Shared Flashcard Set

Details

Integumentary System and Burns
Slides 14-28
55
Nursing
Graduate
03/04/2012

Additional Nursing Flashcards

 


 

Cards

Term
What is Scleroderma?
Definition
Sclerosis of the skin (hardening)
Term
What type of disorder is scleroderma?
Definition
Autoimmune 
Term
Where can scleroderma progress to?
Definition

The internal organs

It involves connective tissure of organs 

Term
Does Scleroderma have a high or low mortality rate?
Definition

High

50% death in 5 years

Term
What are Scleroderma lesions characterized by?
Definition
  • Large amounts of collagen deposits
  • Inflammation
  • Vascular changes
  • Capillary dilation 
Term
What is the skin like in Scleroderma?
Definition
  • Hard
  • Hypo pigmented
  • Taut
  • Tightly connected to underlying tissue
Term
Clinical manifestations of Scleroderma 
Definition
  • Facial skin becomes very tight
  • Mouth may not open
  • Hands have shiny skin
  • Fingers tapered and flexed
  • Fingernails and finger tips ca be lost from atrophy 
Term
Skin cancer is what percent of all cancers?
Definition
5%
Term
Basal cell carcinoma is most common in?
Definition
Whites
Term
Basal cell carcinoma tumor grow ...
Definition
  • Upward with depressed center
Term
Basal cell carcinoma tumors occur in areas exposed to what on the skin?
Definition
The sun 
Term
Basal cell carcinoma tumors do not invade ...
Definition
  • Lymph or
  • Blood
Term
Squamous cell carcinoma tumors effect what layers of the skin?
Definition
  • Epidermis
  • May extend to the dermis
Term
Squamous cell carcinoma are what type of lesions?
Definition
Premalignant lesions 
Term
What till happen is squamous cell carcinoma tumors if not treated? 
Definition
They can be invasive and malignant 
Term
What do skin cancers occur more often in people with light skin?
Definition
Because they have less melanin and they burn easily
Term
What is the worst kind of skin cancer?
Definition
Melanoma 
Term
Melanoma is what type of skin tumor?
Definition
Malignant 
Term
Melanoma is the degeneration of what type of cells?
Definition
Melanocytes 
Term
Melanoma requires what for diagnosis? 
Definition
Staging 
Term
Survival rate of melanoma 
Definition
Very poor with advanced disease 
Term
Kaposi sarcoma is what type of malignancy?
Definition
Vascular 
Term
Kaposi Sarcoma is associated with ...
Definition

Immune deficiencies

HIV

CMV

Term
What does the macule look like in kaposi sarcoma?
Definition
Purplish Brown 
Term
Other characteristics of Kaposi sarcoma
Definition

Pruritic (itchy)

Painful 

Term
Burns is what type of injury?
Definition
Cutaneous 
Term
Burns arecutaneous injury resulting from what 3 things?
Definition
  • Thermal - flame, hot beverage, boiling water
  • Chemical - caustic agents
  • Electrical 
Term
Burns are associated with
Definition

Smoke inhalation

Or traumatic injuries 

Term
Multi system injuries associated with burns 
Definition
  • Shock
  • Inflammation
  • Immune compromise 
Term
First degree burns are what type of injury?
Definition
Partial thickness 
Term
First degree burns is the destruction of 
Definition

The epidermis 

No injury to underlying dermis or subcutaneous tissues 

Term
What is an example of a first degree burn?
Definition
Sunburn 
Term
Clinical manifestations of first degree burns
Definition

Local pain

Erythema (redness) 

Term
What are the 2 categories of second degree burns?
Definition
  • Superficial partial-thickness injury
  • Deep partial-thickness injury 
Term
Superficial partial-thickness injury
Definition

The burn involves the epidermis and the superficial layers of the dermis 

No damange to the deeper layers of the skin 

Term
Deep partial thickness injury 
Definition
Damage involves the deep dermis, sweat glands and oil glands 
Term
Second degree burns are the destruction of 
Definition
The epidermis and the dermis
Term
Second degree burns include 
Definition
Blisters 
Term
What occurs to the superficial tissue in a second degree burn?
Definition

Thin walled, fluid filled blisters

Pain 

Term

What occurs to the deep tissue in a second degree burn?

Definition

Involves entire dermis

Appearance is waxy

Takes weeks to heal 

Term
What type of injury is a third degree burn?
Definition
Full thinkness injury 
Term
Full thinkness injury is the destruction of 
Definition
The entire epidermis, dermis and often subcutaneous tissue 
Term
Clinical manifestations of a third degree burn
Definition
  • May have muscle or bone involvement 
  • Dry and dehydrated tissue
  • Loss of skin elasticity
  • Painless
Term
Why are third degree burns painless?
Definition
Because the nerves are burned in a third degree burn 
Term
How do you calculate total body surface area of a burn?
Definition
Rule of nines 
Term
What do you give to people when they come into the hospital with sever burns?
Definition
Lactated ringers 
Term
How does the rule of nines apply to children?
Definition
Their heads are bigger
Term
The severity of burns depends on what?
Definition
  • Age
  • medical history
  • extent of injury
  • Depth of injury
  • Body area involved 
Term
Cardiovascualar manifestations of a burn injury
Definition
  • Hypovolemic shock
  • Decreased cardiac contractility 
Term
What other body responses occue with a burn injury?
Definition
  • Cellular
  • Immunologic response
  • Evaporative water loss
Term
What are common interventions for burn shock?
Definition
  • Fluids
  • Correcting any underlying metabolic acidosis 
Term
Frostbite
Definition
Injury to skin resulting from exposure to extreme cold 
Term
Frostbite commonly affects
Definition
  • Fingers
  • Toes
  • Ears
  • Nose
  • Cheeks 
Term
What is "Burning Reaction"?
Definition
Initial response characterized by alternating cycles of vasoconstriction and vasodilation 
Term
Frostbite is classified by
Definition
Depth of injury after rewarming 
Supporting users have an ad free experience!