Skin Integrity Flashcards
(47 cards)
Dermatitis
common in childhood
-mostly treated w no long-term consequences
Common Forms of Dermatitis
Contact Dermatitis
Diaper Dermatitis
Seborrheic Dermatitis
Contact Dermatitis
inflammation of skin in response to direct contact w allergen or irritant
Contact Dermatitis
education
no creams on open lesions
Contact Dermatitis
treatment
1 remove offending agent
2 use emollients to restore skin barrier
3 decr inflammation w hydrocortisone
4 antihistamine to relieve itching or for sedation
Diaper Dermatitis
primary reaction to:
- urine
- feces
- moisture
- friction
- chemicals
Diaper Dermatitis
treatment/mgmt
- change diaper Q2hr or immediately after wet
- allow infant to go w/o diapers lying on absorbent pad
Diaper Dermatitis;
topical corticosteroids are generally….
avoided
Impetigo
most common
highly contagious
-usually around mouth, hands, neck, extremities
Impetigo
manifestations
erosion of lesions forms HONEY COLORED CRUST
Impetigo
education
contagious until 24 hours after first dose of abx
Impetigo
prognosis
can lead to postinfectious streptococcal glomerulonephritis + celulitis
-usually doesnt leave scars
Folliculitis
inflammation of hair follicle
-caused by infection, trauma, or irritation
Cellulitis
inflamamtion of connective tissue + subcutanous tissue + dermis
Cellulitis
contact provider if…
- infected area spreads 1-2 days after tx
- fever>38.3
- lethargy
Oral Candidal Infection aka Thrush
usually fr c.albicans
-fr corticosteroid inhaler
Oral Candidal Infection aka Thrush
education
gentle attempts to remove patches will be unsuccessful
Oral Candidal Infection aka Thrush
treatment
oral nystatin or clotrimazole
-applied to mouth + tongue after feedings
to avoid drug reactions…
always check prior allergies
allergic drug reactions
clinical manifestations
-urticaria (hives) starts on trunk + extends in a symmetric fashion
- erythematous
- pruritic macules
- papules
erythema multiforme minor
- skin lesions may be preceded by fever, malaise, + upper resp symptoms
- may progress to blisters + bullous lesions
steven-johnson syndrome
PRODROMAL manifestations
- 1-7 days
- low grade fever
- pain
- malaise
- vomiting
- diarrhea
steven-johnson syndrome post prodromal manifestations
erythematous skin progresses into BLISTERS + BULLAE, then NECROTIC EPIDERMIS that SHEDS + WEEPS
steven-johnson syndrome:
erythematous skin progresses into _____ + _____, then ______ that ____ + _____
erythematous skin progresses into BLISTERS + BULLAE,
then NECROTIC EPIDERMIS
that SHEDS + WEEPS
