integumentary

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Author:
sararaz
ID:
19690
Filename:
integumentary
Updated:
2010-05-17 22:17:47
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skin integumentary
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Description:
lecture on the skin from theory and practice, LPN
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  1. functions of the skin
    • insulation, cushioning
    • prevents loss of fluids/dehydration
    • body temp regulation
    • homeostasis
    • protection
    • excretion of waste
    • vitamin D synthesis
  2. strata, stratum germinativum, stratum cornium, keratin, melanocytes, and melanin
    EPIDERMIS
  3. true skin, blood vessels and nerves, glands, hair follicles, collagen, elastic connective fibers
    DERMIS
  4. connects skin to muscle, adipose tissue
    stores H2O and fat, insulates, protects, provides pathway
    provides shape and contour
    SUBCUTANEOUS LAYER
  5. Appendages of skin
    • SUDORIFEROUS GLANDS
    • CERUMINOUS GLANDS
    • SEBACEOUS GLANDS
    • HAIR
    • NAILS
    • ARECTOR PILI
  6. PRODUCE SWEAT
    NO ODOR UNTIL BREAKDOWN ON SKIN
    SUDORIFEROUS GLANDS
  7. PRODUCE EAR WAX
    YELLOW-ORANGE, STICKY
    CERUMINOUS GLANDS
  8. LUBRICATE HAIR
    NO ODOR UNTIL BREAKDOWN ON SKIN
    SEBACEOUS GLAND
  9. CAUSE GOOSE BUMPS
    ARECTOR PILI
  10. ABNORMAL TISSUE FOUND ON OR IN AN ORGANISM, OFTEN DAMAGED BY DISEASE OR TRAUMA
    LESION
  11. BALDING, HAIR LOSS
    ALOPECIA
  12. A FLUID THA OOZES OUT OF BLOOD VESSELS DUE TO INFLAMMATION AND IS DEPOSITED IN NEARBY TISSUE
    EXUDATE
  13. RUBBED RAW, ABRASION, SCRATCH, DIAPER RASH
    EXCORIATION
  14. FLAT AREA THAT HAS SOME CHANGE IN THE COLOR OF THE SKIN, LESS THAN 1cm DIAMETER
    MACULE
  15. BRUISING
    ECCHYMOSIS
  16. FLAT MOLE, BIRTH MARK
    NEVI
  17. ITCHING
    PURITIS
  18. HIVES, RAISED, ITCHY, LOOK LIKE RED WELT. CAN BE PHYSICAL OR MENTAL CAUSE
    URTICARIA
  19. ELEVATED SUPERFICIAL LESION FILLED WITH SEROUS FLUID. LESS THAN 1cm DIAMETER
    VESICLES
  20. ELEVATED, IRREGULARLY SHAPED AREA OF CUTANEOUS SWELLING
    WHEALS
  21. ELEVATED FIRM AREA. LESS THAN 1cm DIAMETER
    PAPULE
  22. WHERE CAPILLARIES BREAK AND LEAVE LITTLE RED DOTS. FORM OF MACULE. CAN TURN INTO A BRUISE
    PETECHIAE
  23. GROWS ON SKIN, USUALLY BROWN OR BLACK, ALONE OR IN GROUPS.
    MOLE
  24. LOSS IN PIGMENT OF SKIN, CAN EXPAND, PATCHES
    VITILIGO
  25. ELEVATED, SUPERFICIAL LESION FILLED WITH PUS
    PUSTULE
  26. ELEVATED, ENCAPSULATED LESION IN DERMIS OR SUB Q LAYER
    CYST
  27. IRREGULARLY SHAPED, EEVATED, PROGRESSIVELY GROWING SCAR
