Licensure, Integumentary (O'Sullivan)

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amills1
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278008
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Licensure, Integumentary (O'Sullivan)
Updated:
2014-07-03 15:15:31
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Licensure Integumentary Sullivan
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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
    artieral
  13. this type of wound has irregular edges, edema, strong pulse
    venous
  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

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