Skin
What is the med term for the skin system?
Integumentary.
what is another name for a pressure injury?
decubitus ulcer, pressure ulcer, bed sore
What do burn victims need to help with wound healing?
Protein/hydration
turn a patient every....
2 hours
complete this statement regarding pressure injuries
It is easier to ____________________ than _____________
prevent
treat
Most common site for skin tears?
Arms and hands
Explain friction and shear?
shearing= skin moves underlying tissue stays
What is a priority when managing burn victims?
pain control
infection control
mental health
protein/electrolytes
dressing changes
A patient should lift their buttock....
every 15 minutes
Does NA equipment go in the bed?
NO
Name the 3 layers of skin from outer to inner
1) epidermis
2) dermis
3) subcutaneous tissue
list and explain the 6-pressure injury stages
1) epidermis: skin intact and red
2) epidermis and dermis: skin blistered and open
3) epidermis, dermis, subcutaneous tissue
4) all the way to bone
unstageable: all layers down to bone
deep tissue injury: bleeding under skin; skin intact.
What are the 3 causes of burns?
1) chemical
2) electricity
3)heat/cold
Why where restraints and wounds demoed together?
restraints could cause wounds.
Who are the 2 PRN people on the treatment team?
1) surgeon
2) infection control RN
Name the TOP 3 bony prominences.
sacrum/coccyx, buttocks, heels, elbows
3rd degree
What are other options to use to pad or instead of using a pilllow?
sheep's wool, floor mat, towels, blankets
Explain the difference between OT and PT
PT= walking
OT= ADLs/fine motor skills
List 5 age changes to hair skin and nails
1) skin thinner
2) wrinkles
3) bruise easily
4) hair loses color, texture, thickness
5) decreased circulation (cold)
6) dry pale skin
7) loses melanin
8) skin sags
9) increase fall risk
10) toenails, thicken and yellow
List 5 people who are at increased risk for pressure injuries?
paralyzed, elderly, immobile, obese/overweight, dependent, diabetes, incontinent, malnourished, debilitated (can't move)
AM session: name AND explain the 4 types of wound drainage
PM session: name the 5 electrolytes
AM: 1) purulent: infection; yellow, green, brown
2) serous: clear wound drainage
3) sanguineous: red bloody
4) serosanguineous: pink; mix of clear and red
PM: sodium, magnesium, phosphorus, calcium, potassium
The head of the bed should be no higher than _______ degrees.
30
Give examples of the following
Pustules
vesicles
wheals
excoriation
crust
abrasion
hematoma
Pustules: acne
vesicle: blister
wheals: hives
excoriation: diaper rash
crust: scab
abrasion: road rash, Indian burn, rug burn
hematoma: bruise