Understanding Medical Surgical Nursing, 4th Edition Nursing Care of Patients with Skin Disorders
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology Pressure Against Skin Tissue Anoxia Etiology Pressure Friction Shear
Understanding Medical Surgical Nursing, 4th Edition Immobility Impaired Circulation Impaired Sensory Perception Elderly Very Thin or Obese
Understanding Medical Surgical Nursing, 4th Edition Assess Daily Cleanse and Dry Daily and PRN Lubricate Daily Clean Incontinence Promptly Use Moisture Barrier PRN Do Not Massage Reddened Areas Shift every Weight every 15 min
Understanding Medical Surgical Nursing, 4th Edition Turn/Reposition at Least every 2 hr Keep Heels Off Bed Pad/Protect Bony Prominences Use Pressure-Reducing Mattress Use Lift Sheet to Move Provide Nutrition and Hydration
Understanding Medical Surgical Nursing, 4th Edition Sensory Perception Moisture Activity Mobility Nutrition Friction and Shear
Understanding Medical Surgical Nursing, 4th Edition Pain Open Ulcerated Area Color Tip Black: Necroses Yellow: Infection Red: Healing
Understanding Medical Surgical Nursing, 4th Edition Physical Examination Culture and Sensitivity Blood Supply Studies Wound Biopsy
Understanding Medical Surgical Nursing, 4th Edition Remove All Pressure Debride Mechanical Enzymatic Autolytic Surgical Cleanse 4 – 15 PSI
Understanding Medical Surgical Nursing, 4th Edition Types Hydrogel Polyurethane Film Hydrocolloid Wafer Biological Alginate Gauze Moist Environment Caution with Tape
Understanding Medical Surgical Nursing, 4th Edition Deep Tissue Injury I – Skin Intact, Red, Does Not Blanch II – Partial Thickness Skin Loss III – Full Thickness Skin Loss, May Have Eschar IV – Damage to Muscle, Bone, or Support Structures Unstageable
Understanding Medical Surgical Nursing, 4th Edition Impaired Skin Integrity Risk for Infection Pain
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology Inflammation of the Skin Etiology Allergens Irritants Heredity Stress
Understanding Medical Surgical Nursing, 4th Edition Contact Irritant Allergic Atopic Seborrheic
Understanding Medical Surgical Nursing, 4th Edition Rash, Itching Lesions Scales Crusts Fissures Macules Papules Pustules
Understanding Medical Surgical Nursing, 4th Edition Infection Sepsis
Understanding Medical Surgical Nursing, 4th Edition History and Physical Culture and Sensitivity
Understanding Medical Surgical Nursing, 4th Edition Antihistamines Analgesics Antipruritics Steroids Colloidal Oatmeal Baths Wet Dressings
Understanding Medical Surgical Nursing, 4th Edition Impaired Skin Integrity Disturbed Body Image Deficient Knowledge
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology Inflammatory Disorder Proliferation of Epidermal Cells Scaling
Understanding Medical Surgical Nursing, 4th Edition Stress Strep Pharyngitis Hormone Changes Cold Weather Skin Trauma Some Drugs
Understanding Medical Surgical Nursing, 4th Edition Papules, Plaques Silvery Scales Itching
Understanding Medical Surgical Nursing, 4th Edition Infection, Fever, Chills Arthritis Nail Changes Lymphadenopathy
Understanding Medical Surgical Nursing, 4th Edition Physical Assessment Rule Out Infection
Understanding Medical Surgical Nursing, 4th Edition Tub Baths Corticosteroids Salicylic Acid Keratolytics Vitamin D Creams Retinoids Coal Tar, Anthralin UV Light Chemotherapy Occlusive Dressings Fish Oil Supplements
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology Viral Infection ▪ HSV1 – Above Waist ▪ HSV2 – Below Waist
Understanding Medical Surgical Nursing, 4th Edition Primary Infection ▪ Direct Contact ▪ Respiratory Droplet ▪ Fluid Exposure Lies Dormant Recurs with Stress
Understanding Medical Surgical Nursing, 4th Edition Prodromal Phase Burning, Tingling Vesicles and Pustules Burning, Itching, Pain Contagious Until Scabs Form
Understanding Medical Surgical Nursing, 4th Edition History and Physical Culture
Understanding Medical Surgical Nursing, 4th Edition Antiviral Agents (Acyclovir/Zovirax) Topical Oral Antibiotics for Secondary Infection Avoid Triggers of Recurrence
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology Acute Inflammation/Infection Painful Vesicules Follows Nerve Distribution Usually One-sided
Understanding Medical Surgical Nursing, 4th Edition Reactivation of Varicella Zoster Virus (Chickenpox Virus) Occurs with Reduced Immune Function Elderly AIDS Immunosuppressed
Understanding Medical Surgical Nursing, 4th Edition Avoidance of Infected Persons Varicella Vaccine (Varivax) Zostavax
Understanding Medical Surgical Nursing, 4th Edition Vesicles, Plaques Irritation Itching Fever Malaise Pain
