Integumentary Flashcards

Question

MRSA

Answer 1

methillin resistant staphylococcus aureus *community acquired - contact thru sports, share equipment *hospital acquired folliculitis (inflammed follicles) & furuncle (carbuncle is clusters of furuncle) *nasal swab

Answer 2

e: superficial than c but red marks is well demarcated dermis & lymphatics c: depeer than e and red marks are scattered dermis up to hypodermis only rest in affected area and warm compress

Answer 3

contains irritant urushiol also found in MANGOES result to dermatitis cold wey compress topical or oral corticosteroids topical ointments for itching

Answer 4

-brown recluse (necrotic area/loxoscelism) -black widow spider (neurotoxicity *both ice applied immediately -tarantula *elevate & immobilize, use of sticky tape to remove hair & nss irrigation if reached the eye *tetanus prophylaxis for all

Answer 5

venom neurotoxic, emergency

Answer 6

-stings usually cause a wheal and flare reaction -Emergency care involves quick removal of the stinger and application of an ice pack -The stinger is removed by gently scraping or brushing it off with the edge of a needle or similar object; tweezers are not used because there is a risk of pinching the venom sac -If the victim is allergic to the venom of a bee or wasp, a severe allergic response can occur (hives, pruritus, swelling of the lips and tongue) that can progress to life-threatening anaphylaxis; immediate emergency -Individuals who are allergic should carry an epinephrine autoinjector for self-administration of intramuscular epinephrine if a bee or wasp sting occurs. After use of the epinephrine autoinjector, the individual should seek emergency medical attention. Persons should have 2 injectors available and obtain a replacement as soon as possible.

Answer 7

should rest to decrease venom circulation -extremity is immobilized and kept below the level of the heart -Constricting clothing and jewelry are removed before swelling -kept warm and is not allowed to consume caffeinated or alcoholic beverages, which may speed absorption of the venom -if unable to seek emergency medical attention promptly, a constricting band may be applied proximal to the wound to slow the venom circulation; monitor the circulation frequently and loosen the band if edema occurs -wound is not incised or sucked to remove the venom; ice is not applied to the wound -Emergency care in a hospital is required as soon as possible; an antivenom may be administered along with supportive care -the snake should not be transported with the victim for identification purposes unless it can be safely placed in a sealed container during transportation.

Answer 8

-Rewarm the affected part rapidly and continuously with a warm water bath or towels to thaw the frozen part -Handle the affected area gently and immobilize. -Avoid using dry heat, and never rub or massage the part -rewarming process may be painful; analgesics may be necessary -Avoid compression of the injured tissues and apply only loose and nonadherent sterile dressing -Monitor for signs of compartment syndrome -tetanus prophylaxis is necessary, and topical and systemic antibiotics may be prescribed -Debridement of necrotic tissue may be needed; amputation may be necessary if gangrene develops.

Answer 9

me vs hr foldenauer seborrheic is benign for actinic -caused by chronic exposure to the sun and appear as rough, scaly, red, or brown lesions that are usually found on the face, scalp, arms, and backs of the hands -Lesions are considered premalignant, and there is risk for slow progression to squamous cell carcinoma -medications, excision, cryotherapy, curettage, and laser therapy

Answer 10

squamous cell basal cell melanoma

Answer 11

-rough scaly patch or wartlike growth -oozing bleeding crusting lesion -2nd most common -in the epidermal keratinocytes and can infiltrate surrounding structures and metastasize to lymph nodes.

Answer 12

-most common -small shiny bump or red scaly patch, pearly borders, res central crater -rarely spreads, locally invasive

Answer 13

-irregular, circular, bordered w/ hues of tan black or blue -usually a new or changing mole or pigmented area -occur any place on the body, especially where birthmarks or new moles are apparent -highly metastatic to the brain, lungs, bone, and liver, with survival depending on early diagnosis and treatment

Answer 14

-Instruct to avoid sun exposure between 10 a.m. and 4 p.m. -Advise to have moles or lesions that are subject to chronic irritation removed -Advise to avoid contact with chemical irritants -Instruct to wear layered clothing and use and reapply sunscreen lotions with an appropriate sun protection factor when outdoors. -Assist with surgical management, which may include cryosurgery, curettage and electrodessication, or surgical excision of the lesion

Answer 15

noninfectious skin inflammation *some also develop arthritis no scratching light clothing no OTC drugs

Answer 16

development of psoriatic lesions after a skin injury (scratch, new tattoo etc) clean the injury as often as possible to prevent or lessen

Answer 17

-no scrubbing the skin -no squeeze prick pick the lesions -noncomedogenic, water based makeups and less oil based

Answer 18

medication induced skin reaction *nsaids *sulfonamides *antiseizure *allopurinol common in immunocompromised initial: flu like symptoms + erythema serious: +lesions in larynx esophagus & bronchi

Answer 19

medication induced skin reaction severe form of SJS more than 30% of the body have burn like lesions

Answer 20

dead skin tissue around pressure ulcer injuries

Answer 21

transparent dressing hydrocolloid

Answer 22

composite film hydrocolloid hydrogel

Answer 23

hydrocolloid hydrogel w/ Foam Dressing gauze growth factors

Answer 24

hydrogel w/ Foam Dressing calcium alginate gauze

Answer 25

Adherent film Gauze with a prescribed solution Enzymes

Answer 26

before thawing white or blue color; the skin will be hard, cold, and insensitive to touch after thawing, flushing of the skin, the development of blisters or blebs, or tissue edema appears

Answer 27

poison ivy, oak and sumac PREVENTIVE LOTION (murag off lotion)

Answer 28

calamine hydrocortisone zinc acetate oatmeal baths

Answer 29

tacrolimus & pimecrolimus *treated areas should be shaded from the sun -increase risk of contracting varicella zoster -increased risk to skin cancer

Answer 30

Azathioprine ▪ Cyclosporine ▪ Methotrexate ▪ Oral glucocorticoids

Answer 31

-wash area -wear gloves -thin film, rub gently -avoid occlusive dressing (may increase absorption) -check plasma cortisol levels

Answer 32

*Diclofenac sodium 3% gel - may take up to 3 mos to be effective *Fluorouracil - results are seen after 2 weeks *Imiquimod 5% cream - also used for venereal warts *Ingenol mebutate - can cause development of herpes zoster

Answer 33

-should be at least spf 15 -applied 30min before sun exposure and reapplication every 2-3hrs -UV light greatest at 10am to 4pm -wear sunglass, protective clothing & hat

Answer 34

Topical Medications Calcipotriene (vit d analog) Coal tar Glucocorticoids Keratolytics (topical salicylic acid; sulfur) Tazarotene (vit a derivative) Systemic Medications Acitretin (teratogenic) Cyclosporine (last resort) Methotrexate (teratogenic) Systemic Biological Medications Adalimumab,Brodalumab,Etanercept Guselkumab,Infliximab,Ixekizumab Ustekinuma,Secukinumab Phototherapy Coal tar and ultraviolet B irradiation Photochemotherapy (psoralen and ultraviolet A therapy)

Answer 35

silver sulfadiazine (check for WBC) mafenide acetate (can lead to acidosis) apply 1/16inch cover always

Answer 36

tinnitus dizziness psychological disturbance

Answer 37

isotretinoin

Answer 38

scalp, axilla, face, eyelids, neck, perineum, genitalia

Answer 39

soles, palms, back

Integumentary Flashcards

(63 cards)