Chapter 56 Integumentary

what is psoriasis

- A chronic, noninfectious inflammatory disease of theskin in which epidermal cells are produced at anabnormally rapid rate - Improves and recurs; a lifelong condition - May be aggravated by stress, trauma, seasonal and hormonal changes - Treatment: baths to remove scales and medications

what is management of pediculosis

- Bathe in soap and water and apply prescription scabicide or OTC permethrin (NIX). If eyelashes are involved, Vaseline may be applied twice a day for 8 days. Mechanically remove any nits. -All family members and sexual contacts must be treated and instructed regarding personal hygiene. - All clothing and bedding must be washed in hot water or dry cleaned. - Patient and partner should also be scheduled for checkup to assess for coexisting sexually transmitted disease.

what is patient edu for pediculosis capitis

- Head lice may infest anyone and are not a sign of uncleanliness. - Instruction in use of shampoo (lindane [Kwell]or pyrethrin [RID]) and combing of hair with fine-tooth comb dipped in vinegar to remove all nits - Note lindane may have toxic effects and must be used only as directed - All articles of clothing and bedding must bed is infected, washed in hot water, or dry cleaned.Furniture and floors should be frequently vacuumed. - Do not share combs, hats, and so on. - All family members and close contacts must be treated.

what is the assessment of Steven Johnsons syndrome

- Impaired tissue integrity (i.e., oral, eye, and skin) related to epidermal shedding - Deficient fluid volume and electrolyte losses related to loss of fluids from denuded skin - Risk for imbalanced body temperature (i.e., hypothermia) related to heat loss secondary to skin loss - Acute pain related to denuded skin, oral lesions, and possible infection - Anxiety related to the physical appearance of the skin and prognosis

what is patient education bacterial infection

- Impetigo is contagious and may spread to other parts of patient's body or to other persons. - Patient education regarding antibiotics, hygiene, and skin and lesion care. - Don't share towels, combs, and so on. - Bathe daily with antibacterial soap. - Furuncles, boils, or pimples should never be squeezed.

what is patient education for fungal infections

- Instruction regarding medications, use of oral and topical agents, and shampoos - Instructions regarding hygiene: use clean towels and washcloths every day - Do not share towels, combs, and so on. - Keep skin folds and feet dry. - Wear clean, dry, cotton clothing, including underwear and socks; avoid synthetic underwear, tight-fitting garments, wet bathing suits, and plastic shoes. - Avoid excessive heat and humidity. - Hair loss associated with tinea capitis is temporary.

what is patient education for scabies

- Itch Mite causing itching small red raised spots - Mite frequently involves fingers and hands; contact may spread infection. Health care personnel should weargloves when providing care until infection is ruled out. - Instruct patient to take a warm, soapy bath; allow skin to cool; and apply prescription scabicide lindane,crotamiton, or 5% permethrin to entire body, not including the face or scalp. Leave on for 12 to 24 hours. - Wash clothing and bedding in hot water and dry in a hot dryer. - Treat all contacts at the same time. - Repeat the treatment in 1 week to prevent reinfestation - Pruritus may continue for several weeks and does not mean re-treatment is required.

what are interventions for psoriasis

- Patient education regarding the disease, skincare, and treatment regimen - Measures to prevent skin injury: avoid picking or scratching - Measures to prevent skin dryness: use of emollients, avoid excessive washing, and use warm (not hot) water, pat dry - Use of the therapeutic relationship for support and to aid coping

what are two forms of parasitic skin infestations

- Pediculosis (lice): pediculosiscapitis, pediculosis corporis, Phthirus pubis - Scabies (mites): Sarcoptesscabei

what are potential complications of psoriasis

- infection - psoriatic arthritis

what is kaposis sarcoma

A malignancy of endothelial cells that line theblood vessels: dark reddish-purple lesions ofthe skin, oral cavity, GI tract, and lungs

what is impetigo

Bacterial skin infection Highly contagious Affects mainly infants and children Appears as red sores on face (nose and mouth) and hands and feet. Sores burst and develop honey-colored crusts Antibiotics

what is Stevens Johnson syndrome

Medication: Antigout medications Nonsteroidal anti[inflammatorydrugs Penicillins and sulfonamides Anticonvuslsants Sertraline (Zoloft) Infectious: Herpes (simplex andzoster) Influenza HIV Diphtheria Typhoid Hepatitis

A small papule with a dry, rough scale would be a

actinic keratosis,which can be a precancerous skin lesion

A pearly papule with a central crater and a waxy border is alesion expected with

basal cell carcinoma

what is patient education for herpes simplex

instruction regarding prescribed antiviral medications and prophylactic medication use, instruction regarding spread of herpes, and measures to reduce contagion of partner or of neonates born to mothers with genital herpes

what is patient edu for herpes zoster

instruction regarding prescribed antiviral medications, lesion care, dressings ,and hand hygiene

An irregularly shaped lesion is common with

melanoma

what is herpes zoster shingles

• Chickenpox and shingles • Painful • Band, strip or small area on one side of body • Elderly and immune compromised • Shingles occur when chickenpox virus reactivates • Virus dormant in nerve roots • Can't get shingles from someone but canpossibly get chickenpox

what are viral infection of then skin

• Herpes zoster • Herpes simplex: orolabial,genital

what are bacterial infections of then skin

• Impetigo • Folliculitis, furuncles, andcarbuncles

Is the following statement true or false? Application of scabicide immediately after bathing and before the skindries and cools increases percutaneous absorption of the scabicide andthe potential for central nervous system abnormalities.

True Application of scabicide immediately after bathing and before the skin dries and cools increases percutaneous absorption of the scabicide and the potential for central nervous system abnormalities.

Pediculosis corporis is adisease related to

poor hygiene and of those who live in close quarters.

Pediculosis pubis is common and spread chiefly by

sexual contact.

A firm, nodular lesion topped with crust is usually a sign of

squamous cell carcinoma

what are fungal infections of the skin

tinea pedis,tinea coporis, tinea capitis, tineacruris, tinea unguium