Understanding Medical Surgical Nursing, 4th Edition Postherpetic Neuralgia Persistent Dermatomal Pain Hyperesthesia Opthalmic Herpes Zoster Sepsis
Understanding Medical Surgical Nursing, 4th Edition History and Physical Culture
Understanding Medical Surgical Nursing, 4th Edition Acyclovir IV, Oral, Topical Analgesics Anticonvulsants/Antidepressants Antihistamines Corticosteroids Antibiotics for Secondary Bacterial Infection
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology/Etiology Direct Contact with Fungus Overgrowth with Antibiotic Therapy Grows in Warm Moist Environment
Understanding Medical Surgical Nursing, 4th Edition Tinea Pedis Tinea Capitas Tinea Corporis Tinia Cruris Candidiasis
Understanding Medical Surgical Nursing, 4th Edition Keep Skin Clean and Dry Topical Antifungals Oral Antifungals Corticosteroids Teach to Avoid Spread
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology Inflammation of Skin/Connective Tissue Infection ▪ Staphylococcus/MRSA ▪ Streptococcus Etiology Open Wound/Trauma May be Unknown
Understanding Medical Surgical Nursing, 4th Edition Warmth Redness Edema Pain, Tenderness Fever Lymphadenopathy
Understanding Medical Surgical Nursing, 4th Edition Culture and Sensitivity Blood Cultures
Understanding Medical Surgical Nursing, 4th Edition Antibiotics Topical Systemic Debridement
Understanding Medical Surgical Nursing, 4th Edition Increased Sebum Production Obstruction of Pilosebaceous Ducts
Understanding Medical Surgical Nursing, 4th Edition Signs and Symptoms Comedones ▪ Open ▪ Closed Therapeutic Interventions Benzoyl Peroxide Vitamin A Acid Antibiotics Estrogen Therapy
Understanding Medical Surgical Nursing, 4th Edition Risk for Spread of Infection Acute Pain
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology/Etiology Infestation by Lice Transmission by Direct Contact
Understanding Medical Surgical Nursing, 4th Edition Pediculosis Capitis Pediculosis Corporis Pediculosis Pubis
Understanding Medical Surgical Nursing, 4th Edition Itching Papular Rash Presence of Lice, Nits, and Excreta
Understanding Medical Surgical Nursing, 4th Edition History and Physical Test for STD if Pediculosis Pubis
Understanding Medical Surgical Nursing, 4th Edition Pediculosides Permethrin, Pyrethrin, Lindane Mechanical Removal Antipruritics Topical Corticosteroids
Understanding Medical Surgical Nursing, 4th Edition Self Medication Removal of Nits Cleaning of Clothing and Objects Inspection of Family and Friends
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology Sarcoptes Scabiei Mites ▪ Burrow into Skin Etiology Contact with Infected Clothing or Animals
Understanding Medical Surgical Nursing, 4th Edition Itching Rash Burrows
Understanding Medical Surgical Nursing, 4th Edition Shaving of Lesion Microscopic Evaluation
Understanding Medical Surgical Nursing, 4th Edition Topical Scabicides Permethrin Crotamiton Antipruritics
Understanding Medical Surgical Nursing, 4th Edition Self Medication Treat Family Members Wash Clothing and Linens Itching May Continue 2 Weeks Following Treatment
Understanding Medical Surgical Nursing, 4th Edition Pathophysiology/Etiology Autoimmune Disorder Bullae on Skin and Mucous Membranes Triggers Sun Some Drugs or Foods
Understanding Medical Surgical Nursing, 4th Edition Bullae Mucous Membranes Spread to Skin ▪ Rupture ▪ Raw Wounds Pain Burning Itching
Understanding Medical Surgical Nursing, 4th Edition Positive Nikolsky’s Sign Biopsy
Understanding Medical Surgical Nursing, 4th Edition Corticosteroids Cytotoxic Agents Antibiotics Analgesics Antipruritics Fluid Replacement High Protein, High Calorie Diet
Understanding Medical Surgical Nursing, 4th Edition Monitor Fluid Balance Monitor Diet Administer Wet Dressings or Baths Control Pain Maintain Oral Hygiene Provide Psychosocial Support
Understanding Medical Surgical Nursing, 4th Edition Cancer Arising From Basal Cell Layer ▪ Basal Cell Carcinoma Epidermis ▪ Squamous Cell Carcinoma Menalocytes ▪ Malignant Melanoma
Understanding Medical Surgical Nursing, 4th Edition Ultraviolet Rays Fair Skin Genetic Tendency X-Ray Therapy Chemicals Immunosuppressive Therapy
Understanding Medical Surgical Nursing, 4th Edition Limit Exposure to UV Rays Use Sunscreen Wear Protective Clothing Report Changes in Moles
Understanding Medical Surgical Nursing, 4th Edition Examination Biopsy
Understanding Medical Surgical Nursing, 4th Edition Surgical Excision Chemotherapy Radiation Therapy
Understanding Medical Surgical Nursing, 4th Edition Rhinoplasty Blepharoplasty Rhytidoplasty Otoplasty