T4 INTEGU Flashcards by brannan lelko

why are compression bandages used in burn patients?

prevent contractures
decrease scarring

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if a 6 yr old has full thickness burns on face, chest & back - what should be the priority in the care plan?

Inserting an IV line for fluid resuscitation

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what’s the best way to prevent infection with burn patients?

meticulous handwashing

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what would be recommended to a 12y pt with acne on how to manage it?

use non comedogenic makeup

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how do you care for a partial thickness burn when dressing change?

sterile technique

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what degree of burn would involve the epidermis+part of the dermis & cause blistering & intense pain?

second

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edu to give parents about scabies?

wash all bedding & clothing in hot water

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if a pt presents with persistant diaper rash, which antifungal is commonly used topically to treat diaper dermatitis caused by candida albicans?

NYSTATIN

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what is the proper treatment for impetigo?

topical mupirocin

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what causes diaper candidias?

fungus

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questions to ask in a pt hx for acne?

when did it start?
does it get worse with menses?
diet & hygiene

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a patient that has acne with pustules/scarring would likely be prescribed what? & edu?

Tetracycline
It will make you more sensitive to sun

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Benzathine penicillin (Bicillin LA) is used to treat what? & how is it administed?

Cellulitis
IM - 22g/1in

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if a pt has already been treated once with lindane (Qwell) for lice, what is the next step the nurse would recommend?

switch to malathion (ovide) to see if that works better

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edu acne prevention?

avoid oil based
non comeodengic makeup
don’t pick, rub

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an increase in what often causes acne?

androgenic hormones (puberty)
sebum

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OTC meds for acne?

salicylic acid
benzoyl peroxide

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antimicrobials for acne?

erythromycin
clindamycin
tetracycline

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retinoids for acne?

trention A
tazarotene (tazorac)
accutane

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when is the best time to apply acne meds for adherence?

night/bedtime

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tetracycline, minocycline & doxycycline edu?

increase photosensitivity
avoid pregnancy - stain baby teeth

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isotretinoion (Accutane) edu?

severe birth defects - avoid pregnancy
tests before, monthly & 1 month cessation
2 forms of birth control

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what is Impetigo?

bacterial or strep infection (S.Aureus)
around mouth/nose

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impetigo lesions?

red swollen vesicle/pustule
then burst
honey colored crusty lesions

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treatment for impetigo?

!!! Topical mupirocin (limited skin lesions) PO abx if widespread (amox/ceph)

edu about impetigo?

- Keep child homes for 24 hr after start of ABX - change pillowcase nightly until lesions dont ooze - wash your hands

possibly monitor what lab/function with acne meds?

kidney/liver

nursing care of cellulitis patient?

marking the circumference of red area w/ marker to see if is spreading

if theres a hx of medical non adherence/pt cant take medicine as precribed, what is the next action?

single dose of IM penicillin G (Bicillin LA) or 3 day of ceftriaxone (Im)

pearl like, shiny, firm round pink papules is what infection?

molluscum contagiosum

edu about molluscum contagiosum?

self limiting bathe by self clean tub after bath/shower

what is cutaneous candidiasis?

fungal infection from candida alb

who is at risk for cutaneous candidiasis?

infants children who use corticosteroid inhalers

oral s/sx of C.Candidiasis?

white plaques that cant be removed

skin s/sx of C.Candidiasis?

Fine, red/pink papules with scalloped border

s/sx of Tinea's?

itchy rash with round scaly pink/red lesions circular lesion (central clearing)

when removing oral thrush, the nurse should remember ?

removing can cause bleeding

prevention edu about tinea's?

check pets don't share fomites (towels/combs etc)

nursing care for Tinea's?

- Everyone in fam needs to be treated - hair can take 6-12 to grow back (if at all)

atopic dermitis is often linked to?

allergies and asthma

s/sx of atopic derm?

- itchy, red raised rash - on cheeks, head, neck or elbow in younger

edu for atopic derm?

- keep fingernails short - avoid vigorious scrubbing - moisture immediate after bath

cutaneous candidiasis prevention?

- clean nipples with soap/water - keep diaper area dry - barrier creams - rinse mouth after corticosteroid use

what do lice (louse) eggs live/look like?

pearlescent teardrop anywhere near shaft of hair blue under Wood's lamp

if Lindane (Kwell) doesnt work for lice what should next action be?

try malathion (Ovide)

for those older than 2, what is the recommended lice treatment?

Malathion (Ovide)

Permethrin (nix) contraindication?

infants under 2m

edu if child is unable to tolerate use of lice shampoo?

use petrolatum or olive oil

when to recheck for lice?

7-10 days

edu for scabies?

wash clothes/bedding/towels etc. in hot water then dryer permethrin ointment

what is cat scratch disease?

self limiting lasts 6-12 wk

s/sx of cat scratch disease?

tender lymph nodes of head, neck & UE general malaise/lowgrade fever papule at bite site

when does cat scratch disease appear?

3-10 days after injury

typical burns in infants?

scalds from being placed in bathtub radiation burn - hot objects electrical cord

toddler typical burns?

from "finding independence" pulling down hot items from tall surfaces flame burn from trying to ignite a candle

what is included in superficial thickness burn?

red painful for 2-3 days (like sunburn) intact epidermis with erythema

what is a superficial partial thickness?

blister formation very painful epidermis & outer portion of dermis scarring & heal in 3 wk

deep partial thickness burn?

white/pale tissue huge blisters infection big risk

full thickness burn

destroys epidermis/dermis eschar is visible may damage bones/nerve (probs doesnt feel pain)

how do you gauge burn scale in adolescents?

rule of nines

how do you scale burns in infants?

Lund & Browder

best outcomes of burn care

burn assessment fluid resuscitation prevent infection/sepsis/pneumonia

how to tell if a child is tolerating fluid resuscitation?

urine output (0.5-1ml/kg/hr)

primary survery/assessment for burn injury?

circulation airway breathing fluid resuscutation

how can you decrease pain in burn pt with dressing change?

IV pain meds 20-30min before IV morphine sulfate

how can you help decrease pain with dressing change non pharm?

let child help with dressing change (over 3Y)

what must be with an intubated child when being transported?

AMBU bag suction equipment cardiorespiratory monitor ET tubes

intervention to decompress burn

fasciotomy (full thick) compression garments

how often do you weight a burn pt?

2x/wk

meds for itch relief/nerve impulses

Topical doxepin (sinquan) Colloidal oatmeal

do MINOR burns need to be cooled?

yes - NO ICE saline soaked gauze (54)

T4 INTEGU Flashcards

(71 cards)