NUR1210 Lecture Notes - Lecture 1: Mycoplasma Pneumonia, Skin Grafting, Antibacterial Soap
Document Summary
Peds exam 2 - alterations in tissue integrity ch 45. Adolescent skin: thickens more like the adults, epidermis & dermis tightly bound = resistance to infection & irritation, all sweat glands functional, melanin at adult level = protects against ultraviolet radiation. Management for sj: remove offending drug, i&o balance, debride crusts, topical anesthetics for oral lesions, oral antihistamines, nutritional support, ophthalmic consult, ivig/steroids used but controversial skipped. Impetigo: highly contagious, no scarring, most common sites: around mouth, face, hands, neck & extremities, strep, staph or both, vesicle crusting: honey colored. Impetigo treatment: cleanse with antibacterial soap, antibiotic ointment, no longer contagious after 48 hours of treatment, educate the parent if they have other children at home, if severe, oral antibiotic. Cellulitis: acute inflammation of dermis & underlying ct, red, tender, warm, edematous skin, rapid onset, appear ill, for severe cellulitis iv antibiotics (folliculitis shown in picture) Tinea is the name of a group of diseases caused by a fungus.
