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med surg unit 8- integument- diagnostic
diagnostic tests for the integument unit
42
Nursing
Undergraduate 1
03/15/2011

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Cards

Term
THE MOST COMMON INTERVENTION FOR SKIN DISORDERS IS
Definition
TOPICAL MEDICATIONS
Term
TOPICAL MEDICATIONS ARE SAFER THAN SYSTEMIC MEDICATIONS BECAUSE ?
Definition
THEY DON'T USUALLY ABSORB ENOUGH TO CAUSE SYSTEMIC EFFECTS
Term

THE DISADVANTAGES OF TOPICAL MEDICATIONS ARE THAT THEY ARE:

Definition
  • TIME CONSUMING,

  • EXPENSIVE,

  • AESTHETICALLY UNPLEASANT DUE TO ODOR AND APPEARANCE

  • AND MAY REQUIRE LARGE VOLUMES,

  • THEY ARE DIFFICULT TO APPLY TO WEEPING LESIONS

  • AND THEY MAY STAIN THE CLOTHING

Term
THE MOST COMMON TOPICAL MEDICATIONS FOR SKIN DISORDERS ARE?
Definition
CORTICOSTEROIDS
Term

TOPICAL CORTICOSTEROIDS HAVE VARIOUS POTENCIES. 

THE MORE POTENT TYPE CAN ?

Definition

CAUSE SIGNIFICANT LOCAL AND SYSTEMIC EFFECTS,

 ESPECIALLY IF USED ON THE FACE

Term

SIDE EFFECTS OF THE TOPICAL CORTICOSTEROIDS INCLUDE:

Definition

STRIAE

SKIN ATROPHY

TELANGIECTASIAS

GLAUCOMA

 CATARACTS

PERIORAL DERMATITIS

CUSHING'S SYNDROME CAN OCCUR BUT IT IS VERY RARE.

Term
STRIAE SIDE EFFECTS
Definition
ESPECIALLY WHEN A STRENGTH INTENDED FOR USE ELSEWHERE ON THE BODY IS USED ON THE FACE
Term
GLAUCOMA AND CATARACTS SIDE EFFECTS OCCURANCE
Definition
CAN OCCUR IF THESE MEDICATIONS ARE APPLIED AROUND THE EYES
Term
PERIORAL DERMATITIS- SIDE EFFECT OCCURANCE
Definition
CAN OCCUR WHEN POTENT TOPICAL CORTICOSTEROIDS ARE APPLIED AROUND THE MOUTH
Term
CUSHING'S SYNDROME- SIDE EFFECT OCCURANCE
Definition
USUALLY CUSHING'S SYNDROME WOULD ONLY OCCUR IF THERE IS CHRONIC EXCESSIVE USE OF POTENT TOPICAL CORTICOSTEROIDS OVER LARGE AREAS THAT ARE THEN COVERED WITH PLASTIC
Term

TOPICAL MEDICATIONS RULE

NEVER?

Definition
NEVER COVER ANY TOPICAL MEDICATION WITH PLASTIC WITHOUT A SPECIFIC PHYSICIAN'S ORDER BECAUSE ABSORPTION CAN BE INCREASED 100 FOLD WHEN THE MEDICATION IS COVERED WITH PLASTIC
Term

BATHES AND DRESSINGS

THE ACTION OF THE SOLUTIONS USED:

Definition
MAY BE TO HYDRATE AND DEBRIDE THE SKIN OR TO RELIEVE INFLAMATION
Term

BATHES AND DRESSINGS

OTHER TREATMENTS

Definition
ANTIPRURITICS AND COAL TAR ARE USED TO TREAT CERTAIN DISORDERS
Term

DRESSINGS MAY BE

Definition
  • DRY

STERILE DRESSINGS USING 4X4s

 NONADHESIVE DRESSING

(SUCH AS TELFA)

  • DRESSINGS MAY BE WET TO DRY

 USING A VARIETY OF PRESCRIBED SOLUTIONS

Term
A WOUND VAC IS REPLACING
Definition
 MANY TYPES OF DRESSINGS, SUCH AS THE WET TO DRY DRESSING
Term
WOUND VAC FUNCTIONS
Definition
THE SUCTION HELPS TO REMOVE DRAINAGE AND DEBRI AND TO BRING OXYGEN AND NUTRIENTS TO THE WOUND
Term

WOUND VACS

HEALING

Definition
MOST WOUNDS HEAL FASTER WHEN THE VAC IS IN PLACE
Term
WET DRESSINGS MAY BE
Definition
OPEN OR OCCLUSIVE
Term
OPEN WET DRESSINGS ARE NEVER COVERED WITH OCCLUSIVE WRAP BECAUSE
Definition
IT CAUSES MACERATION OF THE SKIN
Term
OPEN WET DRESSINGS ARE USED TO TREAT
Definition
ACUTE INFLAMMATION, OOZING, CRUSTING AND ITCHING
Term
VARIOUS SOLUTIONS ARE USED.  FOR EXAMPLE
Definition

