Licensure, Integumentary (O'Sullivan)

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Licensure, Integumentary (O'Sullivan)
2014-07-03 15:15:31
Licensure Integumentary Sullivan

Licensure, Integumentary (O'Sullivan)
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  1. Name the stages of burns
    • 1. Superficial (1st degree)
    • 2. Superficial partial thickness (2nd degree)
    • 3. Deep partial thickness (2nd degree still)
    • 4. Full partial thickness (3rd)
    • 5. Subdermal burn (4th)
  2. Whats the most noticeable differences between superficial and partial thickness superficial burns. What skin layer is affected by each
    • partial= blisters present and severe pain, epidermis and dermis
    • superficial= just epidermis
  3. What skin layer and noticeable changes occur with deep partial thickness burns
    • severe dermis and epidermis dmg
    • red/white appearance
    • injury to nerve endings, hair follicles, sweat glands
    • continued severe pain
  4. what skin layer and changes occur with full thickness burn
    • epidermis, dermis, subcutaneous, and possible muscle
    • white/gray/black apperance
    • little pain
  5. tissue level and changes with subdermal burn
    • all the way to muscle and bone
    • may need amputation
    • destruction of vascular system
  6. adult rule of nines
    • head/neck: 9%
    • anterior trunk: 18%
    • posterior trunk: 18%
    • arms: 9% each
    • legs: 18% each
    • perineum: 1%
  7. 3 zones relating to burn wounds; coagulation, stasis, and hyperemia. List best to worst
    • Hyperemia- minimal cell injury
    • Stasis- ┬ácells are injured, may die without special tx
    • Coagulation- area of greatest dmg, cells irreversibly injured, full-thickness dmg has occured
  8. What are the 3 phases of wound healing with details of each
    • Inflammatory= edema, redness, warmth, pain
    • Proliferative= fibroblasts form scar tissue, wound contraction, possible reepitheliazation
    • Maturation= scar tissue remodeling, can take up to 2 years
  9. What are allografts, xenograft, autograft
    • allograft= other human skin
    • xenograft= from other species
    • autograft= from self
  10. Common positions of burn deformity for shld, anterior neck, elbow, and hand
    • shld- add and IR
    • anterior neck- flexion
    • elbow- flex and pronation
    • hand- wrist flex, MP ext, PIP and DIP flex, and thumb add.
  11. Common positions of burn deformity for hip, knee, ankle
    • hip- flex, add
    • knee- flex
    • ankle- PF
  12. This type of wound has well defined border, is painful, pulses diminshed
  13. this type of wound has irregular edges, edema, strong pulse
  14. This pressure ulcer stage has full-thickness tissue loss. Subcutaneous fat may be visible but bone or tendons are not. Slough may be present.
    Stage 3
  15. This pressure ulcer has partial-thickness loss, presents as a shallow ulcer with red wound base, no slough, can be a serum blister.
    Stage 2