Cellulitis Flashcards
Sypmtoms of cellulitis
The infected area is characterized by
* pain,
* warmth,
* swelling, and
* erythema.
- Blisters and bullae may form.
- Fever,
- malaise,
- nausea, and
- rigors
- may accompany
What infection locations warrant a referral?
Near the** eyes or nose,**
or if spreading and not responding to oral antibiotics.
When should you refer a person with cellulitis to a hospital?
Signs of
* necrotizing fasciitis,
* orbital cellulitis,
* osteomyelitis,
* sepsis,
* septic arthritis,
* systemic illness,
* unstable comorbidities,
* limb-threatening infections, or
* severe immunocompromise.
What are signs of systemic illness in cellulitis patients?
- Confusion
- tachycardia
- tachypnea
- hypotension
How can leg swelling be managed in cellulitis patients?
Elevate the leg for comfort and to relieve edema
Consider referring if the patient is…?
Severely unwell,
elderly,
very young,
immunocompromised
What is the first-line treatment for acute cellulitis in** primary care in adults**??
Oral Flucloxacillin 500 to 1000 mg four times daily for 5–7 days.
Why should you mark the margins of the infection?
To monitor the progress of the cellulitis
What pain relief medications can be recommended for cellulitis?
Paracetamol or ibuprofen
What preventative advice should be given to people with cellulitis?
- Weight management,
- foot care for diabetics, and
- use of emollients for dry skin
Are compression garments recommended during acute cellulitis?
No, avoid using compression garments.**
When should a patient seek medical help regarding cellulitis symptoms?
- If symptoms worsen rapidly
(like unbearable pain- necrozitan faciit)
or - If symptoms do not improve within 2–3 days.
What antibiotic can be prescribed if a patient has a penicillin allergy?
Clarithromycin 500 mg twice daily for 5–7 days
Which antibiotic is safe to use in pregnant patients with cellulitis?
Erythromycin 500 mg four times daily for 5–7 days
How should you find out if a patient is stable or unstable?
Do you feel dizzy
Do you have shortness of breath
Do you feel tired
Do you have palpitation
KAN BASICNINI ÖLÇ
When is hospital admission necessary for cellulitis?
If the patient is hemodynamically unstable or severely unwell.
When should you reassess a person on oral antibiotic treatment?
After 2-3 days
When should you refer a patient to a hospital?
If the infection is spreading and not responding to oral antibiotics.
Please come back if ….
if you do not start to feel better 2 to 3 days after starting antibiotics.
Things you can do to help with cellulitis
taking paracetamol or ibuprofen for the pain
raising the affected body part on a pillow or chair when you’re sitting or lying down, to reduce swelling
regularly moving the joint near the affected body part, such as your wrist or ankle, to stop it getting stiff
drinking plenty of fluids to avoid dehydration
not wearing compression stockings until you’re better
You can reduce the chances of getting cellulitis again by…
keep skin clean
Keep skin well moisturized
cleaning any cuts or wounds and using antiseptic cream
Cover if u have skin cuts
if working outside, wear flovest
Call 999 or go to A&E if:
If you dont recognize any improvement in 2 days.
You have cellulitis with:
a very high temperature, or you feel hot and cold at the same time
a **fast heartbeat
fast breathing
feeling dizzy
confused
cold or pale skin
loss of consciousness**
You’re more at risk of cellulitis if you have
have poor circulation in your arms, legs, hands or feet, for example, because you’re overweight or PREGNANT find it difficult to move around
have a weakened immune system: **KT,RT, DM, steroid **
have lymphoedema, which causes fluid build-up under the skin
inject drugs
have a wound from surgery
Have **athlete’s foot **
- **trauma: insect bite,burn, laceration, surgery
- skin ulcers,
*atopic eczema
- Obesity
- Venous insufficiency**
Selulit muayenesinde yapman gerekenler
hem deriye bak
hem gland muayenesi
yap
Rutin hikaye alma sorularına ek olarak sorabileceğin sorular
Any recent hospital stay
Any recent antibiotic treatment
Any sport activities
Hangi koşullar altında tedaviye başlamadan önce swab ile örnek alalım
- Derisinde çatlak varsa
- Bir süre önce hastanede yatmışsa (MRSA olabilir)
- Yakın zamanda seyahat etmişse (farklı bir etken olabilir)
Lovaan - selülit vakası hikayesi
bacağını böcek ısırmıl ve kızaıp şişmiş
Penislin alerjisi olacak
ateşi olabilir (ps)
