Unit 40.txt

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Author:
Cloe
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155591
Filename:
Unit 40.txt
Updated:
2012-05-24 02:16:28
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Pharmacology Decubitus Ulcers Burns
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Description:
Chapter 40 of the Pharmacology for Pharmacy Technicians textbook by Moscou/Snipe
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  1. Decubitus Ulcers
    Pressure sores aka bedsores
  2. Eschar
    Blackened dead tissue from a bedsore
  3. Escharotomy
    Removal of necrotic skin and underlying tissue
  4. 1st degree burn
    Minor discomfort and reddening of the skin
  5. 2nd degree burn
    Deep epidermial burns and damage to the upper layers of dermis
  6. 3rd degree burn
    • Destruction of the epidermis and dermis
    • Hair loss
  7. 4th degree burn
    Involves underlying mucles, fasciae, or bone
  8. Full-thickness burn
    3rd degree where the epidermis and dermis are destroyed
  9. Partial-thickness burn
    1st & 2nd degree burns
  10. Rules of palms
    Determines body surface area. Patients palm size is 1% of body surface
  11. Rules of Nines
    More accurate determination of body surface area. 11-9% areas and groin 1%
  12. Bedsore stage 1
    • Surface reddening
    • Unbroken skin
  13. Bedsore stage 2
    Blisters appear, broken or unbroken
  14. Bedsore stage 3
    Sore extends through all layers of skin
  15. Bedsore stage 4
    Extends through all layer of skin and involves underlying muscle, tendons and bone
  16. Bedsore stage 5
    Extremely deep sore extendig and damaging organs and bone. Surgery is necessary.
  17. Norton or Braden Scale
    Used to determine if a patient is at risk for decubitus ulcers
  18. Bedsore Prevention
    • Rotation at least every 2hrs
    • Maintaining hydration
    • Protection of boney areas
    • High protein diet
    • Good hygiene
    • Early ambulation
  19. Treatment of Bedsores
    • 1) Keep area clean
    • 2) Remove necrotic tissue
    • 3) Topical treatments
    • 4) Surgical removal of deep wounds
  20. Debridement Agents for Decubitus Ulcers
    • 1) collagenase- Santyl
    • 2) papain and urea
    • 3) trypsin, balsam peru and castor oil
    • 4) antibacterials (only used when ulcer oozes for more then 2 weeks)
  21. Ulcer Anti-infectives
    • 1) gentamycin - Garamycin
    • 2) mupirocin - Bactroban
    • 3) silver sulfadiazine - Flamazine, SSD Silver
  22. Infection Treatment from Burns
    • 1) silver sulfadiazine - Flamazine, Dermazin
    • 2) mafenide - Sulfamylon
    • 3) silver nitrate - bacteriostatic at 5%

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