    KELOID
  28. FIBROUS TISSUE THAT REPLACES NORMAL SKIN AFTER AN INJURY
    SCAR
  29. LINEAR CRACK OR BREAK. MOIST OR DRY AREA
    FISSURE
  30. LOSS OF PART OF THE EPIDERMIS. LEAVES A DEPRESSED AREA, MOIST AND GLISTENING
    EROSION
  31. LASS OF EPIDERMIS AND DERMIS, CONCAVE, VARIES IN SIZE
    ULCER
  32. DRIEDSERUM, BLOOD OR PURULENT EXUDATE. SLIGHTLY ELEVATED, SIZE VARIES
    CRUST
  33. CUT MADE ON PURPOSE. CLEAN CUT
    INCISION
  34. STAB WOUND
    PUNCTURE
  35. WOUND THAT OPENS ITSELF UP(EX.AFTER SURGERY) BY COUGHING,THROWING UP, INCREASED PHYSICAL ACTIVITY
    DEHISCENCE
  36. INTERNAL ORGANS ON THE OUTSIDE
    EVISCERATION
  37. SURGICAL INCISION WITH LESS THAN 5% CHANCE OF INFECTION
    CLEAN
  38. SURGICAL PREP AND INCISION ARE STERY; BUT CUTTING INTO CONTAMINATED AREA
    CLEAN-CONTAMINATED
  39. SURGICAL TECHNIQUE BROKEN,NOW CONTAMINATED (RUPTURED SPLEEN)
    CONTAMINATED
  40. OUTER SKIN ALREADY CONTAMINATED. EX.GANGREEN
    DIRTY
  41. STOP BLEEDING,PROTEINS, PLATELETS AND FIBRIN
    HEMOSTASIS
  42. INCREASED WBC, WARMPTH, SWELLING
    INFLAMMATION PHASE
  43. STARTS 3 DAYS AFTER INJURY AND CAN LAST UP TO 3 WEEKS
    RECONSTRUCTION
  44. FOODS TO HELP WITH HEALING OF WOUNDS
    • VEGI= CARROT, SQUASH, YAMS= INCREASED VIT C ANDANTIOXIDANTS
    • FRUIT= ORANGES,MANGOS,CANTELOPE
    • PROTEIN= CHICKEN, FISH, BEEF, LIVER
  45. FACTORS INFLUENCING HEALING
    • AGE
    • NUTRITIONAL STATUS
    • PHYSICAL CONDITION
    • PREEXISTING HEALTH
    • MEDICAL HABITS
    • INTAKE
  46. INTAKE TO PROMOTE HEALING SHOULD BE
    2000-2400ml/24h
  47. ACTIVE BRIGHT RED BLEEDING
    SANGUINEOUS
  48. PALE, PINKISH, WATERY MIXTURE OF BLOOD AND SERUM
    SEROSANGUINEOUS
  49. CLEAR WATERY PLASMA
    SEROUS
  50. YELLOW-GREEN-BROWN, FOUL ODOR
    PURULENT
  51. CAVITY IN BODY THAT CONTAINS PUS, SURROUNDED INFLAMMED SKIN
    ABSCESS
  52. BAND OF SCAR TISSUE THAT BINDS TOGETHER 2 ANATOMICAL STRUCTURES THAT WOULD NORMALY BE SEPARATE
    ADHESIONS
  53. INFECTION OF SKIN
    CELLULITIS
  54. COLLECTION OF BLOOD IN TISSUES UNDER THE SKIN
    HEMATOMA
  55. NSG DX FOR PT WITH SKIN PROBLEMS
    • RISK FOR INFECTION
    • IMPAIRED PHYSICAL IMOBILITY
    • IMPAIRED COPING
    • LOW SELF-ESTEEM
    • IMPAIRED SKIN INTEGRITY
    • ALTERED BODY IMAGE
  56. GOALS/OUTCOMES FOR PT
    • DEMONSTRATE WOUND CARE
    • DISCUSS S/S OF INFECTION
    • " RISK FACTORS
    • WOUNDS HEAL W/O COMPLICATIONS
    • PT HAS MINIMAL PAIN
  57. NSG INTERVENTIONS
    • SKIN HYDRATION
    • SURGICAL WOUNDS
    • RISK INFECTION
    • SELF ESTEEM
    • RASHES
    • IMPAIRED MOBILITY

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