Integumentary K Morris

juniperk's version from 2018-03-02 16:30


Question Answer
ABCDAsymmetry, Border irregularity, Color, Diameter
Interventions for pruritisCool cloths, determine cause and treat, antihistamine
Interventions for uticariaAKA hives, antihistamine, determine cause
Interventions for EczemaBathe intermittently, topical steroid, antihistamines
Interventions for PsoriasisEmollients, steroids, antihistamines
Stage 1 ulcerRedess, skin intact, non-blanchhable
Stage 2 ulcerskin breakdown, into the dermis, edema, drainage, painful
Stage 3 ulcerInto subcutaneous tissue, eschar, slough present, drainage, painful if nerves untouched
Stage 4 ulcersInto the muscle or bone, nerve damage, tunneling, packing (wet to dry), high infection risk
Chemical burn txWash area 10-15 minutes
Electrical burn considerationsentrance/exit wound, cardiac dysrhythmias, internal organ damage
Thermal burnshypovolemic shock, thermoregulation, infection
superficial thickness aka1st degree (sunburn)
Partial thickness or partial thickness deep aka2nd degree
Deep full thickness or full thickness aka3rd degree
Describe the interventions and concerns for the emergent phaseHypovolemia- fluid resuscitation (LR), Electrolyte imbalances- High K, High BUN/Cr, Low Na, Hypothermia- warm environments, Infections, Protein loss
Your pt has been burned on their abdomen and chest. What are they at rest for?Inhalation injury
Describe concerns and interventions for acute phase of burnsAssess for appropriate fluid resuscitation (UOP, VS, pulses, CVP), Monitor ABC's, EKG monitor, I/O strict, infection prevention, wound care management, debridement, hydrotherapy, electrolytes (Low Na, Low K bc of diuresis )
Describe rehabilitative phase and interventionCare for patient when approaching d/c and return to environment. pain management environmental safety