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INTEGUMENTARY SYSTEM

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SKIN SCRAPING. TZANCK SMEAR. WOOD'S LIGHT EXAM. PHOTOGRAPHS. KOH ... SKIN SCRAPING. ELECTRODESSICATION AND ELECTROCOAGULATION. CURETTAGE. PUNCH BX. CRYOSURGERY ... – PowerPoint PPT presentation

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Title: INTEGUMENTARY SYSTEM


1
INTEGUMENTARY SYSTEM
  • NUR 869
  • LEE ANNE WALMSLEY

2
SKIN
  • FIRST LINE OF DEFENSE
  • LARGEST ORGAN OF BODY

3
LAYERS
  • EPIDERMIS
  • DERMIS
  • HYPODERMIS

4
(No Transcript)
5
EPIDERMAL APPENDAGES
  • HAIR
  • NAILS
  • GLANDS

6
GERONTOLOGIC CHANGES
  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.

7
FUNCTIONS
  • SURFACE BARRIER
  • PROVIDES SENSORY PERCEPTION
  • F/E BALANCE (INSENSIBLE)
  • TEMPERATURE REGULATION
  • ROLE IN BODY IMAGE AND EXPRESSION

8
ASSESSMENT
  • OBSERVE PATIENT THROUGHOUT EXAM
  • GENERAL APPEARANCE
  • SPECIFIC RX TO FOOD, PET DRUGS,INSECT
    BITES/STINGS
  • EXPOSURE TO UV LIGHT
  • DRUG HISTORY

9
NORMAL ASSESSMENT
  • SKIN
  • NAILS
  • HAIR

10
ASSESSING SKIN LESIONS
  • TYPE PRIMARY OR SECONDARY
  • COLOR
  • SIZE
  • SHAPE
  • LOCATION
  • DRAINAGE
  • DISTRIBUTION

11
PRIMARY
  • MACULE
  • PAPULE
  • NODULE
  • VESICLE
  • BULLA
  • PUSTULE
  • WHEAL

12
SECONDARY
  • SCALES
  • FISSURE
  • SCAR
  • EROSIONS
  • ULCERS
  • ATROPHY
  • LICHENIFICATION
  • CRUSTS

13
PSYCHOSOCIAL
  • BODY IMAGE CHANGES
  • DEPRESSION
  • ANXIETY
  • SLEEP DISTURBANCE
  • ISOLATION

14
NURSING DIAGNOSIS
  • HIGH RISK FOR IMPAIRED SKIN INTEGRITY
  • PAIN/ITCHING
  • SLEEP PATTERN DISTURBANCE
  • BODY IMAGE DISTURBANCE
  • KNOWLEDGE DEFICIT

15
PREVENTATIVE MEASURES
  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.

16
CHRONIC SKIN LESIONS
  • 1.
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.

17
DIAGNOSTIC TESTS
  • SKIN BIOPSY
  • PATCH TESTS
  • SKIN SCRAPING
  • TZANCK SMEAR
  • WOODS LIGHT EXAM
  • PHOTOGRAPHS
  • KOH TEST - FUNGUS

18
HEALTH PROMOTION
  • AVOID ENVIRONMENTAL HAZARDS
  • ADEQUATE REST AND EXERCISE
  • PROPER HYGIENE AND NUTRITION
  • CAUTIOUS USE OF SELF TREATMENT

19
ENVIRONMENTAL HAZARDS
  • SUN EXPOSURE
  • IRRITANTS AND ALLERGENS

20
NUTRITION
  • VIT A
  • Vit B COMPLEX
  • VIT C
  • VIT K
  • PROTEIN
  • UNSATURATED FATTY ACIDS

21
BASES FOR TOPICAL MEDS
  • POWDER
  • LOTION
  • CREAM
  • OINTMENT
  • PASTE

22
THERAPIES
  • DRUG THERAPY
  • PHOTOTHERAPY
  • RADIATION THERAPY
  • LASER THERAPY

23
DRUG THERAPY
  • ANTIBIOTICS
  • CORTICOSTEROIDS
  • ANTIHISTAMINES
  • TOPICAL FLUROURACIL

24
DX AND SURGICAL THERAPY
  • SKIN SCRAPING
  • ELECTRODESSICATION AND ELECTROCOAGULATION
  • CURETTAGE
  • PUNCH BX
  • CRYOSURGERY
  • EXCISION

25
NURSING MANAGEMENT
  • WET DRESSINGS
  • BATHS
  • TOPICAL MEDS
  • PREVENTION OF SPREAD
  • SPECIFIC SKIN CARE
  • PSYCHOLOGICAL EFFECTS

26
DISORDERS
  • MALIGNANT CONDITIONS
  • NONMELANOMA SKIN CANCERS
  • BACTERIAL INFECTIONS
  • VIRAL
  • FUNGALS
  • BENIGN CONDITIONS

27
BASAL CELL CA
28
SQUAMOUS CELL CA
29
ACTINIC KERATOSIS
30
MALIGNANT MELANOMA
31
ABCDs OF MELANOMA
  • ASYMMETRY
  • BORDER
  • COLOR
  • DIAMETER

32
BACTERIAL INFECTIONS
  • SKIN IDEAL FOR BACTERIAL GROWTH
  • CAN OCCUR FROM BREAK IN SKIN
  • PREDISPOSING FACTORS
  • 1.
  • 2.
  • 3.
  • 4.

33
IMPETIGO
34
FOLLICULITIS
35
FURUNCLE
36
CARBUNCLE
37
CELLULITIS
38
HERPES
39
PLANTAR WARTS
40
FUNGAL
41
RINGWORM
42
PATCH TESTING
43
CONTACT DERMATITIS
44
URTICARIA
45
DRUG REACTION
46
ATOPIC DERMATITIS
47
ACNE
48
SEBORRHEIC KERATOSIS
49
BENIGN SKIN TAGS
50
VITILIGO
51
DIABETES
52
DIABETES
53
NECROTIZING FASCIATIS
54
STEVENS JOHNSON SYNDROME
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