Skin Integrity

Question 1

Dermatitis

Answer 1

common in childhood

-mostly treated w no long-term consequences

Question 2

Common Forms of Dermatitis

Answer 2

Contact Dermatitis
Diaper Dermatitis
Seborrheic Dermatitis

Question 3

Contact Dermatitis

Answer 3

inflammation of skin in response to direct contact w allergen or irritant

Question 4

Contact Dermatitis

education

Answer 4

no creams on open lesions

Question 5

Contact Dermatitis

treatment

Answer 5

1 remove offending agent
2 use emollients to restore skin barrier
3 decr inflammation w hydrocortisone
4 antihistamine to relieve itching or for sedation

Question 6

Diaper Dermatitis

Answer 6

primary reaction to:

• urine
• feces
• moisture
• friction
• chemicals

Question 7

Diaper Dermatitis

treatment/mgmt

Answer 7

• change diaper Q2hr or immediately after wet

- allow infant to go w/o diapers lying on absorbent pad

Question 8

Diaper Dermatitis;

topical corticosteroids are generally….

Answer 8

avoided

Question 9

Impetigo

Answer 9

most common
highly contagious
-usually around mouth, hands, neck, extremities

Question 10

Impetigo

manifestations

Answer 10

erosion of lesions forms HONEY COLORED CRUST

Question 11

Impetigo

education

Answer 11

contagious until 24 hours after first dose of abx

Question 12

Impetigo

prognosis

Answer 12

can lead to postinfectious streptococcal glomerulonephritis + celulitis

-usually doesnt leave scars

Question 13

Folliculitis

Answer 13

inflammation of hair follicle

-caused by infection, trauma, or irritation

Question 14

Cellulitis

Answer 14

inflamamtion of connective tissue + subcutanous tissue + dermis

Question 15

Cellulitis

contact provider if…

Answer 15

• infected area spreads 1-2 days after tx
• fever>38.3
• lethargy

Question 16

Oral Candidal Infection aka Thrush

Answer 16

usually fr c.albicans

-fr corticosteroid inhaler

Question 17

Oral Candidal Infection aka Thrush

education

Answer 17

gentle attempts to remove patches will be unsuccessful

Question 18

Oral Candidal Infection aka Thrush

treatment

Answer 18

oral nystatin or clotrimazole

-applied to mouth + tongue after feedings

Question 19

to avoid drug reactions…

Answer 19

always check prior allergies

Question 20

allergic drug reactions

clinical manifestations

Answer 20

-urticaria (hives) starts on trunk + extends in a symmetric fashion

• erythematous
• pruritic macules
• papules

Question 21

erythema multiforme minor

Answer 21

• skin lesions may be preceded by fever, malaise, + upper resp symptoms
• may progress to blisters + bullous lesions

Question 22

steven-johnson syndrome

PRODROMAL manifestations

Answer 22

• 1-7 days
• low grade fever
• pain
• malaise
• vomiting
• diarrhea

Question 23

steven-johnson syndrome post prodromal manifestations

Answer 23

erythematous skin progresses into BLISTERS + BULLAE, then NECROTIC EPIDERMIS that SHEDS + WEEPS

Question 24

steven-johnson syndrome:

erythematous skin progresses into _____ + _____, then ______ that ____ + _____

Answer 24

erythematous skin progresses into BLISTERS + BULLAE,

then NECROTIC EPIDERMIS
that SHEDS + WEEPS

Question 25

steven-johnson syndrome:

mucous membranes have…

Answer 25

• blisters
• erosions
• ulcerations
• hemorrhagic crusting
• painful crusting + sloughing of lips + oral membrane

Question 26

atopic dermatitis aka

Answer 26

eczema

Question 27

atopic dermatitis aka eczema

Answer 27

chronic, relapsing, superficial inflammatory skin disorder

Question 28

atopic dermatitis aka eczema can cause…

Answer 28

secondary bacterial infection from scratching

Question 29

atopic dermatitis aka eczema

treatment

Answer 29

hydrate + lubricate skin

Minimize inflammatory response w corticosteroids

Question 30

Pediculosis Capitis aka Lice

Answer 30

spreads thru hair to hair contact or by sharing hair accessories

Question 31

Pediculosis Capitis aka Lice

treatment

Answer 31

• pediculicide shampoo
• ovicidal rinse
• remove nits w fine toothed comb, tweezers, basin filled water or isopropyl alcohol
• repeat in 7 days

Question 32

Pediculosis Capitis aka Lice

bedding, towels, clothing

Answer 32

• changed daily
• washed in hot water
• dried in hot dryer for 20 mins

Question 33

how long can lice survive away from host

Answer 33

3 days

Question 34

Scabies

Answer 34

highly contagious infestation of

SARCOPTES SCABIEI

Question 35

Scabies aka
SARCOPTES SCABIEI
description

Answer 35

• linear
• threadlike grayish burrow
• 1-10cm in. length

Question 36

Scabies

treatment

Answer 36

5% permethrin lotion over entire body except face

• 8-14 hrs
• repeated in 1 week

Question 37

Scabies

clothing + sheets

Answer 37

• daily change
• washed w hot water
• ironed

Question 38

Burns

Answer 38

top 5 leading cause of injury + death in kids 1-14 yo

Question 39

types of burns

Answer 39

thermal
chemical
electrical
radiation (sunlight)

Question 40

most common type of burn

Answer 40

thermal burn

-from flames, scalds, contact w hot objects

Question 41

Common burns in INFANTS

Answer 41

scalding liquids, house fires

Question 42

Common burns in TODDLERS

Answer 42

thermal burns (pulling hot liquids onto themselves)
electrical burns (biting cables)
contact burns
chem burns fr ingesting batteries

Question 43

Common burns in PRESCHOOLERS

Answer 43

scalding or contact w hot appliance

Question 44

Common burns in

SCHOOL AGE

Answer 44

thermal burns
electrical burns
chemical burns fr combustion experiments

Question 45

Common burns in

ADOLESCENTS

Answer 45

radiation burns fr sunbathing

Question 46

priority assessment is airway when signs of ___ and ____

Answer 46

smoke inhalation

burns to face/neck present

Question 47

Burns

treatment

Answer 47

• assess resp/airway
• IV fluid replacement esp in first 24hrs w isotonic solution
• pre-medicate for pain w wound care