Card Set Information
Integumentary Problems Med Surg test 3 part 2 skin infections
Causes of cellulitis
Break in protective skin barrier
Bacteria enters, releases toxins into dermis and subcutaneous tissue
Spreads through tissue spaces
Clinical manifestations of cellulitis
Acute onset of swelling
“Localized” redness and pain
Deep red erythema
Systemic Signs of cellulitis
Fever, chills, sweating, tachycardia, hypotension
In cellulitis what would you find tender and enlarged?
Regional lymph nodes
What are some conditions that make older clients susceptible to cellulitis?
long term corticosteroid use
How is a mild case of cellulitis treated ?
on an outpt basis with oral Antibiotics
How is a severe case of cellulitis treated?
IV antibiotics 7-14 days
What would you teach a patient about the treatment of cellulitis?
prevention of recurrent episode
Antibiotic treatment compliance
Use a warm, moist compresses to site every 2-4 hours
What is psoriasis?
erythematous skin disorder with inflammation
What are characteristics of psoriasis?
Occurs in patches
Genetic systemic disease
Characterized by remissions and exacerbations
Cells pile up and form lesions instead of shedding
What are causes of psoriasis?
Clinical manifestations of psoriasis?
Epidermis is thickened with extra skin cells
Skin cells pile up
bilateral symmetry common
Dead cells create a white flaky layer of silvery white scales over a patch of inflamed skin
What happens If scales are scraped away in psoriasis?
a dark red base of the lesion is seen
What are the bleeding points seen in psoriasis?
Commonly on elbows
knees, scalp, genital and sacral areas
palms, soles, and fingernails
List some risk factors for psoriasis? (3)
Diagnostic testing for psoriasis?
What is the result of a positive skin biopsy for psoriasis?
Increased Serum uric acid levels
How is psoriasis treated?
Suppress the immune system
Drugs to promote peeling
Topical therapies for psoriasis
Coal Tar (Anthralin)
: med to area, covered with plastic wrap
Nursing Interventions for psoriasis
Assist client with altered self concept
Infection prevention from open lesions
Keep lesions clean and dry
Rx ointment and creams with occlusive dressings
What is herpes zoster (HSV) / Shingles
Acute Viral infection of nerve structure caused by Varicella Zoster
Activation of dormant Varicella Zoster Virus
What are some causes the herpes zoster/shingles?
Chemo induced immunosuppression
HSV/SHINGLES is related to the ___________.
chicken pox virus: Varicella
Who is at risk of getting HSV/Shingles?
anyone who has NOT had chicken pox or who is immunosuppressed
What does the HSV/Shingles look like?
Linear patches of vesicles with an erythematous base
Follows nerve pathway
Spinal and cranial tracts
Often unilateral, appears on trunk, can appear on face
Assessment findings of HSV/Shingles
Pruritis (itching) \Burning
Erythema, clustered skin vesicles
Paresthesias often long term
Skin culture reveals organism
Where will the pain, burning & neuralgia occur with HSV/shingles?
At the site before the outbreak of vesicles
How will you treat HSV/Shingles?
You will assess these for HSV/Shingles
Assess pain levels, medicate, re-eval
Candidiasis is a ___________ infection?
What type environment does Candidiasis like?
Warm, dark, moist environment
What areas of the body are you more likely to see Candidiasis?
What does candidiasis look like?
White, cottage cheese curds resemblance
Check skin folds
Causes of Candidiasis?
Seen in immunosuppressed clients
Overuse of Antibiotics
Medical/Nursing Mgmt of candidiasis?
Skin Hygiene…assess, assess. assess
Keep folds dry, clean and open to air
Drug treatments for Candidiasis?
anti-fungal powders or swish and swallows