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Integumentary System Skin Functions and Assessment

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Thursday, March 27, 2025!
Integumentary
!
Diabetic, children younger than 2, obese ,older populations at risk for skin break down.!
Function of the Skin:!
“-Protection !
“-Body temp regulation!
“-Vitamin D production (30 min)!
“-Sensation!
“-Absorption!
“-Elimination!
Factors inßuencing skin integrity !
“-Pressure intensity and duration !
“-Tissue tolerance !
“-Lifestyle variation !
“-illness!
“-Diagnostic and surgical procedures!
“-therapeutic measure !
“-nutritional staus !
“-mobility!
“-incontinence !
Laboratory Criteria !
“-Albumin level <3.2 ( normal , 3.5-5)!
“-Prealbu,im <19 (16-40)!
“-Body wt decrease of 5%-10%!
“-Total lymphocyte !
Skin assessment : get a baseline , looking for changes ,tell diabetics check the bottom of
feet ,inspect entire body including mucosa , scalp, hair, and nails .General appearance : color ,
temp, moisture, texture !
Where white socks to see if there are bleeding . Color socks hold moisture and odor.!
Can asses cap reÞll on the side of the nail or side of toe.!
Use back of the hand to check temp !
Know sign and sx of skin condition eg. Vitiligo, cyanosis !
Look at lesions classes primary and secondary !
Scales and scars are secondary !
Skin palpation: wash hands Þrst then ask permission !
Temp of the skin!
Moisture of the skin!
Texture of the skin !
Feel for masses !
We do this by touching, stroking, pressing!
Dx Test:!
Patch testing – skin allergy !
Biopsy- dx skin caner benign or malignant .local anesthetic or cream or injection under skin
area is removed with a scaple or punch biopsy .!
Scrapping -sample for fungi lesions with a blade pt goes on isolation until test comes back !
Culture- any microorganism , bacteria ,fungi or virus !
Wood light-mercury lamp with UV rays dx abnormalities in the pigment of the skin !
Tzank Smear -examine cells with with ßuid Herpes Zoster srapping base of the vesicle !
Cellulitis -most common infection some people have chills and tachycardia , legs are the most
common area , mark the area to see if its growing .Kids get it in their eyes a lot .It can spread
to the lymph nodes which circulates into the blood stream . Can lead to sepsis . !
Oral medication Kßex for moderate infection take up to 14 days . Ceplasporin for 5 days via Iv ,
use warm compress .!
S?SX: high fever , fatigue , headache and malaise !
Children : educate parents if child is feeling Better still take antibiotics !
Folliculitis : starts with hair follicles .results in a boil , dirty razors (hair cut) carbuncle occurs
when more than one boil connects it is painful !
Medical asepsis !
Wet soaks !
Possible incision and drainage (I&D)!
Vance and zosyn !
Culture and sensitivity !
Client teaching !
Impetigo : Contagious , happens around the mouth , in the system use doxycycline if its topical
bacitracin , wash everything they have separate !
Herpes simplex virus and Herpes Zoster : can be dormant or chronic , stress can make it come
out !
Herpes Zoster (shingles ): follows the path of the nerve : Give acyclovior take the full course 5x
a day for seven days Famiciclovir 500mg did for 7 days , !
FungaL ring worms : !
Tinea capitis -head !
Tinea corporis – body !
Tinea pedis -feet!
Tinea manuum_ hand !
Tinea unguium-toes !
Pediculosis lice :put everything in the dryer heat kills it non washable put it in a bag sealed off ,
petroleum to remove from lashes , hot water 130 degrees c , furniture rugs should be vacuum
for 5-10 days . No sharing combs , clothes or spending the night , can give over the counter
kits !
Scabies : !
Acne Vulgaris : Hormones , sleeping in makeup, no oil based products , wash brushes , stress ,
chocolate can cause breakouts , do not pop acne use warm compress , steroids can be used if
its bad , usually on the face , men in check and back !
Autoimmune Disorder : Psoriasis : rapid life cycle of skin cells

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