Stomatitis Flashcards
inflammation of the oral cavity
Stomatitis
Types of Stomatitis
Primary Stomatitis
Secondary Stomatitis
Types of Stomatitis
candidiasis or oral thrush
may be due to overgrowth of normal flora
Secondary Stomatitis
Types of Stomatitis
APHTHOUS STOMATITIS or canker sores
MOST COMMON TYPE
BENIGN AND NON-CONTAGIOUS
Primary Stomatitis
Etiology: Stomatitis
Infection e.g. herpes zoster or cytomegalovirus, syphilis and etc
Allergy to coffee, potatoes, cheese, nuts, citrus fruits
Vitamin deficiency eg. Vitamin B folate, zinc and iron
Systemic disease e g. HIV chronic renal failure, inflammatory bowel disease
Irritants eg. tobacco and alcohol
Chemotherapy and Radiation
Trauma
CANKER SORES- whitish gray center and
erythematous ring
Whitish plaque-like lesion, appears red and sore when wipe away - COMMON IF WITH CANDIDIASIS
Dysphagia
Dry or hot sensation on area of lesions
Elevation of temperature - RARE
Pain
Laboratory assessment: Stomatitis
COMPLETE BLOOD COUNT- may reveal
INFECTION.
CYTOLOGIC CULTURE and GRAM STAIN
TESTING - to identify the CAUSATIVE
MICROORGANISM
Nursing Care: Stomatitis
Provide oral care every 2hrs and twice at night
Use soft-bristled toothbrush or foam swabs
Use sodium bicarbonate solution (baking soda), warm saline or Chlorhexidine 2% aqueous mouth was in rinsing the mouth (AVOID COMMERCIAL MOUTH WASHES)
Provide soft, bland, and nonacidic foods
Apply topical analgesics or anesthetics as prescribed
Administer prescribed medication
Drug Therapy
Type of Stomatitis: General
Tetracycline syrup
Usual dose: 250mg/10ml for 10days
Instruction: rinse for 2 minutes then swallow
Drug Therapy
Type of Stomatitis: Herpes Simplex
Acyclovir (Zovirax)
Usual dose: 5mg/kg for 1hr IV q 8hrs
Instruction: make sure client has no renal problem
Drug Therapy
Type of Stomatitis: Fungal
Nystatin (Mycostatin)
Usual dose: 600,000 units QID oral suspension
Drug Therapy
SYMPTOMATIC TOPICAL AGENTS FOR PAIN
Benzocaine
Camphor phenol
● 15 ml 2 % viscous Lidocaine gargle of mouthwash every 3
hours ( maximum of 8 doses per day)
Drug Therapy
ANTI-INFLAMMATORY AGENTS AND IMMUNE MODULATORS
Triamcinolone in Benzocaine
Dexamethasone
Amlexanox
Amlexanox
Thalidomide
