where skin is missing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is an excision biopsy?

A

just cuttinnnn it out

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is a patch test?

A

identifies substances causing allergic contact dermatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is psoriasis?

A

chronic, relapsing, proliferative skin disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does psoriasis look like?

A

scaly, thick, silvery, elevated lesions usually on the scalp, elbows, or knees

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what does psoriasis affect first (on the body)?

A

the hands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

when psoriasis progresses, what does it progress to?

A

psoriatic arthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the risk factors for psoriasis?

A
  1. infection
  2. Stress
  3. Hormone imbalances
  4. Obesity
  5. Skin trauma
  6. Seasons
  7. Medications
  8. Genetics
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is plaque psoriasis also called?

A

psoriasis vulgaris

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Is psoriasis bilateral?

A

yep, if its on one forearm, its on the other forearm as well

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what does pruritic mean?

A

itchy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What kind of lesion is psoriasis?

A

secondary lesion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Is there a cure for psoriasis?

A

nauurrrr

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

what is a therapeutic procedure for psoriasis?

A

Phototchemotherpy and ultraviolet light aka (PUVA)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

why is PUVA a last resort?

A

because its ;literal radiation lol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is given for PUVA and why?

A

Methoxsalen; given for PUVA to temporarily make the skin more sensitive to radiation that way the radiation is more effective

this med DOES NOT do the tx itself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

When would you give methoxsalen?

A

1 hour BEFORE tx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are some side effects of methoxsalen?

A

more easily sunburned, cataracts, and skin malignancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

How often will a pt recieve PUVA?

A

tx 2-3 times a week, avoiding consecutive days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what are the points of client teaching for a pt receiving PUVA?

A

eye and skin care

long term effects: premature aging, cataracts, skin cancer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What different medication classes are given to tx psoriasis?

A
  1. Corticosteroids
  2. Tar preparations
  3. Vitamin D analog
  4. Vitamin A
  5. Anti-psoriasis agent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What are the 2 common corticosteroids?

A
  1. Triamcinolone
  2. Betamethasone
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is a tar preparation med for psoriasis?

A

coal tar

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What are the Vitamin A Analog meds for psoriasis?

A
  1. Calcipotriene
  2. Calcitirol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What is a vitamin A med for psoriasis?

A
  1. Tazarotene
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What is a Anti-psoriasis agent med for psoriasis?

A
  1. Anthralin
31
Q

What are the systemic drug therapy classes for psoriasis?

A
  1. cytotoxic meds
  2. Biologic agents
  3. Immunosuppressants
32
Q

What are the cytotoxic meds for psoriasis?

A

methotrexate
Acitretin

33
Q

What are the biologic meds for psoriasis?

A
  1. Etanercept
  2. Infliximab
34
Q

What are the immunosuppressants for psoriasis?

A
  1. Cyclosporine
  2. Azathioprine
35
Q

What is acne vulgaris?

A

an inflammatory disease of the pilosebaceous follicles

36
Q

What are risk factors for acne?

A
  1. Puberty
  2. Occlusive cosmetics
  3. Hormonal changes
  4. High humidity and sweating
37
Q

What are comedones?

A

clinical term for blackhead or whitehead

38
Q

What med that is used to tx HTN can also be prescribed to tx acne?

A

spironolactone

39
Q

What are comedones classified as?

A

noninflammatory

40
Q

What is classified as inflammatory acne?

A

papules
pustules
nodular acne
cystic acne

41
Q

What are side effects of spironolactone?

A
  1. HYPERkalemia
  2. budding breast tissue
  3. orthostatic hypotension
42
Q

How would you explain a papule?

A

cystic/hormonal

43
Q

How would you explain a pustule?

A

you can pop this bishhhh

44
Q

How do you explain nodular acne?

A

not palpable

like forming wheals

45
Q

how would you explain cystic acne?

A

can be pustular or nodular but they come together

46
Q

What med is all an anti androgen forming agent?

