Flashcards in Integumentary System Gas #21 Deck (55)
1
Keratin
In epidermis layer, forms outer barrier of the skin and can repel pathogens and prevent excessive fluid loss from the body
2
Layers of the dermis
Papillary & reticular
3
Dermis:papillary function
Produces collagen, contains capillaries and receptors for pain and touch
4
Dermis:reticular function
Blood vessels, sweat, collagen fibers
5
Subcutaneous layer function
Contains adipose tissue which permits skin mobility, molds body contours, insulates the body
6
Eccrine &apocrine glands
Produce sweat
7
Ceruminous glands
Secrete yellow brown waxy cerumen (ear wax)
8
Epidermis function
Protects tissues, prevents water loss, water repellant layer, contains keratin
9
Difference between pruritis, xerosis, psoriasis
Pruritis-itching, xerosis-dry skin, psoriasis-build up of keratin
10
Where is xerosis usually found
Older adult due to decreased skin lubrication and moisture
11
Pruitis/causes
Unpleasant sensation of skin itching, prickly, burning; animals plants fabrics meds can cause this
12
Pruritis treatments
Avoid hot water, use mild soap and warm water, cool compresses, avoid alcohol, use humidifiers, apply bland emollients daily
13
Pruritis treatment medications
Creams-nutraderm, ointments-Vaseline, lotions-calamine, antibiotics-bacitracin, corticosteroids, antihistamines-Benadryl
14
Psoriasis
Chronic noninfectious, inflammatory disease, increased epidermal cells (overproduction of keratin), raised red round plaques covered c thick silvery scales
15
Causes of psoriasis
Stress anxiety trauma can aggravate it, unknown cause
16
Psoriasis treatment
Topical, systemic, photo chemotherapy
17
Psoriasis topical treatment/made out of
Tar products, tazarotene is made from vit A, TIM's, corticosteroids & you wrap with plastic film after it is applied
18
Psoriasis systemic therapy
Methotrexate, cyclosporine
19
Psoriasis photochemotherapy /risks
PUVA, pt takes a photo sensitivity med exposing themselves to a long wave of ultraviolet light, risks: skin ca, cataracts, premature skin aging
20
MRSA s/s
Small red bumps, boils or "spider bites", they become deep painful abscesses
21
MRSA causes
Unnecessary antibiotic use, antibiotics in food & water, germ mutation
22
MRSA risk factors
Current or recent hospitalization, long term care, invasive devices, recent antibiotic use (cipro, cephalosporin)
23
Risk factors for CA-MRSA
Young age, contact sports, sharing towels/athletic equipment, weakened immune system, crowded unsanitary conditions, health care workers
24
Folliculitis/ how do you get it
A bacterial infection of a hair follicle, shaving, stye, poor hygiene
25
Folliculotis turns into what
Furuncles
26
Furuncles
Boils, inflammation of one or more hair follicles that spreads to surrounding dermis, usually staph. aureus
27
Furuncles can turn into what
Carbuncle
28
Carbuncle
An abscess of the skin and sq tissue, an extension of a furuncle. Appears where skin is thick and inelastic
29
Systemic symptoms of a carbuncle
Fever, malaise, chills
30
Carbuncle treatment
Systemic antibiotics:cloxacillin, dicloxacillin, flucloxacillin
31
Carbuncle teaching
Don't squeeze boil contact precaution if drainage
32
Cellulitis is an infection of what skin layers
Dermis and sq tissue
33
Cellulitis s/s and systemic s/s
Red, swollen, painful systemic s/s:fever, swollen lymph glands, malaise
34
Impetigo/what is it cause by
Contagious superficial infection of the skin caused by staph strep, or multiple bacteria
35
Impetigo s/s
Honey colored serous liquid that hardens into a crust
36
Impetigo incubation period
4-10 days
37
How long do kids with impetigo have to stay out of school?
Keep out of school until they have treatment with antibiotics
38
What will spread the infection with impetigo
Itching
39
Fungal infection medication/how long until it works/ what do you take it with
Griseofulvin, takes 3-4 wks to work, take with fatty foods
40
Do you treat partner with candidiasis?
Yes
41
Capitis
Head
42
Corporis
Body
43
Pubis
Groin
44
Live hatch in how many days and mature in how many wks
10 days; 2 wks
45
Lice treatment
1% permethrin
46
How long after lice treatment do you repeat?
7-10 days
47
Scabies s/s
Intense pruritis, papular rash, excoriations
48
How long does it take for symptoms to appear with scabies
4 weeks
49
Scabies treatment
Warm, soapy bath, dry and cool skin before application of lindane, crotamiton, permethrin which is left on for 24 hours then washed off then reapplied for 24 hours
50
Shingles (herpes zoster) s/s
Painful, vesicular eruption along nerve path
51
Shingles treatment
Acyclovir (Zovirax) is administered 24 hrs of initial eruption. IV administration reduces pain. Lyrica/neurontin can be give for spasmodic pain
52
Scabies treatment
Warm, soapy bath, dry and cool skin before application of lindane, crotamiton, permethrin which is left on for 24 hours then washed off then reapplied for 24 hours
53
Seborrheic
Atopic dermatitis. Common in the skin and scalp, eyebrows, ear canals, axillae and trunk
54
Exfoliative
Atopic dermatitis. Excessive peeling or shedding of skin, cause is unknown
55