Skin Integrity

Card Set Information

Author:
Anonymous
ID:
236087
Filename:
Skin Integrity
Updated:
2013-09-21 00:40:42
Tags:
Exam
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Description:
Nursing
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  1. Skin Integrity
    Name the nursing interventions for a stage one pressure ulcer.
    • ⇨Frequent Turning
    • ⇨Keep pressure off of it
    • ⇨special mattress
    • ⇨frequent inspection
    • ⇨pressure relieving devices
  2. Skin Integrity
    Name the nursing interventions for stage two pressure ulcer.
    • ⇨Moist healing dressing (sometimes honey)
    • ⇨Bandages, cleaned more often
    • ⇨ sterile equipment
  3. Skin Integrity
    Name the nursing interventions for a stage three pressure ulcer.
    • ⇨Proteolytic enzyme (form of debridement, that eats away dead tissue) 
    • ⇨requires debridement
    • ⇨Possible surgical procedure.
  4. Skin Integrity
    Name the nursing interventions for a stage four pressure ulcer.
    • ⇨Pack with iodine goze (is sterile)
    • ⇨skin graphing
  5. Skin Integrity
    Name the characteristics of a stage one ulcer.
    • ⇨Skin is intact
    • ⇨nonblanchable erythema
    • ⇨If it goes away after a while it is not a stage one.
  6. Skin Integrity
    Name the characteristics of a stage two ulcer.
    • ⇨Partial thickness loss of epidermis or dermis (even if its a little crack)
    • ⇨Superficial
    • ⇨Clinically as: abrasion blister, or shallow crater.

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