Cellulitis

Question 1

Presentation of Cellulitis

Answer 1

Poorly demarcated erythema
Edema
Warmth
Tenderness

Question 2

Common cause

Answer 2

Staph

Question 3

Common sites for cellulitis

Answer 3

head, neck , arms, legs and feet

Question 4

Cellulitis Clinical Manifestations

Answer 4

RAPID ONSET

Inflammation is chief symtom
Edema
Warmth
Tenderness
LYmphangitis -- inflammation of lymph vessel

Question 5

Cellulitis Sign/ Symptoms

Answer 5

Localized or entire limb
Common in the lower extremities
Chills
Malaise
Fever
Increase in WBCs
Elevated CRP

Question 6

Cellulitis Risk Factors

Answer 6

Diabetes, peripheral neuropathy, obesity, perpheral vascular disease, Tnea pedis (athletes foot), immunosuppressive agents

Question 7

Cellulitis Prevention

Answer 7

Individuals with a skin wound are at risk of developing cellulitis, good wound care

Question 8

Diagnostic Test for cellulitis

Answer 8

CBC to determin WBC’s
Cultures taken to identify causative organisms – wound drainage
Blood Cultures

Question 9

Cellulitis Pharmacologic Therapy

Answer 9

Oral antibiotics usually effective against streptococcal, staphylococcal infections – usually help with in 48-72 hours

Systemic antibiotics, analgesics for severe cases or large affected areas

Recovery begins within 48 hours; therapy should continue for at least 10 days

Question 10

Cellulitis Nonpharmacologic

Answer 10

Rest area

pressure stocking, warm compress

Elevate the area to help reduce swelling

Infection control measures

Question 11

Nursing Process

Answer 11

Prevent complication, cellulitis patients are more at risk

Question 12

Assessment

Answer 12

Recognize, Document (demarktation, redness, etc)
Health history
Head to toe assessment

Question 13

Cellulitis Nursing Diagnosis

Answer 13

Altered skin integrity

Acute Pain

Interrupted family process

Question 14

Planning goal

Answer 14

Report pain of 3 or lower

Describe situations requiring contact with the provider

Explain how to take antibiotics and analgesics properly

Demonstrate understanding of proper wound care

Question 15

Cellulitis Implementation

Answer 15

Administer prescribed antibiotics
Supportive care
Warm compress 4xday
Elevation
Bed Rest

Question 16

Evaluation

Answer 16

Trace outer edges of wound with black marker to allow better evaluation of changes in size and area covered by the wound

Provider should be notified if the cellulitis enlarges or spreads

Question 17

Healthcare Associated Infections

Answer 17

Health care-associated (nosocomial) infections (also referred to as hospital-acquired infections
Infections acquired in a hospital or other health care facility and were not present or incubating at the time of a client’s admission

Common causative organisms
Staphylococcus aureus
Hemolytic Streptococci
Streptococcus pneumoniae
Haemophilus influenzae

Question 18

Common Infections associated with Hospital Settings

Answer 18

Pneumonia
Central line-associated bloodstream infection (CLABSI)
Methicillin-resistant Staphyloccocus aureus (MRSA)
Vancomycin-resistant Enterococci (VRE)
Clostridium difficile (C. difficile)
Surgical site infections (SSI),
Ventilator-associated Pneumonia (VAC)
Catheter-associated urinary tract infection (CAUTI)

Question 19

Bacteria and viruses that can be transmitted to others in long-term care facilities include:

Answer 19

Methicillin-resistant Staphylococcus aureus (MRSA)
Clostridium difficile (C. diff)
Norovirus
Other bacteria and viruses