Integumentary Ch 53

Card Set Information

Author:
wiscflor
ID:
42561
Filename:
Integumentary Ch 53
Updated:
2010-10-16 16:09:44
Tags:
Peds2
Folders:

Description:
I53
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user wiscflor on FreezingBlue Flashcards. What would you like to do?


  1. How much body weight does water makeup in the infant body vs adult
    Infant - 4%

    Adult - 70%
  2. What skin considerations come in for each ethnic group:

    Black
    White
    Asian
    Hispanic
    Native American
    B - palpate rashes, erythema is dark red/violet

    W - less melanin, higher number of apocrine glands, risk for skin cancer

    A - light pigment at birth, darkens by 2-3 month

    H - pigmentation and varied hair

    NA - pigmentation and varied hair
  3. What are the 3 bacterial skin infections?
    • Impetigo
    • Cellulitis
    • Scalded Skin Syndrome
  4. Impetigo:

    Etiology
    Contagious
    S/S
    Tx
    Meds
    Staph. Aureus

    Highly contagious

    Honey colored crust, small red macules

    • Keep nails short
    • Soak lesions and remove crusts
    • Isolation

    • Bactroban (ointment)
    • Keflex (PO)
  5. Cellulitis:

    Etiology
    S/S
    Meds
    • Strep. pyogenes
    • Staph. aureus

    Fever, chills, redness, warmth, pain

    • Penicillin
    • Cephalosporins
    • Vancomycin (esp. with MRSA)
  6. If an infant is less than 2 months old with cellulitis what is expected first?
    Admittance to the hospital
  7. Scaleded Skin Syndrome:

    Etiology
    S/S
    Tx
    Staph

    Skin peeling, blisters, fluid loss, infection

    Oral or IV antibiotics
  8. What are the two main fungal infections?
    • Candidiasis
    • Tinea Capitis
  9. Candidiasis:

    S/S
    Meds
    • Thrush (most common)
    • Rash in diaper dermatitis

    • Nystatin
    • Fluconazole
  10. What should the nurse do for the mom if the baby has thrush?
    • Evaluate her on breastfeeding
    • Make sure the mom is hygenically clean
    • Give nystatin

    ***Just because the baby has thrush does not mean to stop breastfeeding
  11. Tinea Capitis:

    Etiology
    Transmission
    S/S
    Tx
    Meds
    T tonsurans

    Fomites

    Alopecia, scalp scaling

    • Antidandruff shampoo
    • Treat all members of the household

    Oral griseofulvan
  12. When giving oral griseofulvan, what is the minimum amount of time to take it?

    What foods are best to give with it?
    Minimum of 8 weeks

    Foods high in fat for best absorption
  13. What are the 3 viral infectious diseases?
    • Herpes Simplex Type I
    • Warts
    • Fifth Disease
  14. Herpes Simplex Type I:

    S/S
    Diagnosed
    Meds
    Small, painful vesicles with yellow exudate that last 2-3 weeks

    Viral cultures (gold standard)

    Acyclovir (Zovirax)
  15. What are the main nursing teachings when is comes to managing herpes simplex type I?
    • Good handwashing!
    • No scratching
    • Oral fluids
    • Educate family on meds
  16. Warts:

    Etiology
    Tx
    Meds
    Papillomavirus

    Freeze with liquid nitrogen

    Salicylic and lactic acid
  17. Fifth Disease:

    Etiology
    Incubation
    S/S
    Associated with
    Parvovirus

    4-14 days

    "Slapped cheek rash on face"

    Anemia associated sickle cell disease
  18. What are the two main infestations?
    • Lice
    • Scabies
  19. Lice:

    Etiology
    Transmission
    Communicability
    Tx
    Pediculus humanus capitis

    • Human to human
    • Contact with personal items

    • Adult louse can live 48 hours from human host
    • Eggs can hatch in 7-10 days

    • Nix or RID shampoos
    • Remove eggs with fine tooth comb
  20. When can a child use Nix or RID in the treatment of lice?
    After the age of 2
  21. Scabies:

    Etiology
    Transmission
    Incubation
    At risk for
    Tx
    Mites

    Direct contact

    2-6 weeks

    Secondary bacterial infection

    • Permethrin cream on ALL skin for 8-14 hours
    • Treat everyone in household
  22. What are the main chronic skin conditions?
    • Eczema
    • Diaper Dermatitis
    • Seborrheic Dermatitis
    • Contact Dermatitis
    • Acne
  23. Eczema:

    S/S
    Tx
    Meds
    Weeping vesicles that crust over

    Coal tar prep and medicated baths

    Steroids and antihistamines
  24. What treatments do you want to avoid with eczema?
    • Heat
    • Soap
    • Baby wipes
    • Problem foods
  25. Poison Ivy:

    S/S
    Tx
    Meds
    • Fluid filled vesicles
    • Itching

    Wash with soap

    Antihistamines, Corticosteroids
  26. Passive vs Active prophylaxis of rabies?
    P - Vaccine that is take on days 1, 3, 7, 14, 28

    A - Immune globulin given IM in or near wound
  27. What are the steps of treating an insect bite?
    • Remove stinger
    • Use cool, wet compresses
    • Give benadryl and acetaminophen
  28. Babies of dark skinned cultures are typically born with this type of birthmark
    Mongolian spot
  29. What skin condition comes from dilated capillaries?
    Port wine stain
  30. What kind of dressing is used for wounds primarily?
    Moist

    (NOT wet and NOT dry)
  31. What measures are used to prevent skin breakdown?
    • Assess risk with Braden
    • Turn
    • Float heels
    • Use lift sheet
    • Do not elevate HOB beyond 30 degrees
  32. What is the biggest risk when it comes to burns?

    First 48 hours
    48-72 hours
    Shock from fluid loss

    Infection
  33. What is the best way to recover from burns, nutrition-wise?
    • High protein diet
    • Increase vitamin A and C
    • 2-3 times more calories
  34. Why do burn victims need to maintain physical mobility?
    Because they will have contractures

What would you like to do?

Home > Flashcards > Print Preview