Chapter 49: The Child with an Alteration in Tissue Integrity Flashcards
Adult female lays eggs under the skin, then larvae hatch and come to the surface, creating burrows and tunnels that are difficult to see
scabies
Burn with no pain except in outlying areas
full thickness burn
Symptomatic treatment for HSV includes OTC ______, antiviral __________, and ____________.
analgesics, acyclovir, hydration
Commonly passed from mother to infant through infective secretions in vaginal delivery
HSV-2
How does swimming affect the skin of those with atopic dermatitis?
Dries out skin
Use this technique to apply topical antibiotics and antimicrobial dressings to burns
aseptic technique
Treatment involves removing irritant, washing skin thoroughly, using cool compresses, and steroid cream
contact dermatitis
Birthmark that contains distended dermal capillaries; can get redder as infant cries
salmon patch
Hormonal changes that occur in adolescence increases ___________________________ in skin, resulting in _________________________.
sebum production, acne vulgaris
______________ or ______________ can treat acne vulgaris
Benzoyl peroxide, salicylic acid
Painful burns
partial thickness burns (superficial and deep)
In pediatric burn patients, rapid fluid resuscitation should be initiated quickly to prevent ____________________________________
fluid and electrolyte imbalance
To treat pediculosis capitis or scabies, wash clothing, bedding, and stuffed animals with what
Hot water
Treatment for scabies includes OTC ____________
permethrin 5%
Seborrheic dermatitis is a skin condition that begins in the first ________ and usually disappears by __________.
2-3 weeks of life, 12 months
Thoroughly clean pacifiers, bottles, and/or the mother to help treat this condition
thrush (candidiasis)
Birthmark that is caused by capillary malformation; gets darker as child ages and may become nodular by middle age adulthood
port wine stain
Cause of this skin condition is unknown, but thought that sebaceous gland dysfunction and overgrowth in fungi play a role
seborrheic dermatitis
___________ may be used if there is resistance to OTC treatments for acne vulgaris
Antibiotics
Treatment may include medications, surgery, radiation, or laser therapy
hemangiomas
OTC treatment with _____________ and __________ is recommended for pediculosis capitis
lice shampoo, nit comb
Three treatment goals for burns
Preventing infection
Facilitating tissue regrowth
Limiting functional impairments
Transmitted by direct contact
pediculosis capitis
Systemic infection in young infants possible
Herpes Simplex Virus
Burn with physiologic function intact
superficial burn
If inpatient, use these precautions for HSV
contact precautions
To treat burns, apply _____________ and ________.
antimicrobial agents, dressings
This method uses the child’s palm (1%) to estimate the extent of burns
Palmar method
Oral steroids may be needed for severe cases of this condition
contact dermatitis
Keep affected areas clean and dry
Tinea infections
Another name for seborrheic dermatitis
cradle cap
Burn that involves destruction of the epidermis and some dermis
superficial partial thickness burn
Secondary infection that often follows a small break in the skin and is highly contagious
impetigo
Treatment involves daily hair washing using a mild, OTC anti (condition) shampoo that contains sulfur and salicylic acid and fine-tooth comb to remove scales
seborrheic dermatitis
Treat surrounding environment, including family members
pediculosis capitis
Resolves on its own, but virus remains dormant and may reactivate during times of stress
HSV-1
Birthmark that contains pigment deep within the dermis
Mongolian spot
Do not shampoo hair for how long after the initial treatment for pediculosis capitis
24 hours
The hallmark signs of atopic dermatitis
dry, inflamed, pruritic patches of skin
Burn that involves destruction of epidermis
superficial burn
When to repeat treatment with OTC permethrin 5% after first treatment
in one week
Fungal infection that commonly appears in the mouth but may present in diaper region
candidiasis
Manifestations include heat, tender, redness, and swelling
cellulitis
Superficial fungal infections that can occur anywhere on the body
Tinea infections
Candidiasis that appears in the mouth is also known as this
thrush
Naturally disappears by 5-6 years
hemangiomas
Burn mortality and severity is (higher, lower) in pediatric patients
higher
Dry out shoes and change socks frequently, especially after becoming wet
Tinea pedis
Establish access to these three areas when treating a burn
IV access for fluids and antibiotics
NG tube for stomach decompression and nutritional support
Foley catheter to monitor I&O
Burn in which the skin may appear white or black
full thickness burn
Three key treatments for Stevens-Johnson syndrome
Remove affecting medication
Maintain hydration
Pain management
Good time to do ROM exercises for burn patients
during hydrotherapy