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Med-Surg Integumentary Review

AB
PsoriasisRemoval of to many scales will cause pain and excessive bleeding
Herpex ZosterDefinitive diagnosis can only be done by viral culture
Retin ADo not take additional vitamin A
Stage I Pressure UlcerRedness
Stage II Pressure UlcerDiscontinuity of skin - abrasion type wound
Stage III Pressure UlcerVarying degree of depth - may be shallow crater to deep hole
Stage IV Pressure UlcerDown to muscle (fascia) and may be to bone
Pruritisitching; relieved with oatmeal preparations
ComedomesBlackheads; pimples
Rapid metastisis skin cancersMelanoma and squamous cell
cyanosisblue
pallorpale; white
erythemared
jaundiceyellow; orange
bluish tinge to lips normallyMediterranean descent
Look in this area of dark-skinned patients for cyanosispalms of hands
Look for jaundice in this area of dark-skinned patientssclera or conjunctiva
Look for pallor in this area in dark-skinned patientsConjunctiva or mucous membranes
irregularity to a molethink melanoma
Herpes Zoster treatmentacyclovir
Patch testrecheck in 2 days and final check in 5 days
Patient teaching for patch testdo not reapply; don't sweat or get wet otherwise
Patient teaching after cryosurgeryDressing on for 8 hours; clean with soap and water; hemorrhagic lesion noted in 1-2 days
Don't assign these people to patient's with herpes zosterPregnant women and those who have not had chicken pox
Non-pharmacological help for pruritisOatmeal; humidifier; moisturizer
Actinic keratonosispre-malignant lesion with brownish-yellowish scales
Wood's lamp usediagnose fungal infections; assist in dx of skin cancers
Wood's lamp preparationdarken room
Cellulitismay start of in superficial tissue but increase to deep dermis and subcutaneous layer
Sign that cellulitis has turned systemicred streak headed toward heart
Tx for discomfort of cellulitis (non-pharmacological)warm moist compresses
When to start antibiotic therapyAFTER any cultures are obtained
Most prone to skin disordersthose who work outside all the time
Treatment of necrotic tissueDebridement (mechanical with dressings or scissors or surgical)
Most painful part of a skin biopsyLocal anesthetic
ATBs for acneErythromycin and Tetracycline


School of Practical Nursing
James Rumsey Technical Institute
Martinsburg, WV

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