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Skin Demartology Ped
Pediatrics
| Term | Definition |
|---|---|
| Herpes Simplex I | Extremely contagious Cold Sores. If it doesn't get under control it can become gingivostomatis. |
| Herpes Simplex I Nursing Intervention | If the child is older than 12 & the herpex is outside, we can use OTC medication such as Abreva. If they are older than 2 they will be on Zovirax on top with abreva. |
| Herpes Simplex I Medications | Older than 12 Years - Abreva Older than 2 Years - Zovirax |
| Herpes Simplex I Pain Management | Motrin - An anti-inflammatory to decrease swelling Benadryl to decreases swelling & mylanta codes the mouth. |
| Acne Vulgaris Mild | Benzoyl Peroxide & Daily Face Wash |
| Acne Vulgaris Moderate | Benzoyl Peroxide & Antibiotic |
| Acne Vulgaris Severe | If the adolescent doesn't do good with the benzoyl peroxide & the other options, then we give them oral isotretinoin |
| Accutane | Used for Acne Vulgaris Last Resort Used for cystic acne Must assure female is on birth control [causes birth defects] Assess for depression |
| For which medication do you need to check liver enzyme once a month? | Accutane |
| Acne Vulgaris treatment | Well balanced diet Adequate Diet & Exercise Stress reduction Medications - topical benzoyl peroxide, Retin A, systemic antibiotics, oral contraceptives, Acutane |
| Honey Crust lesions | Impetigo |
| Sign & Symptoms of Impetigo | Found on & around the mouth Lesions being as a vesicle or pustule Honey colored exudate |
| Extremely itch & spreads easily | Impetigo |
| Wash the childs hands frequently with antibacterial soap Distract child from touching lesions Child can spread ___ by touching another part of the skin after scratching infected areas. | Impetigo |
| Another Term for Eczema | Atopic Dermatitis |
| Treatment & Nursing Care Atopic Dermatitis | Luke warm bath with no soup for 20-30 minutes. Food allergy management |
| Nursing Management Atopic Dermatitis | Assess & maintain hygiene Determine dietary and other allergen Teach to avoid allergen Keep wound area moist Teach proper use of medicines Avoid scratching (wear cotton fabrics, washing with mild detergent) prevent from secondary infection |
| Skin lesion caused by a plant | Poison Ivy |
| Poison Ivy - Nursing Interventions | - Protect the inflamed area from further harm. - Rest the affected area - Wet dressings (Burrows solution) use medical aseptic technique when applying the corticosteroid to the open lesion |
| Which skin condition does sweat makes it worse & so it is recommended to stay cool. | Poison IVY |
| Poison Ivy cold compresses | decrease the circulation and cause vasoconstriction - this relieves the pruritis |
| Lesions usually found in the feet, toes & between the finger & its highly contagious | Scabies |
| Scabies | Itches horribly in the night. Don't share bed, because they crawl through the bed Wash everything in hot water, hot dryer i |
| It takes 4 to 6 weeks for other people to develop it | scabies |
| Scabies Management | Scabicida medications crotamiton [Eurax] Oral anti-histamine soothing creams, lotions to reduce itching |
| Lice OTC Medication | permethrin |
| a benign, usually asymptomatic viral infection of the skin with no systemic manifestations & usually found on the trunk | Mulluscum Contagiosum |
| ABCs always 1st priority Assess for tetanus | Animal Bites |
| Animal bites antibiotics | Augmentin [contains amoxicillin] |
| what is given if a bite was from unknown ild or domestic animal | Human Rabies Immune Globulin [HRIG] & Human diploid cell rabies Vaccine [HDCV]. Also 1/2 of the immunoglobulin is injected into the wound. |
| Before injecting immunoglobulin it is important to... | Medicate the child before because this procedure hurts a lot |
| purpose of rabies vaccine | to provide neutralizing antibodies at the site of exposure before patients can begin producing their own antibodies. It should be administered to all patients presenting with single or multiple transdermal bites |
| Human bite wounds treatment Hickeys | cleansing, consider tetanus immunization, apply topical antibiotic creme |
| Human bite wound: Face | irrigate, consider tetanus, ok to suture give PO antibiotic |
| Human Bite trunk or breast | same as face (some may need delayed closure) |
| Human Bite Hand | do not suture: often need adminission |
| Alopecia can sometime be an indication of | Tinea corporis |
| Tined Capitis Antifungal medication | Griseofulvin, Fluconazole |
| Parcial alopecia, often circular in shape, showing numerous broken 0 off hairs, dull gray from their coating | Tined Capitits |
| ringworms also known as | Tinea Corporis |
| Nursing interventions for Fungal Infections | Keep are clean & dry Apply medications as ordered Clean cotton clothing Do not share clothing or brushes Clean towels Clean underclothes |
| Symptoms of Trush in the baby include | White, velvety sores in the mouth and on the tongue Wiping the sores may cause bleeding |
| Clean nipples/pacifies daily nystatin liquid put some on moms breast allow to dry | Candida - thrush |
| Periods of time without wearing diapers Frequent diapers changes Ointment put on the diaper area to protect skin | Candida diaper dermatitis |
| Antifungal cream or ointment for a candida infection | Lotrimin |
| Lyme disease Symptoms | Bulls eye rash Heat, inflammation Chills & fever flu-like symptoms [headache, muscle and joint aches and swollen lymph nodes] |
| If an 8 year old or older child has lyme disease, what would be the treatment? | Doxycycline |
| Lyme disease treatment | Amoxil, Ceftin |
| A deep bacterial infection of the skin that usually involves the face, arms and legs | Cellulitis |
| It may happen in normal skin, but it usually occurs after some types of trauma causing an opening in the skin | cellulitis |
| causes of cellulitis | Staphylococcus Streptococcus Group A & B H. Influenzas Pasteurella Multocida |
| Causes of cellulitis in children younger than 3 | Hemophilus influenza or Streptococcus pneumoniae |
| if cellulitis is caused by staph or strep is treated with | penicillin amoxicillin augmentin reflex ceftriaxone |
| cellulitis caused by MRSA is treated with | vancomycin clindamycin dicloxacillin |
| the skin turns red but it does not blister. it is somewhat painful, like a sunburn | 1st degree burn |
| the skin will be charred or white. The epidermis and dermis [top two layers of the skin] are irreversibly damaged | 3rd degree burn |
| the outer layer of skin is burned and some part of the dermis is damaged. The burn will be very painful and will likely develop blisters | 2nd degree burn |
| Children 6 months and younger cannot wear | sunscreen |
| First degree healing | 3-6 days without scarring |
| Second degree superficial healing | 1 - 3 weeks, scarring unusual |
| 2nd degree deep healing | more than 3 weeks often with scarring and contractors |
| 3rd degree healing | does not heal; severe scarring and contractors |
| 2nd degree deep appearance | white appearing with erythematous areas, dry waxy, less elastic, reduced blanching to pressure |
| 2nd degree superficial appearance | erythema, blisters, moist elastic, blanches with pressure |
| Burn Priorities | ABC Hydration |
| Parkland Formula [apply only in 2nd and 3rd degree burns] | Volume of lactated ringers solution 4mL times body surface area of burn % times body weight |
| Calories requirement for a patient with more than 30% burns | 2,000 to 2,200 & enteral feuding initiated within 6 hours |
| Burn pain management | Morphine sulfate Anxiety medication midazolam |
| Lotrimin | Antifungal Cream given for candida Infection |
Created by:
PamelaJInfante
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