Nursing 1180A/B Lecture Notes - Lecture 5: Integumentary System, Perfusion, Hemoglobin
29 Jun 2016
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Document Summary
Sao2 95-100: direct measurement via arterial blood gases. Spo2 92-100: 85-89% ok with some chronic diseases, below 85 compromises tissue oxygenation; is likely an emergency. Accommodation: if unexpected, examine the muscles of the eye. Integumentary system assessment: an investigation of the general condition of a client"s integument and of factors or abnormalities that may indicate or contribute to a dermatologic disorder , includes skin, hair, scalp, nails, sebaceous glands & sweat glands. Occurs in babies born on term or a little post-term. Fluid dried up on the skin: lanugo. Children and adolescents: development of sweat glands. Older adults: decreased elastin, collagen, and subcutaneous fat, skin is easily torn, bruised, wrinkled, and sagging. Culture: ethnic origin affects characteristics of skin. Mongolian spots caused by increase in increase in melanocytes. Blue spotting at base of spine: respecting values and beliefs of the client. Personal/environmental factors contributing to loss of skin integrity. Nutritional or hydration challenges: vitamin intake, protein crucial to healing.
