Term
| when a person if first infected with cutaneous anthrax what is seen on the skin and then if a few days what is seen |
|
Definition
| raised vesicle may itch and resemble an insect bite, then in a few days it becomeshemorrhagic and sinks inward |
|
|
Term
| what are the 3things that can distinguish anthrax from insect bites |
|
Definition
| painless and eschar appears |
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Term
| what else may be present with antrhax |
|
Definition
| enlarged lymph nodes and fever chills |
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|
Term
| what is needed to prove antrhax |
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Definition
|
|
Term
| what are the antibiotics of chois for anthrax |
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Definition
|
|
Term
| when adminstering vancomycin what are some precautions |
|
Definition
| has to be given over 60 min and must chenck for reddnes or pain or cordlike veins |
|
|
Term
| what can vancomycin cause and why is it important to check for the redness or pain |
|
Definition
| it can cause histamine release and causes red man syndrome it is also very irritating to the veins and can trigger thrombophlebitis |
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|
Term
| what are some nursing implecations when giving clindamycin |
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Definition
| same as when giving vancomycin but als need to ask about diarreha and bledding at the gums because it causes changes to intestinal flora and reduces platlts |
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Term
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Definition
|
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Term
|
Definition
|
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Term
|
Definition
| lice that lay eggs in clothing seen on abs, trunk, and extremities |
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|
Term
|
Definition
| contagious skin disease caused by mites from close and prolonged contact of infected bedding |
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|
Term
| where is scabies found mostly |
|
Definition
school children
pets
homeless
institutionalized pt |
|
|
Term
| what does scabies look like |
|
Definition
| linerar ridges in the skin, caused by burrowing of the mite into the outer skin layers |
|
|
Term
| how do they confirm scabies |
|
Definition
| scraping a lesion and looking under microscope |
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|
Term
|
Definition
|
|
Term
|
Definition
| they do not live on humans but they feed on our blood |
|
|
Term
| what do the bed bugs do while feeding on a host |
|
Definition
| inject saliva that had an anticoagualnt AND THEN SUCKS THE BLOOD |
|
|
Term
| what can you do to get rid of bed bugs |
|
Definition
| heat- wash linens in hot water and dry them in hot dryer if they cant be washed then stored them in a dark plastic bag and put it in hot sun |
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|
Term
| atopic dermatitis what is ti and how can it be made worst |
|
Definition
| rash that is apparnet with respiratory allergies and made worst with food allergies, chemicals and stress |
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|
Term
|
Definition
| autoimmune reaction from overstimulating immune system- the langenhorn cells in the skin respond to antigens and t lymphocyte activation |
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|
Term
| how can pt with psorisis feel better |
|
Definition
| in a warmer climate and more exposure to sun |
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|
Term
| psoriasis vulgaris how does this look |
|
Definition
| red thick covered with silvery plaques |
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|
Term
|
Definition
| scaling without obvious lesions |
|
|
Term
|
Definition
| is a form of psoriasis that causes pustules on the palms of the henads and feet |
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|
Term
| corticosteroids have antiinflamatory reactions what does this do for psoriasis |
|
Definition
|
|
Term
| tar preparations are applied to the skin and suppress cell division when is coal tar used |
|
Definition
| inpatient because they are messy and cause staining |
|
|
Term
| anthralin is a topical therapy used for skin problems what can this be used with |
|
Definition
| can be used alone and with tar baths and uv lighting |
|
|
Term
| what should you teach a pt who is applying anthralin |
|
Definition
| it is high potent and needs to be applied for short periods of time because it can cause chemical bruns |
|
|
Term
| using uv B light and UV A light for skin problems |
|
Definition
| uvB produces more energy but can cause burning/ UVa light emits lower levels of energy requiring longer periods of exposure before cell destruciton occurs |
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|
Term
