Chapter 3: Integumentary Disorder Flashcards
(18 cards)
Most common, febrile conditions, transmitted by direct contact with any open lesion, may transmitting any part of the body.
Herpes simplex type 1
Characterized by vesicle, near mouth, lips and nose, burning pain, general malaise and fatigue, occurs during acute illness.
HSV T1 clinical manifestations
Cause of genital herpes, through sexual contact
Herpes simplex type 2
Affects 1/6 people between 14-49 years old, genital vesicles, flulike symptoms 3-4 days after vesicles rupture, headache, fatigue, myalgia, fever, anorexia, trouble voiding
HSV T2 clinical manifestations
Pruritus (itch) & burning in mouth or genitals, health & sexual history, complaints of fatigue, pain while urinating.
Herpes subjective data
Edematous & erythematous area on the face, genitals.
Ruptured vesicles with dried exudate, tender & enlarged lymph nodes.
Herpes objective data
Cultures from lesions to determine type, swab obvious drainage, scraping crusted lesions.
Herpes diagnostics
No
Is there a cute for herpes?
Symptom relief, antiviral drugs.
Treatment of herpes
How to prevent spreading of disease Keeping lesions clean Warm compresses Sits baths for T2 Pain medication
HSV patient teaching
T1-10-14days
T2-7-14days
After outbreaks the virus is dormant
Healing times for HSV1&2
Same virus as chicken pox Airborne or direct contact Peripheral nerve route occurance Rash forms Vesicles Symptomatic treatment
Herpes zoster (shingles)
Pain, vesicle eruption, vesicles become purulent, 7-28 days
Shingles clinical manifestations
Sub- pain, burning, itching, malaise, chicken pox history
Obj- vesicles, skin excoriation, tenderness
Subjective vs objective
Cultures, acyclovir, opioids, steroids, atarax or lotions
Medical shingles management
Pt teaching, tranquilizers, pain relief, itch control
Shingles nursing interventions
Generally good, older adults are more susceptible to complications
Prognosis of shingles
Non contagious skin rash of unknown viral causes
Pityriasis rosea
