Skin Lesions
What is a linear configuration?
Lesions form a line
What is balneotherapy?
A therapeutic bath useful to apply medications to large areas of skin as well as debride, remove old medications, and relieve itching/inflammation
What is the name of scale used to predict pressure sore risk?
Braden Scale
Where does Herpes Simplex Virus type 1 tend to cause lesions?
Mouth
What are the most common causes of skin cancer?
Overexposure to ultraviolet rays, and sunlight
What are discrete lesions?
Individual lesions are separate and distinct
What are wet to dry dressings used for?
Acute, weeping, crusted, inflamed, or ulcerated lesions
What is autolytic debridement?
Use of a synthetic dressing or moisture retentive dressing over the injury. Eschar self digests via action of enzymes present in the fluid environment
What is Herpes Zoster?
AKA shingles
Acute inflammatory and infectious disorder that produces painful eruption of bright red edematous vesicles along distribution of nerves
What is the most common type of skin cancer?
Basal cell carcinoma
What is a bulla?
A fluid filled vesicle or blister larger than 1 cm.
ie. contact dermatitis, burns
What are Alginate dressings used for?
When packed into a wound they absorb exudate and form a soft gel to maintain moist environment for wound healing
What are the characteristics of a stage 3 pressure injury?
Full thickness skin loss with visible fat showing. Granulation, slough, and/or eschar maybe seen. Tunneling, and undermining maybe seen.
Discuss patient education for treating someone with pediculosis capitis (head lice).
Name at least two
Bathe with soap and water
Disinfect all combs and brushes in hot, medicated soapy water
Fine tooth comb dipped in vinegar can be used to remove nits from hair
Clothing, linens should be laundered in hot water. Unwashable clothes dry clean or place in a bag for 10 days
Name a type of medication used to treat Pediculosis
Pediculosides
Ie. Permethrin (Nix)
Ulesfia
Ivermectin lotion (Sklice)
Lindane
What is a vesicle?
A small blisterlike raised area of skin that contains serous fluid, up to 1 cm.
Ie. Poison ivy, shingles, chickenpox
What is a collagen dressing used for?
Stimulates new tissue development
What is a stage 1 pressure injury?
Skin is still intact but the area is red and does not blanch when pressed. Could be warmth, hardness.
How does a infection with scabies look on the skin?
Short wavy blacklines (results from scabies burrowing in skin)
Name two therapeutic treatments for acne vulgaris
Vitamin A (Retin A)
Antibiotics (Erythromycin, Tetracycline)
Salicylic acid, Azelic acid
Isotretinoin (Accutane)
Oral contraceptives
What is a plaque?
A patch or solid raised lesion on the skin or mucuous membrane that is greater than 1 cm in diameter.
Ie. Psoriasis
When using balneotherapy describe at least two nursing interventions
Avoid hot water, but should be comfortable temperature
Bath should last 15-30 minutes
Keep the room warm to minimize chilling
Wear loose clothing after the bath
What is a stage 2 pressure injury?
Partial thickness skin loss with exposed dermis. Wound bed is pink or red, and moist. It may appear as an intact or ruptured blister.
When does the symptom of itching begin after a scabies infection?
Begins about 1 month after infestation and may persist for days or weeks after treatment
Discuss treatment interventions for Candidiasis ( Two)
Nystatin (oral, topical)
Teach patient keep skin clean/dry especially in skin folds