Integ Flashcards Preview

Pulmonary PT > Integ > Flashcards

Flashcards in Integ Deck (49):
1

mgmt of cellulitis includes:

antibiotics, elevation, & cool wet dressings

2

herpes zoster p/w ..

pain and tingling along a dermatome; progression to red papules along distrib of infected nerve
-postherpetic neuralgia pain

3

what modalities are contraindicated with herpes zoster?

heat or US (can incr severity of sx)

4

PT intervention for psoriasis?

UV light

5

psoriasis p/w

itching and pain from cracked, dry lesions (chonic AUTOIMMUNE disease)

6

the LONG TERM side efx of corticosteroid use include:

osteoporosis, immunosuppression, tendon ruptures, DM, GI irritation, myopathy, low K+

7

sclerodema is..

an autoimmune chronic diffuse disease of CT causing fibrosis; can be lmtd or diffuse systemic

8

tx for scleroderma

corticosteroids, immunosuppressive agents, vasodilators, analgesics

9

PT precautions when dealing w scleroderma?

pt will be sensitive to pressure; acute HTN may occur so monitor BP closely

10

polymyositis is..

CT disease causing degen of ms
-affects proximal ms mostly
rapid onset, may even req MV ; cardiac involvement

11

PT for polymyositis

fatigue mgmt, conservation of nrg principles, exercise at LOW levels of resistance/intensity, AVOID OVERWORK/FATIGUE

12

benign skin cancer includes:

seborrheic keratosis, actinic keratosis, and benign nevus

13

of the carcinomas of the skin, which has a higher risk of metastasizing?

squamous cell (poorly defined margins) >> basal cell (raised patch)

14

what are the steps to clinical exam of malignant melanoma?

ABCDE:
asymmetry
border
color (black/blue/red esp)
diameter (> 6mm)
elevation/evolving

15

what are petechiae?

tiny red/purple hemorrhagic spots on the skin

16

pruritus =

itching

17

urticaria =

hives

18

xeroderma =

excessive dryness of skin with shedding of epithelium

19

brown skin is indicative of..

venous insufficiency

20

burns which require removal of eschar and skin grafting to heal are..

3rd degree and above (full-thickness)

21

what is the rule of nines?

head & neck = 9%
ant trunk = 18%
post trunk = 18%
arms = 9% each
legs = 18% each
perineum = 1%

22

3 zones of burn wounds:

1. zone of coagulation: cells irreversibly injured
2. zone of STASIS : cells partially damaged, still may die (usually within 1-2 days)
3. zone of hyperemia: cells very minimally injured

23

critical burn involves:

10% of body with 3rd deg burns & >30% w 2nd deg

24

leading cause of death after a burn:

infection

25

phases of healing after a burn:

1. inflammatory phase (3-5 days)
2. proliferative/granulation/fibroblastic phase
3. maturation phase : tissue remodeling lasts up to 2 YEARS
--scar immature at 6-12 weeks (bright pink)

26

emergency care for a burn:

immersion in cold water, cover burn with sterile bandage or clean cloth NO OINTMENTS

27

what are the common topical medications (antibacterial agents) used in burn management?

1. Ointments : bacitracin, polymyxin B, Neomycin
2. Silver sulfadiazine: AVOID at term pregnancy
3. Sulfamylon : penetrates thru eschar

28

dressings for burns include:

silver impregnated, hydrogels (min to mod exudate), petroleum-impregnated and gauze

29

hydrotherapy immersion is contraindicated for..

pts w severe cardio renal or pulmonary restrictions

30

after a graft, how long should you hold PT?

3-5 days

31

to reduce scar formation after a burn, manual techniques include..

deep friction massage

32

compression is contraindicated if..

ABI

33

if a pressure ulcer has penetrated bone, it is considered..

stage IV

34

negative pressure wound therapy (open-cell foam dressing) helps to ..

maintain a moist wound environment, control edema, increase localized blood flow, and reduce infectious materaial

35

hyperbaric oxygen therapy is contraindicated when?

untreated pneumothorax & some antineoplastic meds

36

for most ulcers, you should clean with..

Normal saline (0.9% NaCl)

37

irrigation pressure to clean a wound should be..

4-15 psi

38

hydrotherapy is indicated for pressure ulcers with..

large amt of exudate, slough and necrotic tissue

39

if using e-stim to encourage wound healing, you should..

use CONTINUOUS waveform application with DIRECT current; place cathode in wound

40

hydration for a pt with a wound =

3L/day

41

types of selective debridement:

-autolytic (natural)
-enzymatic (chemical)
-sharp
-surgical

42

if a pt p/w a wound w moist, necrotic tissue , the best form of debridement would be..

mechanical, sharp OR enzymatic

43

after eschar has been cross hatched, how should you debride the wound?

via enzymatic debridement

44

what type of wounds are contraindicated to use autolytic debridement?

infected, dry gangrene, if pt is immunosuppressed

45

for stage I & II pressure ulcers withOUT exudate, the best dressing would be..

transparent film

46

if a wound has a moderate to large amount of exudate and is infected, the best dressing would be..

alginate OR continuous dry gauze (heavily exudating wound)

47

if a wound has only minimal/mild exudate , what type of dressing should be used?

hydrocolloids ; possibly foams

48

hydrogels should be used..

in partial and full thickness wounds with necrosis and slough; also BURNS and tissue damaged by radiation but NOT for heavily exudating wounds

49

to prevent pressure ulcers in a w/c, pushups should be performed how often?

every 15 min