NU 189 Med Surg 2 - Exam 2 Study Guide
Dermatitis
❖Inflammation of skin from exposure to allergens (internal or external)
❖3 types ➢Eczema dermatitis
■Internal exposure to irritants
➢Contact dermatitis
■Caused by exposure to allergen, chemical, or mechanical irritation
➢Atopic dermatitis
■Chronic rash
■Caused by allergens or chronic skin diseases
❖Treatment
➢Steroids
➢Antihistamines
■Diphenhydramine
■Cetirizine (zyrtec)
■Fexofenadine (allegra)
➢Moisturize
■Best time is after a shower or bath
●Water should not be super hot, should be warm
➢Avoid irritants
➢Avoid scratching- can use gloves or mittens, keep nails short and trimmed with smooth round edges
Wounds(Staging and treatment) Psoriasis ❖Scaly patches from an overproduction of keratin
❖3 types- can affect joints
❖Risk factors
➢Infections
➢Skin trauma
➢Genetics
➢Trauma
❖Pt teaching
➢Keep it moist
■Unscented lotion, corticosteroid cream, tar preparations
■Put on right after shower or bath- not super hot water
■Cool mist humidifier
➢Don’t scratch
■Gloves or mittens
■Keep nails short with smooth edges
➢Sun is good
■Avoid peak hours 10am-4pm
Herpes Simplex
Herpes Zoster (shingles)
Cancer (Basal Cell VS Melanoma, C.A.U.T.I.O.N signs, pt teaching, prevention and treatment)
❖Basal Cell
➢Small waxy nodule with superficial blood vessels, well defined borders
➢Invades local structures, nerves, bones, cartilage, lymphatic and vascular tissue
➢Rarely metastatic but high rate of occurrence
Dermatitis
❖Inflammation of skin from exposure to allergens (internal or external)
❖3 types ➢Eczema dermatitis
■Internal exposure to irritants
➢Contact dermatitis
■Caused by exposure to allergen, chemical, or mechanical irritation
➢Atopic dermatitis
■Chronic rash
■Caused by allergens or chronic skin diseases
❖Treatment
➢Steroids
➢Antihistamines
■Diphenhydramine
■Cetirizine (zyrtec)
■Fexofenadine (allegra)
➢Moisturize
■Best time is after a shower or bath
●Water should not be super hot, should be warm
➢Avoid irritants
➢Avoid scratching- can use gloves or mittens, keep nails short and trimmed with smooth round edges
Wounds(Staging and treatment) Psoriasis ❖Scaly patches from an overproduction of keratin
❖3 types- can affect joints
❖Risk factors
➢Infections
➢Skin trauma
➢Genetics
➢Trauma
❖Pt teaching
➢Keep it moist
■Unscented lotion, corticosteroid cream, tar preparations
■Put on right after shower or bath- not super hot water
■Cool mist humidifier
➢Don’t scratch
■Gloves or mittens
■Keep nails short with smooth edges
➢Sun is good
■Avoid peak hours 10am-4pm
Herpes Simplex
Herpes Zoster (shingles)
Cancer (Basal Cell VS Melanoma, C.A.U.T.I.O.N signs, pt teaching, prevention and treatment)
❖Basal Cell
➢Small waxy nodule with superficial blood vessels, well defined borders
➢Invades local structures, nerves, bones, cartilage, lymphatic and vascular tissue
➢Rarely metastatic but high rate of occurrence