NORMAL SALINE

 WATER AND BURROWS SOLUTION

SILVER NITRATE

  POTASSIUM PERMANGANATE

Term
DRESSINGS USED INCLUDE
Definition

 GAUZE

 KERLEX

 COMMERCIALLY PREPARED MASKS, GLOVES, AND SOCKS

Term
OCCLUSIVE WET DRESSINGS ARE DONE THE SAME WAY AS OPEN WET DRESSINGS BUT
Definition
ARE COVERED WITH PLASTIC TO ENHANCE THE ACTION OF THE MEDICATIONS
Term
WHEN A SKIN BIOPSY IS DONE
Definition
 SMALL SAMPLE OF SKIN IS REMOVED AND SENT TO BE ANALYZED
Term
FOR A SHAVE BIOPSY
Definition
A SCALPEL IS USED TO SHAVE OFF A SAMPLE OF THE SURFACE OF THE LESION
Term
AN EXCISION BIOPSY
Definition
IS USED FOR MALIGNANT MELANOMA OR A DEEP INFLAMMATORY DISEASE
Term

Shave/Excision Biopsy

PROCEDURE:

Definition

STERILE TECHNIQUE MUST BE USED. 

THE CLIENT IS GIVEN A LOCAL ANESTHETIC AND

THE LESION IS REMOVED ALONG WITH 2 TO 4 MM OF NORMAL TISSUE ON ALL SIDES OF THE LESION.

THE WOUND USUALLY REUQIRES SUTURES

Term

INTEGUMENT

PUNCH BIOPSY

Definition
USES A SPECIAL TOOL SIMILAR TO A LARGE BORE NEEDLE TO CUT A CORE OF TISSUE
Term

INTEGUMENT

PUNCH BIOPSY

 

Definition
CORE OF TISSUE IS THEN REMOVED AND SENT FOR ANALYSIS
Term

INTEGUMENT

PUNCH BIOPSY

NURSING CARE-ISH

Definition

    A LOCAL ANESTHETIC IS USUALLY NEEDED.

    SUTURES WILL BE NEEDED IF THE WOUND IS LARGER THAN 3MM

Term
EXAMPLES OF TYPES OF SCRAPINGS TEST INCLUDE
Definition

SEE LECTURE:

CUZ ITS A BUNCH OF GARBAGE

Term

INTEGUMENT

Woods Light/Cytology

TEST

Definition

A WOODS LIGHT IS A BLACK LIGHT THAT IS SHINED ON SKIN LESIONS IN A DARK ROOM

CERTAIN LESIONS SHOW AS DIFFERENT COLORS

FUNGUS LOOKS BLUE-GREEN

Term

INTEGUMENT

Woods Light/Cytology

 

THE WOODS LIGHT CAN DIFFERENTIATE :

Definition
DERMAL VS. EPIDERMAL LESIONS
Term
CYTOLOGY IS
Definition
WHEN A SKIN SAMPLE, SUCH AS A BIOPSY IS EXAMINED FOR CELLULAR CHANGES SUCH AS CANCER
Term

INTEGUMENT

THE PATCH TESTS

Definition
USED TO IDENTIFY ALLERGENS CAUSING ALLERGIC CONTACT DERMATITIS
Term

INTEGUMENT

PATCH TESTS ARE USED WHEN:

Definition
THE DERMATITIS PERSISTS AFTER AVOIDANCE OF LIKELY ALLERGENS AND USE OF TOPICAL CORTICOSTEROIDS HAS BEEN UNSUCCESSFUL
Term

INTEGUMENT

THE PATCH TEST CAN BE:

Definition
OPEN OR CLOSED
Term

INTEGUMENT

OPEN PATCH TEST

Definition
THE SUSPECTED ALLERGEN IS APPLIED TO THE INNER UPPER ARM EVERY DAY FOR 3-5 DAYS BY PRICKING THE SKIN WITH A KNOWN ALLERGEN
Term

INTEGUMENT

CLOSED PATCH TEST

Definition

THE SUSPECTED ALLERGEN IS APPLIED TO THE SKIN AND COVERED WITH A PATCH FOR 48 HOURS

A STANDARD ALLGERY KIT WITH 20 ALLERGENS IS USED.

SOME OR ALL OF THE ALLERGENS ARE APPLIED

Term

INTEGUMENT

CLOSED PATCH TESTS

 

THE RESULTS ARE POSITIVE IF:

Definition

ERYTHEMA, VESICLES, OR AN INDURATION APPEAR

 

Term

INTEGUMENT

CLOSED PATCH TEST

THE TEST IS READ IN :

Definition

 48 HOURS AND

AGAIN IN 3-7 DAYS TO CHECK FOR DELAYED REACTION

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