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NUR2571 Exam 3 Review : Professional Nursing II / PN 2
❖ Cellulitis
o Red, heat, swelling, glassy looking skin, pain, odorous, weeps/drains
o Abx, ice for stopping burning/inflammatory process and inhibits infection spread,
elevation, anti-inflammatory
❖ Herpetic Whitlow
o Bacterial infection or warts on fingertips
o Nurse needs gloves and good hand hygiene
o Contact precautions are used
❖ Impetigo
o Bacterial infection on face, contagious, honey-colored discharge (IE: pruritic
vesicles around mouth)
o Treat with antivirals like acyclovir
o Easily spread from one to another
o Nurse needs to educate family on good hand washing, close contact, bleach wipes
for surfaces
o Analgesics OTC for pain
❖ Psoriasis (autoimmune)
o Scaly, red, itchy, silvery scales that are usually on elbows, knee’s, and scalp
o Finger and toenail lifting may occur, as well as pitting
o Morning stiffness, neck and back pain common
o Associated with arthritis
o Treat with Humira (edalamumab), steroid creams, “-MABS”, UV-ray tx is done a
lot (tanning beds)
▪ Other meds used
• Enbrel (etanercept), Stelara (ustekinumab), Remicade (infliximab)
• Hydrocortisone cream 1% is very effective in the short term
❖ DKA
o s/s
▪ acetone breath (fruity, sweet smelling), Kussmaul respirations,
dehydration, abdominal pain, extreme thirst and hunger
• (**“hot and dry, sugar is high”** = dehydration)
▪ Blood sugar greater than 500
o Treat with insulin Humulin-R via IV (short acting)
▪ Humulin R is the only insulin that can be given via IV
• Side note: Humalog is rapid and CANNOT be used IV
❖ Type 1 DM
o Usually born with it
o Pancreas beta cells fail to make or respond to insulin
o Treat with pump insulin
o Still need check blood glucose check 4x/day and before meals
o If you want to drink alcohol, patient will need bolus insulin from their pump to
cover themselves for eating pizza, beer, etc. (if they don’t, they end up in DKA)
❖ Short and long acting insulin used together to mimic normal body process
o Humulin-R and NPH
NUR2571 Exam 3 Review : Professional Nursing II / PN 2
❖ Cellulitis
o Red, heat, swelling, glassy looking skin, pain, odorous, weeps/drains
o Abx, ice for stopping burning/inflammatory process and inhibits infection spread,
elevation, anti-inflammatory
❖ Herpetic Whitlow
o Bacterial infection or warts on fingertips
o Nurse needs gloves and good hand hygiene
o Contact precautions are used
❖ Impetigo
o Bacterial infection on face, contagious, honey-colored discharge (IE: pruritic
vesicles around mouth)
o Treat with antivirals like acyclovir
o Easily spread from one to another
o Nurse needs to educate family on good hand washing, close contact, bleach wipes
for surfaces
o Analgesics OTC for pain
❖ Psoriasis (autoimmune)
o Scaly, red, itchy, silvery scales that are usually on elbows, knee’s, and scalp
o Finger and toenail lifting may occur, as well as pitting
o Morning stiffness, neck and back pain common
o Associated with arthritis
o Treat with Humira (edalamumab), steroid creams, “-MABS”, UV-ray tx is done a
lot (tanning beds)
▪ Other meds used
• Enbrel (etanercept), Stelara (ustekinumab), Remicade (infliximab)
• Hydrocortisone cream 1% is very effective in the short term
❖ DKA
o s/s
▪ acetone breath (fruity, sweet smelling), Kussmaul respirations,
dehydration, abdominal pain, extreme thirst and hunger
• (**“hot and dry, sugar is high”** = dehydration)
▪ Blood sugar greater than 500
o Treat with insulin Humulin-R via IV (short acting)
▪ Humulin R is the only insulin that can be given via IV
• Side note: Humalog is rapid and CANNOT be used IV
❖ Type 1 DM
o Usually born with it
o Pancreas beta cells fail to make or respond to insulin
o Treat with pump insulin
o Still need check blood glucose check 4x/day and before meals
o If you want to drink alcohol, patient will need bolus insulin from their pump to
cover themselves for eating pizza, beer, etc. (if they don’t, they end up in DKA)
❖ Short and long acting insulin used together to mimic normal body process
o Humulin-R and NPH
