Primary Nursing Diagnosis

Impaired skin integrity related to irritation and erosion; fluid volume deficit related to water loss

OUTCOMES. Wound healing: Primary intention; Tissue integrity; Knowledge: Treatment regime; Treatment behavior: Illness or injury

INTERVENTIONS. Incision site care; Medication administration: Topical; Skin care: Topical treatments; Skin surveillance; Wound care

^ PLANNING AND IMPLEMENTATION Collaborative

Curettage, cryotherapy, laser ablation, and electrodesiccation are used to treat small, superficial lesions. Surgical removal including a margin of normal tissue is generally recommended for all other lesions. Mohs surgery is microsurgery involving serial (step-by-step) removal of tissue. Topical chemotherapy with 5-fluorouracil interferes with the cells' ability to use essential metabolites. Chemotherapeutic agents destroy the life cycles of cells. Low-dose particulate-electromagnetic radiation to the specific carcinoma destroys the affected cells without destroying the normal cells. Chemosurgery consists of periodically applying fixative pastes such as zinc chloride and then removing fixed pathological tissue until the tumor is completely removed.

Pharmacologic Highlights

Medication or Drug Class

Dosage

Description

Rationale

Liquid nitrogen

Varies by drug

Kills tumor cells

Destroys tumors less than

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