| some treatments are methotrexate what does this cause |
|
Definition
| its cytotoxic and can cause liver damge |
|
|
Term
| why shouldnt you wear gloves with those with psoriasis |
|
Definition
| because touch- more then any other gesture communicates acceptance of those with skin problems |
|
|
Term
|
Definition
| firm flesh colored nodules that have liquid or semisolid material it can move upon palpation |
|
|
Term
|
Definition
| lesion of the sacral area has a sinus track that goes into deeper tissue structures |
|
|
Term
|
Definition
| common in older people thses are bening neoplasms look as if they are pasted on |
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|
Term
| keloids what are they and who is more commonly assosiated with having them |
|
Definition
| overgorwth of a scar with excessive accumulation of collaen and grouwnd substance more common in colors |
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|
Term
|
Definition
|
|
Term
| why is it imporatnt to keep an eye on moles |
|
Definition
| because about 50% of malignant melanomas come from moles |
|
|
Term
| actinic keratoses what is it and who has these |
|
Definition
| permalignant lesions of the cells of the epidermis common in those who have sun damaged skin |
|
|
Term
|
Definition
| cancers of the epidermis-from chronic skin damge |
|
|
Term
| basal cell carcinomas where is it come from/ who gets this/ and what can happen if unoticed |
|
Definition
| from the basal layer of the epidermis metasis is rare but can cause destruction to underlying organs. those who get this is from genetic and sun burned skin |
|
|
Term
| melanomas what is it and who gets it |
|
Definition
pigmented cancers from melanin producing cells from genetics
sun
unusual molse |
|
|
Term
| out of all the skin related carcinomas what ones are more prone to metasize |
|
Definition
| melanoma squamous cell carcinoma |
|
|
Term
| who has the highest risk for skin cancers |
|
Definition
| light skinned and those older then 60 |
|
|
Term
|
Definition
skin that has been injured that has a greater risk for skin cancer- scared skin
lesions
moles
birthmarks |
|
|
Term
|
Definition
| liquid nitrogento isolated lesions to cause cell death |
|
|
Term
| currettage and electodesiccation |
|
Definition
| used for small lesionsthat ARE NOT melanoma. it can destroy all cancerous cells while maintaing little damage around other tissues |
|
|
Term
|
Definition
| small lesionsto biopsy skin |
|
|
Term
| mohs surgery what is it used for and what is done |
|
Definition
| sugery used to treat basal cell and squamous cell carcinomas., the cancerous section is sectioned horizontally and then each layer is examined |
|
|
Term
|
Definition
| for deep melanomas or other skin cancers that are large and invasive |
|
|
Term
|
Definition
| cosmetic surgery to imrove body appearance |
|
|
Term
| rhytidectomy what is it and what to pts do to prepare |
|
Definition
| facelift/ pt wash their hair with antibacterial soap |
|
|
Term
| what is a bad sing after a thinoplasty and needs to be reported |
|
Definition
|
|
Term
| after rhinoplasty the pts should not increase pressure in the head by following these 4 rules |
|
Definition
stay upright
avoid facial movements
avoid bending, blowinf sneezing with mouth closed
dont bear down |
|
|
Term
|
Definition
|
|
Term
|
Definition
| removal of facial epidermis |
|
|
Term
|
Definition
| blackhead and white heads |
|
|
Term
| what are the side effects of acutane and roche |
|
Definition
elevated liver function test, dry chapped skin
depression |
|
|
Term
|
Definition
| skin disorder of purple flat topped papules that itch- unknown causes |
|
|
Term
| wher are linchen planus lesions seen |
|
Definition
| foreatrms lower legs genitalits |
|
|
Term
| if a person had oral lesions of lichen planus what would they look like/ and what are these lesions confused with |
|
Definition
| white and lacelike- often confused with thrush |
|
|
Term
|
Definition
|
|
Term
| troxic epidermal necrolysis what is it and what membranes are often involved |
|
Definition
| acute drug reaction of the skin resulting in diffuse erythmea and large blisters- mucous memebranes are often involved |
|
|
Term
|
Definition
| dryg induced immonulogic skin reaction similar to toxic epidermal necrolysis |
|
|
Term
| what is done to treat a person with steven johnson syndrome |
|
Definition
take away drug that caused it
mecahnical ventialtion may be required
renal replacement therapy |
|
|
Term
|
Definition
| chronic contagious systemic myobacterial infection of the peripheral nervous system |
|
|
Term
|
Definition
| airborn, insects and direst contact |
|
|
Term
| what are the skin changes with leprosy |
|
Definition
| red hairless palques that may be scaley or red macules, papules, nodules |
|
|
Term
| what can leprosy cause to the peripheral system |
|
Definition
| damged and reduced skin sensations |
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