A

spironolactone !!!

47
Q

What are topical drug therapies for acne?

A
  1. Benzoyl peroxide
  2. Antimicrobials (erythromycin/clindamycin)
  3. Retinoid
  4. Intralesional corticosteroids
48
Q

What is an example of retinoids?

A

Accutane (isotretinoin)

49
Q

Whats important to know about accutane?

A
  1. Its a tetragen which can cause birth defects
  2. Look t changes in mood! People are at an increased risk for suicidal ideation
50
Q

What causes contact dermatitis?

A

caused by direct exposure to allergen, chemical, or mechanical irritation

51
Q

what are clinical manifestations of contact dermatitis?

A
  1. Well-demarcated localized rash
  2. Areas of dermatitis frequently take the shape of the causative agent
  3. Distribution varies depending on the cause and exposure to the allergen
52
Q

What is atopic dermatitis?

A

is also referred to as eczematous dermatitis

53
Q

What causes atopic dermatitis?

A

Caused by allergens or chronic skin disease

54
Q

What are risk factors of atopic dermatitis?

A
  1. Genetic Predisposition
  2. Stress
55
Q

What are clinical manifestations of allergic conditions in infants?

A
  1. Erythematous rash with serious exudate
  2. Commonly on face, chest, and shoulders
56
Q

What are clinical manifestations of allergic conditions in adults?

A
  1. Dry, scaly, pruritic rash
  2. Often on flexor surfaces
57
Q

what are clinical manifestations of an acute allergic stage?

A
  1. Bright erythema
  2. Oozing vesicles
  3. Extreme pruritus
58
Q

What are clinical manifestations of chronic stage of allergies?

A
  1. Chronic rash
  2. Lichenification
  3. Distribution: face, neck, upper torso, along skin folds (antecubital and popliteal).
59
Q

What are the different drug therapies for allergic conditions?

A
  1. Steroid therapy
  2. Antihistamines
  3. Immunosuppressants
60
Q

What are the different steroid therapies for allergic conditions?

A
  1. Hydrocortisone
  2. Prednisone
  3. Betamethasone
  4. Triamcinolone
61
Q

what are the different antihistamines for allergic conditions?

A
  1. Diphenhydramine
  2. Certirizine
62
Q

What are the different immunosuppressants for allergic conditions?

A
  1. Tacrolimus
  2. Pimecrolimus
63
Q

What are the nursing interventions for allergic conditions?

A
  1. elimination of the allergen
  2. Comfort measures
64
Q

What would be some comfort measures for someone with an allergic condition?

A
  1. Cool, moist compress
  2. Lukewarm baths with bath additives
65
Q

What is on the eczema prevention checklist?

A
  1. Moisture everyday, especially within 3 minutes after bathing
  2. Wear cotton or soft fabrics
  3. Take lukewarm baths and showers using mild soap or non-soap cleanser
  4. Pat skin dry gently with a soft towel; do not rub
66
Q

What is urticaria?

A

the result of type 1 hypersensitivity

67
Q

what is urticaria often a part of?

A

anaphylaxis

68
Q

What is highly pruritic?

A

lesions

69
Q

What drug therapy is used for acute urticaria?

A

epinephrine

70
Q

Why do you use epinephrine for acute urticaria?

A

because urticaria can progress to life-threatening angioedema or anaphylactic shock

71
Q

What antihistamines are used for urticaria?

A
  1. Diphenhydramine
  2. Hydroxyzine
  3. Loratadine
  4. Cetrizine
  5. Fexofenadine
72
Q

What corticosteroids are used for urticaria?

A
  1. Prednisone
  2. Methylprednisolone
73
Q

What immunosuppressants are used for urticaria?

A

cyclosporine

74
Q

What are some nursing interventions for someone with urticaria?

A
  1. Check for angioedema!!
  2. Administer epinephrine and first aid if angioedema is present
  3. Teach client to avoid triggers

MedSurg 2 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions