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Wound Care

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328 Nurse to Nurse<br />

Melanocytes transfer pigment to growing hair.<br />

Hair follicles orient at an angle to the surface of the skin<br />

and elevate when the arrector pili muscles contract.<br />

Each hair follicle has a sebaceous gland that secretes<br />

sebum in response to hormones.<br />

º Sebum is an oily substance that moisturizes the skin<br />

and has some immunological properties as well.<br />

— Sweat glands: two types:<br />

1. Eccrine: tubular structure that secretes water and<br />

electrolytes in response to body temperature<br />

elevations.<br />

º Each eccrine gland has a duct that opens onto the<br />

skin surface.<br />

2. Apocrine: small in number compared to eccrine<br />

glands.<br />

º Limited distribution, larger, deeper in the dermis<br />

than eccrine glands.<br />

º Primarily in axillae and anogenital regions.<br />

º Empty into a hair follicle close to skin surface and<br />

secretions are mixed with sebum.<br />

• Subcutaneous<br />

• Known as subcutis or hypodermis.<br />

• Thickness varies; dependent on over/under nourishment.<br />

• Contains:<br />

— Loose connective tissue<br />

— Adipose tissue<br />

— Peripheral vascular elements<br />

• Stores about 50% of body’s fat: for thermal insulation and a<br />

calorie storage depot.<br />

• Principle cells:<br />

— Fibroblasts<br />

— Fat cells<br />

— Macrophages

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