Canc-R-Us
The ABCDE’s of malignant melanoma
Asymmetry, Border irregularity, Color change, Diameter greater than 6 mm, Evolving in appearance
This key step in properties management involves discussing realistic expectations and limitations of cosmetic procedures with the patient
Informed consent
The main identifying characteristic of Plaque Psoriasis
Scaly papules forming plaques
The meaing of the suffix "-ectomy"
Excision or Removal of
Two types of oral cancer
Oral Cavity Cancer ; starts in the mouth
Oropharyngeal Cancer : develops in the area of the throat directly behind the mouth
A common precancerous lesion that can be treated nonsurgically
Actinic Keratosis or AK
This injectable cosmetic treatment containing botulinum toxin is used to reduce wrinkles
Botox
This Chronic Autoimmune disease affects the skin, with 7.5 million Americans affected
Psoriasis
What does PACU stand for, and how many phases are involved?
Post Anesthesia Care Unit
3 Phases
Pressure is measured in various locations, including the ventricles and subarachnoid space, and normally ranges from 5 to 15 mm Hg. A sustained pressure above this value indicates abnormality.
Intracranial Pressure
Distinguish one difference between a Basal Cell Carcinoma and a Squamous cell carcinoma
BCC - rarely metastasize, may occur in non-sun exposed areas, curled borders, epidermis only.
SCC- more aggressive, sun exposed areas, keratinized/scaley
Drugs in this category are typically sufficient to manage pain after most cosmetic procedures
Mild analgesics
What are the two types of contact dermatitis?
Irritant and Allergic
What is difference between the scrub nurse and the circulating nurse?
Scrub RN - Prepares and manages the sterile field and instruments.
Circulating RN - Remains in the unsterile field, facilitating progress of the procedure, keeps documentation.
List 3 nursing interventions for skin-drug reactions
Airway management, Preserving renal function, maintaining fluid and electrolyte balance, and pain control
What Fitzpatrick classification does a patient with cream white, fair skin, any eye/hair color, who mildly burns and gradually tans fall under?
Fitzpatrick type III
This type of surgery is used to treat congenital and acquired vascular lesions, and for skin resurfacing and hair removal.
Laser surgery
This therapy uses a topical or IV photosensitizing agent that reacts to applied light to kill actinic keratosis and skin cancer cells.
Photodynamic Therapy
What are some of the nurse's responsibilities immediately before a patient's surgery?
Final preoperative teaching, assessment, and communication of pertinent findings. Verify presence of signed informed consent form. Ensure all pre-op orders have been done.
Drugs potentiate the suns effect, even with brief exposure. Explain this phenomenon
The chemicals in these drugs absorb light when exposed to natural sunlight and release energy that harms cells and tissues.
A pt comes into the office worried about a irregularly shaped lesion on his posterior neck. Pt is a farmer and states that his twin sister was recently diagnosed with invasive melanoma. A biopsy is taken and comes back confirming malignant melanoma. What factors will determine the next steps in treatment?
The initial staging and location of the tumor
This cosmetic procedure is used to remove subcutaneous fat which is resistant to other techniques of removal, although it is not a substitute for diet and exercise.
Liposuction
The process of using electrical energy as heat to burn and destroy unwanted superficial tissue.
Electrodessication
What are the core body temperature ranges for mild, moderate, and severe hypothermia?
Mild: 93-95F (33.9-35C)
Moderate: 86-93F (30-33C)
Sever: <86F (30C)
A patient comes into the ER with the following systemic symptoms: fever, cough, anorexia, and myalgia. Patient states these symptoms presented a week ago and today a red, macular rash appeared and began to blister.
Based on these signs and symptoms, what is the patient experiencing? What is the most important action in caring for this patient?
Allergic reaction triggering Stevens-Johnsons Syndrome (SJS) or Toxic Epidermal Necrolysis (TEN)
The nurse should identify and stop the offending drugs.