NUR 621 (Adult_Gero Acute) MOD #2 (Skin), Part 2, plus post quiz Questions with CORRECT
Answers (Grade A+)
Question 1:
extravasation is considered a
Answer:
sentinel event
Question 2:
again what drugs do you use for vasopressor and hyperosmolar extravasation?
Answer:
vasopressors - phentolamine hyperosmolar drugs hyaluronidase
Question 3:
an aggressive soft tissue infection that spreads quickly from the subq layer to the fascia, causing
necrosis
-can trigger systemic inflammation, shock, and
death
-common in patients with DM, multiple morbidities,
and immunocompromised patients
-related to marine or saltwater exposure
Answer:
Necrotizing soft tissue infection (NSTI) (necrotizing fasciitis)
Question 4:
Most common organism that causes NTSI
Answer:
Streptococcus pyogenes
Question 5:
think NSTI if
Answer:
, soft tissue infections not responding to ABX or patients seeking evaluation multiple times, pain out
of control
Question 6:
NSTI on physical exam
Answer:
erythema, edema, crepitus, necrosis, blistering, draining from the wound
-INTENSE PAIN
Question 7:
finger test NSTI
Answer:
a gloved finger will easily dissect soft tissues in a necrotizing wound
Question 8:
a LRINEC score of 6 or greater indicates
Answer:
increased risk for NSTI
Question 9:
for NTSI and severe pain, you want to
Answer:
consult Gen surgery for I/D and cultures, and start broad spectrum ABX
Question 10:
Common ABX treatment for NTSI
Answer:
Vancgram positive (MRSA)
2. Zosyn or Cefepime and
Flagyl (gram neg and anaerobic coverage)
3. Clindamycin -inhibits toxin
Answers (Grade A+)
Question 1:
extravasation is considered a
Answer:
sentinel event
Question 2:
again what drugs do you use for vasopressor and hyperosmolar extravasation?
Answer:
vasopressors - phentolamine hyperosmolar drugs hyaluronidase
Question 3:
an aggressive soft tissue infection that spreads quickly from the subq layer to the fascia, causing
necrosis
-can trigger systemic inflammation, shock, and
death
-common in patients with DM, multiple morbidities,
and immunocompromised patients
-related to marine or saltwater exposure
Answer:
Necrotizing soft tissue infection (NSTI) (necrotizing fasciitis)
Question 4:
Most common organism that causes NTSI
Answer:
Streptococcus pyogenes
Question 5:
think NSTI if
Answer:
, soft tissue infections not responding to ABX or patients seeking evaluation multiple times, pain out
of control
Question 6:
NSTI on physical exam
Answer:
erythema, edema, crepitus, necrosis, blistering, draining from the wound
-INTENSE PAIN
Question 7:
finger test NSTI
Answer:
a gloved finger will easily dissect soft tissues in a necrotizing wound
Question 8:
a LRINEC score of 6 or greater indicates
Answer:
increased risk for NSTI
Question 9:
for NTSI and severe pain, you want to
Answer:
consult Gen surgery for I/D and cultures, and start broad spectrum ABX
Question 10:
Common ABX treatment for NTSI
Answer:
Vancgram positive (MRSA)
2. Zosyn or Cefepime and
Flagyl (gram neg and anaerobic coverage)
3. Clindamycin -inhibits toxin
