pathophysiology
What is psoriasis? (include cause)
Autoimmune disease caused by rapid proliferation (growth) of epidermal cells
How is psoriasis diagnosed?
health history and physical exam
Bonus: which celebrity has psoriasis
Kim K
Kris Jenner
While in Publix, you notice a man collapse. He has no pulse and is not breathing. What do you do?
CPR - 2 hands, 30 compressions:2 breaths (100-120 compressions per minute) - compression depth of 2 inches, wait for complete chest recoil
When is the most common onset of psoriasis?
Onset is commonly in young adulthood, but can appear at any age.
The nurse should monitor closely for _________ in patients taking biologic agents such as etanercept (Enbrel).
Infection
list nursing interventions for "altered self concept"
•Allow pt to express feelings
•Demonstrate acceptance of the pt’s appearance and feelings
Describe the procedure for CPR on an infant
cycle of 15 compressions:1 breaths or 30 compressions:2 breaths , 1/3 chest compression w complete chest recoil, 100-120 compressions per minute,
True or false: psoriasis can become systemic
true
List the types of UV light therapies used in treatment of psoriasis.
PUVA (UVA) and UVB
•Encourage the pt to maintain social contacts
•Encourage pt to plan strategies to deal w exacerbations w/o stress
https://drive.google.com/drive/recent
Dull flank pain or excruciating abdominal pain radiating to the groin or perineum accompanied by nausea, vomiting, and hematuria suggest what urologic disorder?
https://drive.google.com/drive/recent
kidney stones - dull flank pain: kidney stone in the renal pelvis, excruciating abdominal pain radiating to the groin or perineum: kidney stone in the ureter
List at least 2 aggravating factors of psoriasis.
overuse of alcohol, streptococcal infections, stress, and some drugs (beta-blockers, ACE inhibitors, antimalarials, lithium)
What medication is topical salicylic acid paired with in the treatment of mild psoriasis?
corticosteroids
Interventions for "inability to manage treatment program"
•Family teaching
•Pt teaching on meds and treatments
•Tell pt to report S&S of secondary infection (fever, purulent discharge, increased redness)
•Encourage adequate rest, good nutrition, and stress management
•Instruct pts on immunosuppressants to avoid crowds and practice good hand washing
The nurse is getting a patient out of bed after an exploratory laparotomy, and wound evisceration occurs. What should the nurse do?
Lay the patient down supine, cover the wound with large sterile dressings or towels soaked in NS, and call the surgeon immediately.
Name the condition that results from systemic psoriasis.
Psoriatic arthritis
Which medications used in the treatment of moderate to severe psoriasis are contraindicated in pregnancy?
methotrexate and oral retinoids
Describe a focused assessment on a pt with psoriasis
•Description of symptoms
•Identification of treatments being used
•Inspect affected areas for lesions and scales
•Document joint pain or stiffness (may cause arthritis)
•Ask how psoriasis affects ADLs
•Coping strategies
The patient's ABGs come back at
pH 7.31
paCo2 34
HCO3 20
what is the condition?
metabolic acidosis (respiratory compensation)