Integumentary System Gas #21 Flashcards Preview

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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

Where do malignant melanomas metastasis first

Regional lymph nodes