Integumentary/skin ppt Flashcards
Dermatitis triggers
Makeup Detergent Lotions Soaps Nickel allergy Urine (diaper rash)
Subjective s/s
Pruritus*** Pain Burning,prickling,stinging,crawling Absent,diminished or excessive sensitivity History of allergic conditions
Objective s/s
Erythema Ecchymosis Petechiae Primary lesions Secondary lesions Distribution pattern Configuration and arrangement
Important to treat pruritus
So secondary infection does not occur
Treatment for dermatitis
Calamine lotion
Cool compresses with burrow solution (aluminum acetate)
Wet dressing or oatmeal soaks
Antihistamines (Benadryl)
Mild contact dermatitis treatment
Topical steroids applied 2x/day for 2-3wks
Severe contact dermatitis
Oral corticosteroids for 7-10 days
Poison ivy
Irritation caused by urushiol oil from the plant
Poison ivy reaction occurs
2 days after exposure
Treatment for discomfort
Calamine lotion
Burrows solution compresses
Aveeno bath
Treatment for inflammation
Mild-moderate: topical corticosteroids
Severe: oral corticosteroids and Benadryl
Oil can be transferred from
Pets
If you come in contact with poison ivy be sure to
Flush are with cold water (wash right away)
Harsh soap contraindicated
No hard scrubbing
Wash all clothing in hot water
Educate child
What poison ivy looks like
Diaper dermatitis
Caused by prolonged/repetitive contact with an irritant (urine/feces)
Skin breakdown
Peak age for diaper dermatitis
9-12 months
Compromised skin is caused by
Skin wetness Increased skin/diaper pH Fecal enzymes Chemical irritation Mechanical irritation Infection
Compromised skin can cause increased
Permeability Friction Abrasion Microbial growth Irritation
Treatment/prevention of diaper dermatitis
Change diaper often
Use barrier creams (A&D)
Treatment of Candida albicans (infections)
Antifungal cream- nyastatin, and barrier creams for protection
Teach parent about powder
If they want to use powder make sure they put it on hand & apply. We don’t want child to breathe this in
Atopic dermatitis (eczema) treatment
Hydrate- brief baths with MILD* unscented soap (dove) w/ immediate application of lubricants/lotions ;NO bubble baths or long showers
Relieve pruritus-aveeno bath, oral antihistamines
Reduce inflammation
Prevent/control secondary Infections
Prevention of secondary infection
Cover child’s hands at night with gloves to prevent scratching
Parent can
Humidify child’s room to keep skin moist
