Vesicle
Give this one a try later!
elevated, circumscribed, superficial, not into dermis; filled with serous fluid;
less than 1 cm in diameter
example: varicella (chickenpox), herpes zoster (shingles), impetigo, acute
eczema
,Fissure
Give this one a try later!
linear crack or break from the epidermis to the dermis; may be moist or dry
example: athlete's foot, cracks at the corner of the mouth, chapped hands,
eczema, intertrigo labialis
Jaundice
Give this one a try later!
yellowing of the skin, mucous membranes, sclear caused by an
accumulation of bile pigment (bilirubin) in the blood
Penrose Drain
Give this one a try later!
a flat, thin, rubber tube inserted into a wound to allow for fluid to flow from
the wound; it has an open end that drains onto a dressing
Granulation Tissue
Give this one a try later!
, · The new tissue created to fill the wound that is beefy red in appearance
List 3 nursing interventions for pressure ulcers
Give this one a try later!
Turning and Positioning- every 2 hours and elevate the head no more than
30 degrees. side lying patient should be positioned at 30 degrees as
opposed to 90 degrees to avoid direct pressure on bony prominences.
folded blankets between knees.
Skin Hygiene- keeping skin dry/changing the patient appropriately, use
lukewarm water and mild soaps. ph neutral soaps.
pressure-reducing amttresses and support surfaces
Apply topical treatments
pain management
pressure injury care
monitor color of skin, temperature, edema, erythema, moisture, and
appearance of surrounding skin, noting charecteristics of skin over bony
prominences or under/in contact with medical devices
Pressure Ulcers are now defined as alterations in tissue integrity from
pressure.
Osteoarthritis
Give this one a try later!
, · Also known as degenerative joint disease
· Progressive breakdown and loss of cartilage in one of more joints
affecting weight-bearing joints
· Form of arthritis in which one or many of the joints undergo destruction of
cartilage
(Wilson & Giddens, 2017, p. 303)
Drainage colors- what do you chart?
Yellow-Green:
Red:
Pus and Blood:
Clear and Blood-tinged:
Give this one a try later!
Yellow-Green: yellow-green tinged purulent
Red: Sanguineous
Pus and Blood: Purulent
Clear and Blood-tinged: Serosanguineous
Cloudy or gray- seropurulent
3 Layers of Skin
Give this one a try later!
epidermis, dermis, hypodermis
Shear Effect
Give this one a try later!
elevated, circumscribed, superficial, not into dermis; filled with serous fluid;
less than 1 cm in diameter
example: varicella (chickenpox), herpes zoster (shingles), impetigo, acute
eczema
,Fissure
Give this one a try later!
linear crack or break from the epidermis to the dermis; may be moist or dry
example: athlete's foot, cracks at the corner of the mouth, chapped hands,
eczema, intertrigo labialis
Jaundice
Give this one a try later!
yellowing of the skin, mucous membranes, sclear caused by an
accumulation of bile pigment (bilirubin) in the blood
Penrose Drain
Give this one a try later!
a flat, thin, rubber tube inserted into a wound to allow for fluid to flow from
the wound; it has an open end that drains onto a dressing
Granulation Tissue
Give this one a try later!
, · The new tissue created to fill the wound that is beefy red in appearance
List 3 nursing interventions for pressure ulcers
Give this one a try later!
Turning and Positioning- every 2 hours and elevate the head no more than
30 degrees. side lying patient should be positioned at 30 degrees as
opposed to 90 degrees to avoid direct pressure on bony prominences.
folded blankets between knees.
Skin Hygiene- keeping skin dry/changing the patient appropriately, use
lukewarm water and mild soaps. ph neutral soaps.
pressure-reducing amttresses and support surfaces
Apply topical treatments
pain management
pressure injury care
monitor color of skin, temperature, edema, erythema, moisture, and
appearance of surrounding skin, noting charecteristics of skin over bony
prominences or under/in contact with medical devices
Pressure Ulcers are now defined as alterations in tissue integrity from
pressure.
Osteoarthritis
Give this one a try later!
, · Also known as degenerative joint disease
· Progressive breakdown and loss of cartilage in one of more joints
affecting weight-bearing joints
· Form of arthritis in which one or many of the joints undergo destruction of
cartilage
(Wilson & Giddens, 2017, p. 303)
Drainage colors- what do you chart?
Yellow-Green:
Red:
Pus and Blood:
Clear and Blood-tinged:
Give this one a try later!
Yellow-Green: yellow-green tinged purulent
Red: Sanguineous
Pus and Blood: Purulent
Clear and Blood-tinged: Serosanguineous
Cloudy or gray- seropurulent
3 Layers of Skin
Give this one a try later!
epidermis, dermis, hypodermis
Shear Effect
