chapter 45 notes

What is the use of wet dressings in medical treatment for skin conditions?

Treats crusting and oozing by helping to remove crusts.

What nursing solutions can be used for wet dressings?

Burow’s solution, Domeboro solution, or saline solutions.

What is the recommended SPF for sunscreen in children over 6 months?

PABA-free SPF 15+.

How long before sun exposure should sunscreen be applied?

30 minutes.

How often should sunscreen be reapplied?

Every 2 hours.

What type of soap is recommended for bathing itchy skin?

Fragrance-free and dye-free soaps.

What is the preferred water temperature for bathing to soothe itchy skin?

Lukewarm water.

What is a major concern when administering systemic corticosteroids?

They can mask signs of infection.

What nursing intervention should be done when administering isotretinoin?

Monitor for pregnancy risk and CBC, lipids, LFTs monthly.

What is the common use of coal tar in dermatology?

Treats psoriasis and atopic dermatitis.

What should be monitored when using silver sulfadiazine for burns?

Transient neutropenia.

What are the side effects of topical retinoids?

Dryness, burning, photosensitivity.

What is one of the nursing considerations for administering topical antifungals?

Apply a thin layer and complete the full treatment course.

What is the type of dermatitis caused by a cell-mediated allergic reaction?

Contact dermatitis.

What are typical findings of nonbullous impetigo?

Papules progress to vesicles and honey-colored crust.

What is the treatment for cellulitis in mild cases?

Cephalexin or amoxicillin/clavulanic acid.

What are the nursing considerations for managing diaper dermatitis?

Use creams with vitamins A, D, E, zinc oxide.

What is a common sign of atopic dermatitis?

Itchy, inflamed, red, swollen skin.

What defines Stevens-Johnson Syndrome?

Skin detachment <10%.

What are the signs of severe allergic reactions to insect stings?

Pruritus, pain, swelling, possible IgE-mediated response.

What is the recommended treatment for first-degree burns?

Run cool water, cover lightly with a non-stick bandage, give Tylenol or ibuprofen.

What should be avoided in the treatment of first-degree burns?

Ice and ointments like butter.

What is the peak time for edema after a thermal injury?

8-18 hours post-burn.

What is a common nursing consideration when treating fungal infections?

Wash linens in hot water to prevent re-infection.

What is indicated by a honey-colored crust in skin lesions?

It usually indicates nonbullous impetigo.

What is the first line of treatment for urticaria?

Antihistamines.

What is the first step in managing frostbite?

Rewarm in 104°F water for 15-30 minutes.

What should be monitored when administering systemic antibiotics for skin infections?

Patient’s allergies before administration.

What is essential to avoid when covering with topical corticosteroids?

Do not cover with occlusive dressing.

What is a common skin infection caused by Staphylococcus aureus?

Bullous impetigo.

What is the management for sunburn?

Cool compresses, cooling lotions, NSAIDs.

What should be done to prevent hypothermia in burn patients?

Keep the child warm and monitor temperature often.